Traveling auditor jobs near me - 240 jobs

Sunrise,FL - USA Requirements The Auditor, Revenue Optimization is responsible for conducting audits and reviewing clinical documentation to ensure proper charge capture, billing in accordance with standard billing policies and compliance standards. This individual is responsible for assisting the team with resolution of coding/ billing issues, participating in external/internal audit requests, payer audits, and special projects as needed. This is a virtual position, but we prefer candidates to be based in one of the following locations: Melville, NY; Raleigh, NC; Syracuse, NY; Fairfax, VA; or Sunrise, FL. PRIMARY RESPONSIBILITIES: Audit medical records to identify missed charges, incorrect coding, and other inconsistencies that result in missed billing opportunities. Perform Root Cause Analyses and report findings that identify common issues, including over-coding, under-coding and missed billing opportunities. Retrieves any missing patient information and documentation required for billing. Complete coding of unbilled records identified through audits. Prepare reports, executive summaries, and examples of audit findings for presentation and educational purposes. Assist with Clinical Documentation recommendation, coding guidance research, and the development of coding educational documents Conduct ad-hoc audits as needed to provide root cause analysis and recommendations for resolution. Pre-payment audit: review billing vs documentation, send documentation to the payer, complete necessary charge corrections, and/or identify CDI (Clinical Documentation Improvement) opportunities Provide resolution of missing documentation tasks. Retrieve or request necessary documents, code for billing, and data entry. Provide coding support to cross-functional team inquiries and special projects. QUALIFICATIONS REQUIRED QUALIFICATIONS: Minimum 3 years coding experience. Must have and maintain an approved coding credential through AAPC (American Academy of Professional Coders) or AHIMA Must have or obtain at least one additional certification (CANPC or CPMA), within 1 year of employment. Extensive knowledge of medical billing software and electronic medical records. Well-rounded knowledge of CMS requirements claims processing, billing/coding guidelines, and the Revenue Cycle process. Proficient PC skills, including Microsoft 365 Excel Proficiency to include basic formulas, concatenate, VLOOKUP, and pivot tables) DESIRED/PREFERRED QUALIFICATIONS: Previous coding experience within Anesthesia or General Surgery. • Clinical Documentation compliance and regulatory requirements. TOTAL REWARDS: Salary: $55,736 - $76,637 annually Generous benefits package, including: Paid Time Off Health, life, vision, dental, disability, and AD&D insurance Flexible Spending Accounts/Health Savings Accounts 401(k) Leadership and professional development opportunities The Auditor, Revenue Optimization is responsible for conducting audits and reviewing clinical documentation to ensure proper charge capture, billing in accordance with standard billing policies and compliance standards. This individual is responsible for assisting the team with resolution of coding/ billing issues, participating in external/internal audit requests, payer audits, and special projects as needed. EEO Statement North American Partners in Anesthesia is an equal opportunity employer.

