204 auditor jobs found

Location: This role enables associates to work virtually full-time , except for required in-person training sessions, providing maximum flexibility and autonomy. This approach promotes productivity, supports work-life integration, and ensures essential face-to-face onboarding and skill development. Alternate locations may be considered if candidates reside within a commuting distance from an office. Please note that per our policy on hybrid/virtual work, candidates not within a reasonable commuting distance from the posting location(s) will not be considered for employment, unless accommodation is granted as required by law The DRG Clinical Auditor Principal is responsible for auditing inpatient medical records on claims paid based on Diagnostic Relation Group (DRG) methodology, including case rate and per diem, generating highly complex audit findings recoverable claims for the benefit of the Company, for all lines of business, and its clients. Specializes in review of...

Overview The Pharmacy 340b Analyst/Auditor will be responsible for analysis, investigations and special projects associated with 340b drug program. This person will assist with development of monitoring protocols and ensuring effective internal controls for the program. Responsibilities Key Responsibilities and Essential Functions ·         Developing a thorough understanding of the split-billing/third party administrator systems and the functions to be preferred. ·         Conducting weekly and monthly 340B audits of contract pharmacies and in-house pharmacies to verify adherence to the 340B program guidelines and policies, and providing results to the Business Manager of Pharmacy Services. ·         Development an updating 340B program reports detailing volume, financial value, and other metrics as needed to accurately depict findings from audits to be shared with the pharmacy leadership...

Thank you for considering a career at Ensemble! Ensemble is a leading provider of technology-enabled revenue cycle management solutions for health systems, including hospitals and affiliated physician groups. They offer end-to-end revenue cycle solutions as well as a comprehensive suite of point solutions to clients across the country. Ensemble keeps communities healthy by keeping hospitals healthy. We recognize that healthcare requires a human touch, and we believe that every touch should be meaningful. This is why our people are the most important part of who we are. By empowering them to challenge the status quo, we know they will be the difference! O.N.E Purpose: Customer Obsession:  Consistently provide exceptional experiences for our clients, patients, and colleagues by understanding their needs and exceeding their expectations. Embracing New Ideas:  Continuously innovate by embracing emerging technology and fostering a culture of creativity and...

Position Title: Inpatient Coding Auditor WFH Department: HIM Coders Job Description: Ask your recruiter about our competitive wages and total rewards package ! Remote Eligibility: Candidates must reside and work full-time in AR, KS, MO, OK, or TX before their first day of employment. This position may be filled as levels I, II, or III, depending on individual experience, education, certification(s), and business need. ****Ideal candidate will have experience in complex inpatient coding at an academic medical center.**** General Description Ensures accurate, quality, and compliant Inpatient facility coding through prebill and retrospective audits of coder work and providing targeted education to improve consistency and documentation quality. Essential Job Duties Responsibilities listed in this section are core to the position.  Inability to perform these responsibilities, with or without an accommodation, may result in...

Thank you for considering a career at Ensemble! Ensemble is a leading provider of technology-enabled revenue cycle management solutions for health systems, including hospitals and affiliated physician groups. They offer end-to-end revenue cycle solutions as well as a comprehensive suite of point solutions to clients across the country. Ensemble keeps communities healthy by keeping hospitals healthy. We recognize that healthcare requires a human touch, and we believe that every touch should be meaningful. This is why our people are the most important part of who we are. By empowering them to challenge the status quo, we know they will be the difference! O.N.E Purpose: Customer Obsession:  Consistently provide exceptional experiences for our clients, patients, and colleagues by understanding their needs and exceeding their expectations. Embracing New Ideas:  Continuously innovate by embracing emerging technology and fostering a culture of creativity and...

Thank you for considering a career at Ensemble! Ensemble is a leading provider of technology-enabled revenue cycle management solutions for health systems, including hospitals and affiliated physician groups. They offer end-to-end revenue cycle solutions as well as a comprehensive suite of point solutions to clients across the country. Ensemble keeps communities healthy by keeping hospitals healthy. We recognize that healthcare requires a human touch, and we believe that every touch should be meaningful. This is why our people are the most important part of who we are. By empowering them to challenge the status quo, we know they will be the difference! O.N.E Purpose: Customer Obsession:  Consistently provide exceptional experiences for our clients, patients, and colleagues by understanding their needs and exceeding their expectations. Embracing New Ideas:  Continuously innovate by embracing emerging technology and fostering a culture of creativity and...

Position Title: Internal Auditor (Information Technology, Accounting, Clinical) Department: Internal Audit Job Description: Ask your recruiter about our competitive wages and total rewards package ! This position may be filled as levels II, or III, depending on individual experience, education, certification(s), and business need. General Description: The Internal Auditor I reviews, analyzes, and interprets financial and operational data, including compliance with federal and state laws and regulations, to study and evaluate the business process. The Auditor I evaluates and communicates the efficiency and effectiveness of the study. Final results are reported to OU Health operational leaders through written communications for process improvement and action planning. Essential Responsibilities: Responsibilities listed in this section are core to the position.  Inability to perform these responsibilities, with or without an accommodation, may...

