NewFranchise Auditor II Servpro Industries, LLCFranchise Auditor IILebanon, TNWe strive to cultivate a professional community that respects and celebrates the things that make us unique, the things we share, and the collaborative spirit we bring to the work we pursue together. Certified fraud examiner (CFE), certified internal auditor (CIA), or certified public accountant (CPA) considered a plus.
NewJr. Franchise Compliance Auditor I Servpro Industries, LLCJr. Franchise Compliance Auditor ILebanon, TNThe Junior Franchise Compliance Auditor I performs audits of franchise owners from start to finish, from selection of Franchises audited to issuance of audit reports and collection of audit findings. Verbal and written communication with Franchises, Distributors, other Corporate Departments, including our Legal, Credit, and Accounting Departments, and other parties including Executive Management, as needed during audits.
NewFreezer Inventory Control Quality Assurance Auditor C&S Wholesale Grocers, LLCFreezer Inventory Control Quality Assurance AuditorYork, PAFounded in 1918 as a supplier to independent grocery stores, C&S now services customers of all sizes, supplying more than 7,500 independent supermarkets, chain stores, military bases and institutions with over 100,000 different products. Our focus is simple but meaningful, from our distribution centers to our offices — every employee of C&S and their family of companies works to help feed local families, neighbors and communities.
Medical Auditor - Medical Bill Audit The Tampa General Hospital Foundation IncMedical Auditor - Medical Bill AuditTampa, FLThe Medical Auditor represents Tampa General Hospital in matters related to billing, documentation, and reimbursement with third-party payers, patients, and hospital personnel, while performing all duties in alignment with the mission, vision, and values of Tampa General Hospital. Under general supervision and in accordance with established policies, procedures, and professional guidelines, the Medical Auditor performs detailed medical record reviews to validate the accuracy of charge capture, hospital billing and ensure compliance with departmental charge policies and regulatory requirements.
Medical Auditor - Medical Bill Audit Tampa General HospitalMedical Auditor - Medical Bill AuditTampa, FLThe Medical Auditor represents Tampa General Hospital in matters related to billing, documentation, and reimbursement with third-party payers, patients, and hospital personnel, while performing all duties in alignment with the mission, vision, and values of Tampa General Hospital. Under general supervision and in accordance with established policies, procedures, and professional guidelines, the Medical Auditor performs detailed medical record reviews to validate the accuracy of charge capture, hospital billing and ensure compliance with departmental charge policies and regulatory requirements.
Medical Review Nurse - Home Health Auditor MachinifyMedical Review Nurse - Home Health AuditorAs a MR Nurse Auditor, you will join a team of experienced medical auditors and coders performing retrospective and prepayment audits on claims for Government and Commercial Payers. Deployed by over 85 health plans, including many of the top 20, and representing more than 270 million lives, Machinify brings together a fully configurable and content-rich, AI-powered platform along with best-in-class expertise.
Nurse Auditor - Medical Bill Review (Remote) Rising Medical SolutionsNurse Auditor - Medical Bill Review (Remote)Chicago, ILRemoteIn this role, you'll be a part of our mission by giving clients the information they need to determine case value based on evaluation of medical records and medical billing statements, and will: Audit medical and billing records to determine if services provided are reasonable, appropriate and necessary. Join our team and maximize client savings by reviewing medical bills from a nurse perspective, including appropriate billing, coding and treatment, fee schedule compliance, over-utilization, and erroneous charges.
Medical Review Nurse II - SNF/MDS Auditor MachinifyMedical Review Nurse II - SNF/MDS AuditorCA$85,000–$100,000 / yearMust be able to independently work within Microsoft Office products including Word, Excel, PPT, to Include creating/saving documents in folders, setting up and utilizing spreadsheets, copying and pasting data from one document to another. Machinify is a leading healthcare intelligence company with expertise across the payment continuum, delivering unmatched value, transparency, and efficiency to health plan clients across the country.
Medical Review Nurse - CMS/RAC Auditor, Government Audits MachinifyMedical Review Nurse - CMS/RAC Auditor, Government AuditsDeployed by over 85 health plans, including many of the top 20, and representing more than 270 million lives, Machinify brings together a fully configurable and content-rich, AI-powered platform along with best-in-class expertise. Machinify is a leading healthcare intelligence company with expertise across the payment continuum, delivering unmatched value, transparency, and efficiency to health plan clients across the country.
Quality Medical Auditor TRC Talent SolutionsQuality Medical AuditorColumbia, SCTemporaryThis position plays a critical role in improving documentation quality, reducing risk, and supporting overall revenue integrity. This role is responsible for ensuring the accuracy and integrity of coded medical records, identifying discrepancies, and safeguarding appropriate reimbursement.
NewMedical Review Nurse, Clinical Appeals Auditor MachinifyMedical Review Nurse, Clinical Appeals AuditorThe Medical Review Clinical Appeals Auditor (RN) is responsible for conducting Appeals reviews of new evidence presented by auditee’s, disputing all or part of the findings from medical review audit work completed by the medical review clinical audit team members, as well as communicate and support the identification of potential training opportunities or enhancements to training and/or concept review guideline materials and tools. Objectively and accurately documents Appeals results in accordance with department quality policies and procedures, scoring and reporting all Appeals results and routes the result appropriately within audit platform based upon how the Appeal review resulted in a full or partial upholding of the audit finding or with a full or partial overturn.