If you're ready to be part of our legacy of hope and innovation, we encourage you to take the first step and explore our current job openings. Your best is waiting to be discovered. Day - 08 Hour (United States of America) This is a Stanford Health Care job. A Brief Overview The Charge Auditor performs auditing activities, including complex cases that require extensive research, interpretation and application of laws and regulations. Charge Auditor evaluates the adequacy and effectiveness of internal and operational controls designed to ensure that processes and practices lead to appropriate execution of regulatory requirements and guidelines related to professional or facility and documentation, charging, coding and billing, including federal and state regulations and guidelines, CMS (Centers for Medicare and Medicaid Services) and OIG (Office of Inspector General) compliance standards. Locations Stanford Health Care What you will do Conducts defensive charge audits, self-pay/patient requests, or other special audit projects, as requested, comparing itemized bills to corresponding medical records and identifying documented services unbilled and charges for services not documented that need to need to be removed from an account Conducts audits for Medicare/Medicaid Cost Outlier accounts prior to billing, ensuring itemized bill is accurate. Conducts retrospective audits as requested. Collaborates with RI CDM to optimize the integrity of the Chargemaster Applies consistent and standardized compliance monitoring methodology for sample selection, scoring and benchmarking, development and reporting of findings. Prepares written reports of review findings and recommendations and presents to management and maintains monitoring records. Researches, abstracts and communicates federal, state, and payor documentation, and billing rules and regulations; stays current with Medicare, Medi-Cal and other third party rules and regulations including ICD-10 and CPT code updates. Performs defense auditing of targeted medical records in conjunction with the itemized bills for charging error, substandard documentation and inaccurate procedural billing. Performs concurrent review of hospital bills to document non-billed, underbilled, and overbilled items/services. Utilizes charge documents as required by Health System to reconcile charges to items/services documented in the medical record. Prepare reports by management regarding audit results, process improvement recommendations and systemic billing errors. Make monthly observations and recommendations to prevent future reimbursement losses. Education Qualifications Bachelor's degree in a work-related discipline/field required. Required Experience Qualifications Three (3) years of progressively responsible and directly related work experience Required Required Knowledge, Skills and Abilities Ability to analyze and develop solutions to complex problems Ability to communicate effectively in written and verbal formats including summarizing data, presenting results Ability to comply with the American Health Information Management Associate's Code of Ethic and Standards and applicable Uniform Hospital Discharge Data Set (UHDDS) standards Ability to establish and maintain effective working relationships Ability to judgment and make informed decisions Ability to manage, organize, prioritize, multi-task and adapt to changing priorities Ability to use computer to accomplish data input, manipulation and output Ability to work effectively both as a team player and leader Knowledge of Epic EMR and billing Knowledge of charge capture workflows and CDM Knowledge of DRG/APC reimbursement Knowledge of health information systems for computer application to medical records Knowledge of ICD-10-CM & CPT coding conventions to code medical record entries; abstract information from medical records; read medical record notes and reports; set accurate Diagnostic Related Groups Knowledge of standards and regulations pertaining to the maintenance of patient medical records; medical records coding systems; medical terminology; anatomy and physiology and study of diseases Knowledge of governmental payment practices for Medicare and MediCal Working knowledge of commercial payer reimbursement models Knowledge of Medicare billing practices. Proficient EXCEL, WORD, PowerPoint skills Licenses and Certifications RN - Registered Nurse - State Licensure And/Or Compact State Licensure required . or CCS - Certified Coding Specialist required . or CPC and/or CCSP - Certified Professional Coder required . or Certified Outpatient Coder - COC required . and CPC required . or RHIT - Registered Health Information Technician required . or RHIA - Registered Health Information Administrator required . Physical Demands and Work Conditions Blood Borne Pathogens Category III - Tasks that involve NO exposure to blood, body fluids or tissues, and Category I tasks that are not a condition of employment These principles apply to ALL employees: SHC Commitment to Providing an Exceptional Patient & Family Experience Stanford Health Care sets a high standard for delivering value and an exceptional experience for our patients and families. Candidates for employment and existing employees must adopt and execute C-I-CARE standards for all of patients, families and towards each other. C-I-CARE is the foundation of Stanford's patient-experience and represents a framework for patient-centered interactions. Simply put, we do what it takes to enable and empower patients and families to focus on health, healing and recovery. You will do this by executing against our three experience pillars, from the patient and family's perspective: Know Me: Anticipate my needs and status to deliver effective care Show Me the Way: Guide and prompt my actions to arrive at better outcomes and better health Coordinate for Me: Own the complexity of my care through coordination Equal Opportunity Employer Stanford Health Care (SHC) strongly values diversity and is committed to equal opportunity and non-discrimination in all of its policies and practices, including the area of employment. Accordingly, SHC does not discriminate against any person on the basis of race, color, sex, sexual orientation or gender identity and/or expression, religion, age, national or ethnic origin, political beliefs, marital status, medical condition, genetic information, veteran status, or disability, or the perception of any of the above. People of all genders, members of all racial and ethnic groups, people with disabilities, and veterans are encouraged to apply. Qualified applicants with criminal convictions will be considered after an individualized assessment of the conviction and the job requirements. Base Pay Scale: Generally starting at $52.69 - $69.82 per hour The salary of the finalist selected for this role will be set based on a variety of factors, including but not limited to, internal equity, experience, education, specialty and training. This pay scale is not a promise of a particular wage.