Overview The Pharmacy 340b Analyst/Auditor will be responsible for analysis, investigations and special projects associated with 340b drug program. This person will assist with development of monitoring protocols and ensuring effective internal controls for the program.   • Developing a thorough understanding of the split-billing/third party administrator systems and the functions to be preferred. • Conducting weekly and monthly 340B audits of contract pharmacies and in-house pharmacies to verify adherence to the 340B program guidelines and policies, and providing results to the System Director of Pharmacy Services. • Development and updating 340B program reports detailing volume, financial value, and other metrics as needed to accurately depict findings from audits to be shared with the pharmacy leadership team. • Managing multiple audits accurately and consistently tracking and reporting outcomes for compliance and audit purposes. • Developing and/or...

Posting Description We believe a career is more than just a career — it's a calling. Our teammates' "True North" is what calls them to health care; it’s their passion. At North Mississippi Health Services, we believe in helping you leverage and connect that passion with a much greater purpose that impacts people you know and love. JOB SUMMARY The Nurse Auditor at North Mississippi Health Services plays a critical role in ensuring the accuracy of medical record documentation and compliance with regulations. They conduct clinical audits, evaluate weaknesses, and make recommendations for improvement, including special projects like Drug Diversion Audits and IRB Audits. JOB FUNCTIONS Clinical Audits: The incumbent's primary task is to perform audits to ensure medical record documentation accurately reflects billed charges and is in compliance with federal and state regulations. The incumbent evaluates if weaknesses exist and must be able to make recommendations...

Thank you for considering a career at Ensemble! Ensemble is a leading provider of technology-enabled revenue cycle management solutions for health systems, including hospitals and affiliated physician groups. They offer end-to-end revenue cycle solutions as well as a comprehensive suite of point solutions to clients across the country. Ensemble keeps communities healthy by keeping hospitals healthy. We recognize that healthcare requires a human touch, and we believe that every touch should be meaningful. This is why our people are the most important part of who we are. By empowering them to challenge the status quo, we know they will be the difference! O.N.E Purpose: Customer Obsession:  Consistently provide exceptional experiences for our clients, patients, and colleagues by understanding their needs and exceeding their expectations. Embracing New Ideas:  Continuously innovate by embracing emerging technology and fostering a culture of creativity and...

Thank you for considering a career at Ensemble! Ensemble is a leading provider of technology-enabled revenue cycle management solutions for health systems, including hospitals and affiliated physician groups. They offer end-to-end revenue cycle solutions as well as a comprehensive suite of point solutions to clients across the country. Ensemble keeps communities healthy by keeping hospitals healthy. We recognize that healthcare requires a human touch, and we believe that every touch should be meaningful. This is why our people are the most important part of who we are. By empowering them to challenge the status quo, we know they will be the difference! O.N.E Purpose: Customer Obsession:  Consistently provide exceptional experiences for our clients, patients, and colleagues by understanding their needs and exceeding their expectations. Embracing New Ideas:  Continuously innovate by embracing emerging technology and fostering a culture of creativity and...

Overview About the Role The primary purpose of the Inpatient Coding Data Quality Auditor/Educator is to ensure the consistent processing of claims and collection of data to optimize DRG reimbursement and produce quality data that accurately reflects the severity and intensity of hospital inpatient services. Audits inpatient coded records, provides continuing education of all inpatient coding staff and facilitates the inpatient coding work flow.   Responsibilities What You’ll Do     Performs daily data quality reviews on inpatient records to validate ICD-10 diagnosis and procedure codes Ensures accuracy, proper sequencing, and adherence to coding guidelines on all cases Reviews cases identified as OIG-focused DRGs, transfer DRGs, and other target areas as needed Verifies the accuracy and appropriateness of the selected DRG Communicates coding corrections to coders and explains the rationale for...

Hello, Thank you for your interest in career opportunities with the University of Mississippi Medical Center.  Please review the following instructions prior to submitting your job application: Provide all of your employment history, education, and licenses/certifications/registrations.  You will be unable to modify your application after you have submitted it. You must meet all of the job requirements at the time of submitting the application.  You can only apply one time to a job requisition.  Once you start the application process you cannot save your work. Please ensure you have all required attachment(s) available to complete your application before you begin the process. Applications must be submitted prior to the close of the recruitment. Once recruitment has closed, applications will no longer be accepted. After you apply, we will review your qualifications and contact you if your application is among the most highly qualified. Due to the...