Certified Professional Medical Auditor Kinwell HealthCertified Professional Medical AuditorTXRemote$58,600–$93,800 / yearIn addition to auditing, the auditor is responsible for correcting coding errors, submitting clarifying queries to clinicians, coding outpatient encounters, and delivering targeted coding education. This role supports both revenue cycle optimization and clinical documentation excellence by partnering closely with coding teams, compliance, and primary care providers.
Medical Auditor (Billing and Coding) West End Orthopaedic Clinic IncMedical Auditor (Billing and Coding)VA$26.44–$39.66 / hourLicensing, certification/degree as one of the following: Registered Health Information Administrator (RHIA), Registered Health Information Technician (RHIT), Certified Coding Specialist - Physician-based (CCS-P), Certified Professional Coder (CPC), Certified Evaluation and Management Coder (CEMC) required. With more than 159 physicians in over 35 locations-including Lynchburg, Northern Virginia, Richmond, Southwest Virginia, and Hampton Roads-OrthoVirginia is a leader in orthopedic surgery, non-surgical care, and physical, hand, and occupational therapy.
Medical Coding Auditor - Must have a NM Residence UNM Medical Group, Inc.Medical Coding Auditor - Must have a NM ResidenceAlbuquerque, NMAudits medical record documentation to identify undercoded and overcoded services, prepares reports and observations and meets with providers, support staff and coding personnel to provide education and training on accurate documentation and coding practices in compliance with regulatory requirements. Assists management in the review of external payer requests including but not limited to third party payers, Medicare Advantage plans, and Recovery Audit Contractor reviews for reconsideration, appeal and rebuttal actions.
Medical Auditor - Remote YO AI LabsMedical Auditor - RemoteSan Jose, CARemoteWe are seeking experienced Medical Auditors to contribute their specialized expertise to an innovative healthcare AI project. This opportunity is ideal for professionals with strong experience in outpatient professional fee coding, auditing, and academic medical center environments.
Medical Auditor (Billing and Coding) OrthoVirginiaMedical Auditor (Billing and Coding)VirginiaWith more than 159 physicians in over 35 locations—including Lynchburg, Northern Virginia, Richmond, Southwest Virginia, and Hampton Roads—OrthoVirginia is a leader in orthopedic surgery, non-surgical care, and physical, hand, and occupational therapy. Licensing, certification/degree as one of the following: Registered Health Information Administrator (RHIA), Registered Health Information Technician (RHIT), Certified Coding Specialist – Physician-based (CCS-P), Certified Professional Coder (CPC), Certified Evaluation and Management Coder (CEMC).
Medical Auditor PIEDMONT ACCESS TO HEALTH SERVICES INCMedical AuditorDanville, KY$21–$27.30 / hourCPC or CPMA (Medical Auditing Certification) from accredited source (American Health Information Management Association, American Academy of Professional Coders, or Practice Management Institute). Participates in and represents the department in business leadership groups, including external professional groups specializing in coding and provider education.
NewMedical Coding Auditor PACT MSO, LLCMedical Coding AuditorBranford, CT$80,000–$100,000 / yearFull timeThis position works closely with physicians, advanced practice providers, coding and billing personnel, revenue cycle leadership, compliance officers, operational leaders, and other healthcare stakeholders to promote compliant documentation, coding, billing, and reimbursement practices. Experience performing documentation, coding, and billing audits in a healthcare system, academic medical center, physician practice, consulting organization, or related setting preferred.
Medical Coding Auditor Professional Performance Development Group, IncMedical Coding AuditorBethesda, Maryland$35.21–$40.14As a proud Department of Defense Partner Employer and participant in the Military Spouse Employment Partnership (MSEP), PPDG remains committed to supporting our Nation’s Finest through meaningful careers that make a lasting impact. About Company: Since 1984, Professional Performance Development Group (PPDG) has been proudly Serving Heroes by connecting exceptional healthcare professionals with rewarding opportunities across military, federal, and commercial healthcare facilities.
Physician Practice E&M Auditor Educator, Medical Group Auditing & Coding, FT, 8A-4:30P (Hybrid) Baptist Health South FloridaPhysician Practice E&M Auditor Educator, Medical Group Auditing & Coding, FT, 8A-4:30P (Hybrid)Remote, FLRemote$26.13–$33.97 / hourDevelops and executes provider comprehensive educational opportunities/curriculums (coding resources, materials, tools, webinars, campaigns, etc.) based on audit results, noted trends & changes within coding compliance and regulatory guidelines, while supporting organizational compliance models. E&M Coding Auditor/Educator performs comprehensive audits to determine integrity of coding/billing for physician & clinical fees, detection/correction of documentation, coding/billing errors and/or medical necessity of services billed.