Conducts data quality audits of inpatient admissions and outpatient encounters to validate coding assignment is in compliance with the official coding guidelines as supported by clinical documentation in health record. Validates abstracted data elements that are integral to appropriate payment methodology. ESSENTIAL DUTIES AND RESPONSIBILITIES Include the following. Others may be assigned. * Consulting: Consults facility leaders and staff on best practices, methodology, and tools for accurately coding. * Chart Analysis IP, OP Coding Data auditing and validation: Reviews medical records for the determination of accurate assignment of all documented diagnoses and procedures. Adheres to Standards of Ethical Coding (AHIMA). Reviews medical records for the determination of accurate assignment of all documented diagnoses and procedures. Reviews claim to validate abstracted data including but limited to discharge disposition which impacts facility reimbursement and/or MS-DRG assignment. Adheres to Standards of Ethical Coding (AHIMA).Reviews medical records to determine accurate required abstracting elements (facility/client/payer specific elements) including appropriate discharge disposition * IP, OP Coding: Reviews medical records for the determination of accurate assignment of all documented ICD-9-CM codes for diagnoses and procedures. Abstracts accurate required data elements (facility/client specific elements) including appropriate discharge disposition. * Coding: Uses discretion and specialized coding training and experience to accurately assign ICD-9, CPT-4 codes to patient medical records. * Abstracting: Reviews medical records to determine accurate required abstracting elements (client specific elements) including appropriate discharge disposition. * Coding Quality: Demonstrates ability to achieve accuracy and consistency in the selection of principal and secondary diagnoses (including MCC & CC) and procedures. Demonstrates ability to achieve accuracy and consistency in abstracting elements defined by SOW. * CDI: Identifies and communicates documentation improvement opportunities and coding issues (lacking documentation, physician queries, etc.) to appropriate personnel for follow-up and resolution. * Professional Development: Stays current with AHA Official Coding and Reporting Guidelines, CMS and other agency directives for ICD-9-CM and CPT coding. Attends mandatory coding seminars on annual basis (IPPS and OPPS, ICD-9-CM and CPT updates) for inpatient and outpatient coding. Quarterly review of AHA Coding Clinic. Attends Quarterly Coding Updates and all coding conference calls KNOWLEDGE, SKILLS, ABILITIES To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. * Ability to consistently code at 95% accuracy and quality while maintaining client specified production standards * Must successfully pass coding test * Knowledge of medical terminology, ICD-9-CM and CPT-4 codes * Must be detail oriented and have the ability to work independently * Computer knowledge of MS Office * Must display excellent interpersonal skills * The coder should demonstrate initiative and discipline in time management and assignment completion * The coder must be able to work in a virtual setting under minimal supervision * Intermediate knowledge of disease pathophysiology and drug utilization * Intermediate knowledge of MSDRG classification and reimbursement structures * Intermediate knowledge of APC, OCE, NCCI classification and reimbursement structures Conifer requires its candidates, as applicable and as permitted by law, to obtain and provide confirmation of all required vaccinations and screenings prior to the start of employment. This may include, but is not limited to, the COVID-19 vaccination, influenza vaccination, and/or any future required vaccines and screenings. EDUCATION / EXPERIENCE * Associates degree in relevant field preferred or combination of equivalent of education and experience * Three years coding experience including hospital and consulting background CERTIFICATES, LICENSES, REGISTRATIONS * AHIMA Credentials, and or AAPC PHYSICAL DEMANDS The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. * Duties may require bending, twisting and lifting of materials up to 25 lbs. * Duties may require driving an automobile to off- site locations. * Duties may require travel via, plane, care, train, bus, and taxi-cab. * Ability to sit for extended periods of time. * Must be able to efficiently use computer keyboard and mouse to perform coding assignments. WORK ENVIRONMENT The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. * Floats between clients as requested. * Capacity to work independently in a virtual office setting or at hospital setting if required to travel for assignment. OTHER * Regular travel may be required As a part of the Tenet and Catholic Health Initiatives family, Conifer Health brings 30 years of healthcare industry expertise to clients in more than 135 local regions nationwide. We help our clients strengthen