When you join the growing BILH team, you're not just taking a job, you’re making a difference in people’s lives. Under direction from the Manager, Health Information Management, a Lead Health Information Management Audit Specialist collaborates closely with other departments/teams to provide efficient and thorough healthcare claims auditing requirements for Beth Israel Lahey Health (BILH) and its affiliates. The Lead is responsible for a variety of third-party audits of medical record 1 data for reimbursement, regulatory compliance, quality, and appropriateness. Assists in the medical record documentation review. Key responsibilities include providing colleague training and education, orientation, monitoring productivity, quality of work standards, updating workflow procedures, and assisting the manager in day-to-day activities. The Lead is also responsible for processing and resolving complex audit compliance transactions. Job Description: Assists the manager of the...

When you join the growing BILH team, you're not just taking a job, you’re making a difference in people’s lives. Under direction from the Manger of HIM Audit and Research, is responsible for a variety of third party audits of medical record data for reimbursement, regulatory compliance, quality and appropriateness. Assists in the medical record documentation review for JCAHO compliance, editing of data required by the State Division of Health Care Financing and Policy and other projects/initiatives as necessary. Job Description: Essential Duties & Responsibilities including but are not limited to: 1.    Audit Functions Assists the manager of audit in planning and evaluating procedures that support the overall goals and objectives of the HIM Department. Prepare & report the status & outcome of the various components of the Audit & Compliance section of HIM Serves as a central resource in order to decipher medical conditions, disease...

Thank you for considering a career at Ensemble! Ensemble is a leading provider of technology-enabled revenue cycle management solutions for health systems, including hospitals and affiliated physician groups. They offer end-to-end revenue cycle solutions as well as a comprehensive suite of point solutions to clients across the country. Ensemble keeps communities healthy by keeping hospitals healthy. We recognize that healthcare requires a human touch, and we believe that every touch should be meaningful. This is why our people are the most important part of who we are. By empowering them to challenge the status quo, we know they will be the difference! O.N.E Purpose: Customer Obsession:  Consistently provide exceptional experiences for our clients, patients, and colleagues by understanding their needs and exceeding their expectations. Embracing New Ideas:  Continuously innovate by embracing emerging technology and fostering a culture of creativity and...

We've made a lot of progress since opening the doors in 1942, but one thing has never changed - our commitment to serve, heal, lead, educate, and innovate. We believe that every award earned, every record broken and every patient helped is because of the dedicated employees who fill our hallways. At Ochsner, whether you work with patients every day or support those who do, you are making a difference and that matters. Come make a difference at Ochsner Health and discover your future today! This job assumes responsibility for maintaining high patient care standards in all aspects of a hospital and/or clinic setting. Coordinates and supervises the schedules and activities of the Therapists and EKG Technicians. Regularly attends meetings and communicates with physicians and supporting clinicians. Actively participates in chart audits and continuous quality improvement, as well as assists with routine maintenance on equipment in assigned department. To perform this...

We've made a lot of progress since opening the doors in 1942, but one thing has never changed - our commitment to serve, heal, lead, educate, and innovate. We believe that every award earned, every record broken and every patient helped is because of the dedicated employees who fill our hallways. At Ochsner, whether you work with patients every day or support those who do, you are making a difference and that matters. Come make a difference at Ochsner Health and discover your future today! This job assumes responsibility for maintaining high patient care standards in all aspects of a hospital and/or clinic setting. Coordinates and supervises the schedules and activities of the Therapists and EKG Technicians. Regularly attends meetings and communicates with physicians and supporting clinicians. Actively participates in chart audits and continuous quality improvement, as well as assists with routine maintenance on equipment in assigned department. To perform this...

Hello, Thank you for your interest in career opportunities with the University of Mississippi Medical Center.  Please review the following instructions prior to submitting your job application: Provide all of your employment history, education, and licenses/certifications/registrations.  You will be unable to modify your application after you have submitted it. You must meet all of the job requirements at the time of submitting the application.  You can only apply one time to a job requisition.  Once you start the application process you cannot save your work. Please ensure you have all required attachment(s) available to complete your application before you begin the process. Applications must be submitted prior to the close of the recruitment. Once recruitment has closed, applications will no longer be accepted. After you apply, we will review your qualifications and contact you if your application is among the most highly qualified. Due to the...

Position Title: Director of Information Security Engineering Department: IT Information Security Job Description: *This position is onsite in Oklahoma City* Essential Responsibilities: Responsibilities listed in this section are core to the position.  Inability to perform these responsibilities with or without an accommodation may result in disqualification from the position.  Work with the CISO to develop a security program and security projects that address identified risks and business security requirements. Manage the process of gathering, analyzing and assessing the current and future threat landscape, as well as providing the CISO with a realistic overview of risks and threats in the enterprise environment. Work with the CISO to develop budget projections based on short- and long-term goals and objectives. Propose changes to existing policies and procedures to ensure operating efficiency and regulatory compliance. Manage a staff of...