their financial and clinical performance, serve their communities and succeed at the business of healthcare. Conifer Health helps organizations transition from volume to value-based care, enhance the consumer and patient healthcare experience and improve quality, cost and access to healthcare. Are you ready to be part of our solutions? Welcome to the company that gives you the resources and incentives to redefine healthcare services, with a competitive benefits package and leadership to take your career to the next step! Compensation and Benefit Information Compensation * Pay: $30.85 - $46.28 per hour. Compensation depends on location, qualifications, and experience. * Position may be eligible for a signing bonus for qualified new hires, subject to employment status. * Conifer observed holidays receive time and a half. Benefits Conifer offers the following benefits, subject to employment status: * Medical, dental, vision, disability, and life insurance * Paid time off (vacation & sick leave) - min of 12 days per year, accrue at a rate of approximately 1.84 hours per 40 hours worked. * 401k with up to 6% employer match * 10 paid holidays per year * Health savings accounts, healthcare & dependent flexible spending accounts * Employee Assistance program, Employee discount program * Voluntary benefits include pet insurance, legal insurance, accident and critical illness insurance, long term care, elder & childcare, AD&D, auto & home insurance. * For Colorado employees, Conifer offers paid leave in accordance with Colorado's Healthy Families and Workplaces Act. Employment practices will not be influenced or affected by an applicant's or employee's race, color, religion, sex (including pregnancy), national origin, age, disability, genetic information, sexual orientation, gender identity or expression, veteran status or any other legally protected status. Tenet will make reasonable accommodations for qualified individuals with disabilities unless doing so would result in an undue hardship. Tenet participates in the E-Verify program. Follow the link below for additional information. E-Verify: ***************************** The employment practices of Tenet Healthcare and its companies comply with all applicable laws and regulations. **********

Note: If you are CURRENTLY employed at Children's and/or have an active badge or network access, STOP here. Submit your application via Workday using the Career App (Find Jobs). Work Shift Day Work Day(s) Monday-Friday Shift Start Time 8:00 AM Shift End Time 5:00 PM Worker Sub-Type Regular Children's is one of the nation's leading children's hospitals. No matter the role, every member of our team is an essential part of our mission to make kids better today and healthier tomorrow. We're committed to putting you first, and that commitment is at the heart of our company culture: People first. Children always. Find your next career opportunity and make a difference doing what you love at Children's. Job Description Provides audits and reviews patient charts, corresponding ICD-10 CM, CPT-4 codes, modifiers, HCPCS codes, and charges for appropriateness. Provides reports to management of findings and recommendations for solutions. Identifies areas of improvement which will enhance internal controls and performance throughout Children's Healthcare of Atlanta. Proactively supports the efforts that ensure safe patient care and services and promote a safe environment at Children's Healthcare of Atlanta. Works with management team to educate Coding staff on coding and documentation compliance. Experience Minimum of 5+ years professional auditing experience Preferred Qualifications Associates degree in Health Information Management or related field Education High school diploma or equivalent Certification Summary Minimum of one of the following: Certified Professional Coder (CPC) Certified Professional Medical Auditor (CPMA) Certified Coding Specialist - Physician-based (CCS-P) Knowledge, Skills, and Abilities Knowledge of diagnosis-related group and ambulatory payment classification regulations Demonstrated knowledge of InterQual Criteria and Medicaid and managed care rules and regulations Strong analytical, organizational, and communication skills Job Responsibilities Manage inventory levels in Operating Room (OR & CVOR), ensuring adequate supply availability and minimal supply disruption. Manage Cath Lab and Interventional Radiology (IR) inventory levels to ensuring supply availability and minimal disruption to procedure areas. Conducts chart audits for compliance assessment and establishes coding policy and procedure. Prepares a report of findings for each audit along with an action plan. Records and monitors corrections to the bill. Assists in designing continued education to address deficiencies. Plans and organizes work assignments to complete audits in an efficient manner. Identifies problem situations or inadequate charge reconciliation procedures. Clearly documents information to support findings and conclusions. Keeps appropriate management personnel informed of any problems or unusual circumstances on a timely basis. Facilitates improvement in the overall quality and completeness of medical records documentation. Provides documentation education. Children's Healthcare of Atlanta is an equal opportunity employer committed to providing equal employment opportunities to all qualified applicants and employees without regard to race, color, sex, religion, national origin, citizenship, age, veteran status, disability or any other characteristic covered by applicable law. Primary Location Address Used for remote worker assignment Job Family Coding

At CSI Pharmacy (CSI), we are on a mission to provide Specialty Pharmacy services to patients with chronic and rare illnesses in need of complex care. CSI is a rapidly growing national Specialty Pharmacy. Whether you work directly with patients or behind the scenes in support of the business and its employees, you will use your expertise, experience, and skills to support our patients and our mission. Summary The Revenue Cycle Auditor is responsible for verifying that revenue cycle practices for the specialty pharmacy are in line with all payers, state and federal compliance guidelines. The Auditor will review, analyze, authenticate, and confirm billing accuracy and collection competency. Research and investigate any missing, inaccurate, or conflicting information. Establish and enforce regular audit schedules. Hourly Range: $32/hr - $34/hr (DOE) Schedule: (Remote) Ideally 8:30am - 5:00pm in your respective time zone; however, the hours are flexible Travel: Optional travel 3xs/year to Plano, TX where the team gets together for in-person collaboration but is not mandatory Essential Duties and Responsibilities Include the following. Other duties may be assigned, as necessary. Evaluates areas of risk to be addressed by each audit. Interprets the relative significance of issues needing resolution; escalates at an appropriate time. Conduct scheduled and non-scheduled compliance audits according to the audit plan while testing compliance with appropriate federal, state, and local regulations and standards, and internal policies and procedures. Performs risk assessments to identify compliance and non-compliance concerns. Implements on-going compliance audits by creating and enhancing audit tools relating to audit/monitoring activities and/or researching and investigating issues Prepare audit reports based on audit findings. Participates in management meetings to review audit findings and communication areas of concern or risk. Reviews management responses to determine if recommendations have been satisfactorily addressed. Addresses responses requiring further clarification or support. Develops and maintains current knowledge of laws, regulations, and market changes that impact all aspects of the Company, including, but not limited to, Contractual obligations, Federal and State compliance regulations. Establish and enforce regular audit schedules. Utilizes the 5 C's of audits: criteria, condition, cause, consequence, and corrective action Comply with the Company's Core Values and Core Competencies Perform other duties as assigned by supervisor Qualification Requirements To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodation may be made to enable individuals with disabilities to perform the essential functions. Previous auditing experience. Strong communication, interpersonal, and presentation skills, working with both internal and external individuals and entities Strong ability to self-motivate. Excellent analytical problem-solving skills. Strong computer skills with proficiency in Microsoft Office Maintains discretion and safeguards confidential information Ability to work effectively with colleagues as team members and to communicate effectively. Excellent verbal and written communication skills. Strong customer service orientation. Education and/or Experience 3--5 years' experience in auditing Home Infusion and/or Specialty Pharmacy billing and collection requirements as they align with all federal, state, and commercial payer guidelines. Experience with CPR+ and/or CareTend preferred but not required. Proficient with home infusion specialty pharmacy revenue cycle billing and collection best practices. Physical Demands The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodation may be made to enable individuals with disabilities to perform the essential functions. While performing the duties of this job, the employee is regularly required to talk or listen. The employee regularly is required to stand, walk, sit, climb stairs, use hand to finger, handle, or feel objects, tools, or controls; and reach with hands and arms. The employee frequently lifts and/or moves up to 20 pounds. Specific vision abilities required by this job include close vision and the ability to adjust focus. Work Environment The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. This job generally operates in a clerical office setting. This role routinely uses standard office equipment such as computers, phones, photocopiers, filing cabinets, and fax machines. While performing the duties of this position, the employee may travel by automobile and be exposed to changing weather conditions. Comments This description is intended to describe the essential job functions, the general supplemental functions, and the essential requirements for the performance of this job. It is not an exhaustive list of all duties, responsibilities, and requirements of a person so classified. Other functions may be assigned, and management retains the right to add or change the duties at any time. NOTICE: Successful completion of a drug screen prior to employment is part of our background process, which includes medical and recreational marijuana. By supplying your phone number, you agree to receive communication via phone or text. CSI Pharmacy is an Equal Opportunity Employer

We are seeking a seasoned and strategic Staff Internal Quality Auditor to join our Quality Compliance & Audit team under the global Quality Systems organization. This role is critical to ensuring the integrity and continuous improvement of our Quality Management System (QMS). The ideal candidate will bring 8-10 years of experience in Quality Assurance or Regulatory Affairs within the medical device industry, with expertise in auditing, regulatory compliance, and quality systems leadership. Reporting to the Director of Quality Systems Compliance & Audit, the Staff Auditor owns, drives, and leads multiple quality system processes, including Internal/External Audit and Inspection, Corrective and Preventive Action (CAPA), Risk Management, and Metrics & Reporting. Key Responsibilities: Lead the planning, execution, and reporting of complex internal audits across global sites in accordance with Insulet requirements, applicable international regulations and standards including ISO 13485, 21 CFR Part 820, EU MDR 2017/745, and the MDSAP approach. Develop, maintain, and execute a robust, risk-based, internal audit program that proactively identifies compliance risks and drives continuous improvement. Serve as a key liaison and subject matter expert during external audits, including FDA inspections, Notified Body audits, and other regulatory authority engagements. Lead cross-functional teams supporting external audits including preparation, back-room management, issue tracking, and driving follow-up activities. Oversee audit responses including root cause analysis and ensure timely and effective implementation of CAPAs resulting from audit findings. Collaborate with global quality, regulatory, and other internal risk control teams to harmonize audit practices and ensure consistent compliance across the organization. Analyze audit data, identify trends, and present findings to management and/or regulatory bodies in support of the audit process, which may include coaching process owners and key stakeholders on compliance gaps, data, and/or resulting corrective actions. Design, develop, and facilitate training programs to enhance organizational understanding of quality system requirements, audit preparedness, and regulatory compliance. Influence key cross-functional stakeholders to adopt quality improvements and act as a catalyst for organizational change. Author and present high-impact presentations and executive summaries to senior management. Oversight and management of the internal guest auditor program Mentor and train junior auditors and cross-functional teams on audit readiness, regulatory expectations, and quality system best practices. Partner with key stakeholders to support the development, implementation and continuous improvement of the established risk-based QMS and process-approach. Create and/or improve quality systems to ensure best practices are utilized including conducting assessments, write and execute quality plans, manage change. Regularly advise key stakeholders and management on ways to improve quality system effectiveness, with emphasis on preventive action. Review procedures to ensure compliance with applicable regulatory and corporate standards Perform additional duties as part of the Quality Systems team as required Education and Experience: Bachelor's degree in engineering, life sciences, or a related technical discipline; advanced degree preferred. 8-10 years of experience in Quality Assurance or Regulatory Affairs in the medical device industry. Extensive functional knowledge of ISO 13485, 21 CFR 820, EU MDR 2017/745, MDSAP, and global regulatory requirements. Demonstrated success leading internal audits and managing external regulatory inspections. Strong command of audit, CAPA processes, risk management, and quality system controls with ability to educate others. Exceptional attention to detail with the ability to manage multiple high-priority projects in a fast-paced environment. Excellent written and verbal communication skills, including experience presenting to executive leadership. Proven ability to influence and lead cross-functional teams and drive change. High level of integrity, professionalism, and strategic/risk-based thinking. Required Skills/Competencies: CQA, CMDA, or equivalent active certification Ability to inspire and motivate cross-functional teams by building trust through active engagement, delivering impactful coaching and feedback, and fostering a culture of accountability and continuous improvement. Strategic mindset with a proactive approach to identifying and mitigating compliance risks. Strong analytical and problem-solving skills with a focus on root cause and sustainable solutions. Effective communicator with the ability to tailor messaging to diverse audiences, including executive leadership. Working with various digital business platforms and eQMS tools (LMS, LIMS, PLM, ERP, etc.) Preferred Skills/Competencies: Expert user skills in the M365 Office suite including Teams, and SharePoint Experience with electronic QMS solutions and audit management tools Familiarity with additional international regulatory frameworks (e.g., Health Canada, TGA, PMDA) Experience with PLM tools such as Agile and/or Arena Job Type: Full-time Travel: Up to 25% Additional Information: Compensation & Benefits: For U.S.-based positions only, the annual base salary range for this role is $115,300.00 - $172,900.00 This position may also be eligible for incentive compensation. We offer a comprehensive benefits package, including: • Medical, dental, and vision insurance • 401(k) with company match • Paid time off (PTO) • And additional employee wellness programs Application Details: This job posting will remain open until the position is filled. To apply, please visit the Insulet Careers site and submit your application online. Actual pay depends on skills, experience, and education. Insulet Corporation (NASDAQ: PODD), headquartered in Massachusetts, is an innovative medical device company dedicated to simplifying life for people with diabetes and other conditions through its Omnipod product platform. The Omnipod Insulin Management System provides a unique alternative to traditional insulin delivery methods. With its simple, wearable design, the tubeless disposable Pod provides up to three days of non-stop insulin delivery, without the need to see or handle a needle. Insulet's flagship innovation, the Omnipod 5 Automated Insulin Delivery System, integrates with a continuous glucose monitor to manage blood sugar with no multiple daily injections, zero fingersticks, and can be controlled by a compatible personal smartphone in the U.S. or by the Omnipod 5 Controller. Insulet also leverages the unique design of its Pod by tailoring its Omnipod technology platform for the delivery of non-insulin subcutaneous drugs across other therapeutic areas. For more information, please visit insulet.com and omnipod.com. We are looking for highly motivated, performance-driven individuals to be a part of our expanding team. We do this by hiring amazing people guided by shared values who exceed customer expectations. Our continued success depends on it! At Insulet Corporation all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or status as a protected veteran. (Know Your Rights)

The Data Quality Auditor ensures the accuracy, completeness, and reliability of Dodge Content's project reporting data. This role is responsible for conducting systematic audits of Dodge Reports, performing verification calls with industry professionals, and identifying opportunities to improve data quality and workflow consistency. The Data Quality Auditor will collaborate closely with Data Stewards, Content Managers, and Operational Leadership to uphold and enhance Dodge's data quality standards. This is a full-time position and reports directly to the Sr. Manager, Operational Performance Management. **_Preferred Location_** This is a remote, home-office based role and candidates located in the continental United States will be considered. For this position, there is a preference to hire in Eastern time zone, however candidates in other area/time zones would be considered as well. **_Travel Requirements_** Expected travel is minor for this role. **_Essential Functions_** + Conduct routine audits of project records to ensure accuracy, completeness, and adherence to established data standards + Review sampled Dodge Reports to ensure data reflected on report aligns with the data available + Perform verification calls and emails with architects, contractors, and other project participants to confirm key project details + Analyze audit results to identify data gaps, recurring errors, and opportunities for process improvement + Provide timely feedback to Data Stewards and managers regarding audit outcomes and corrective actions + Maintain detailed documentation of audit findings and contribute to data quality scorecards + Collaborate with the Data Quality Management team to refine audit criteria and improve data governance frameworks + Support process calibration and QA initiatives to drive consistent performance across the Content organization **_Education Requirement_** Bachelor's degree in business, data management, or related field; or equivalent education and work experience. **_Required Experience, Knowledge and Skills_** + 2+ years of experience in data auditing, quality assurance, or content verification + Excellent attention to detail and analytical skills + Strong verbal communication skills and comfort with professional phone verification + Proficiency in Microsoft Excel and other data review tools **_Preferred Experience, Knowledge and Skills_** + Familiarity with Salesforce, Oracle, or similar CRM systems + Knowledge of construction industry data or content workflows + Data Visualization tools such as Tableau, AWS QuickSight, PowerBI or charting via Microsoft Excel **_About Dodge Construction Network_** Dodge Construction Network exists to deliver the comprehensive data and connections the construction industry needs to build thriving communities. Our legacy is deeply rooted in empowering our customers with transformative insights, igniting their journey towards unparalleled business expansion and success. We serve decision-makers who seek reliable growth and who value relationships built on trust and quality. By combining our proprietary data with cutting-edge software, we deliver to our customers the essential intelligence needed to excel within their respective landscapes. We propel the construction industry forward by transforming data into tangible guidance, driving unparalleled advancement. Dodge is the catalyst for modern construction. **_Salary Disclosure_** Base Salary Range: $48,800-$61,000 This represents the expected salary range for this job requisition. Final offers may vary from the amount listed based on factors including geography, candidate experience and expertise, and other job-related factors. Dodge Construction Network's compensation and rewards package for full time roles includes a market competitive salary, comprehensive benefits, and, for applicable roles, uncapped commissions plans or an annual discretionary performance bonus. **For this role, we are only considering candidates who are legally authorized to work in the United States and who do not now or in the future require sponsorship for employment visa status.** **A background check is required after a conditional job offer is made. Consideration of the background check will be tailored to the requirements of the job and consistent with all federal state and local ordinances.** **Reasonable Accommodation** **Dodge Construction Network is committed to recruiting, hiring, and promoting people with disabilities. If you need an accommodation or assistance completing the online application, please email ** ******************************* **.** **Equal Employment Opportunity Statement** **Dodge Construction Network is an Equal Opportunity Employer. We are committed to leveraging the talent of a diverse workforce to create great opportunities for our business and our people. All employment decisions shall be based on merit, qualifications, and business needs without regard to age, race, creed, color, religion, sex, national origin, ancestry, disability status, veteran status, pregnancy, sexual orientation, gender identity or expression, genetic information, marital status, citizenship status or any other basis as protected by federal, state, or local law.** \#LI-Remote \#LI-SB1 \#DE-Remote \#DE-2026-8

This Sealants auditor position is an excellent opportunity for recent retirees or consultants that have experience in product specific, manufacturing (Mixing, Packaging, Storage, etc), testing and inspection. Our auditors enjoy traveling domestically and/or internationally, a flexible schedule (some auditors perform 1 or 2 audits a month, while others desire to audit every week), competitive compensation that includes a daily rate plus travel expenses, meeting new people and keeping in touch with technology and the latest developments, networking with other industry professionals. To learn more about this auditor position, please review these General Guidelines. Qualifications The ideal auditor candidate will possess most of the following criteria: 3 or more years experience in Sealants, Chemical Coatings, Adhesives, Wet Processing or other relating chemical processing 3 or more years experience as a Laboratory Technician Knowledge of Two-Part Polysulfide Sealants, Silicones and Fluorosilicones, Polyurethanes, Adhesion Promoters, Coatings and Coating Processes and Peel Panels, Shear Specimens, and Tensile Bars

About Us: Our purpose is to help clients exceed their financial health goals. Across the reimbursement cycle, our scalable solutions and clinical expertise help solve programmatic needs. Enabling our teams with leading technology allows analytics to guide our solutions and keeps us accountable achieving goals. We build long-term careers by investing in YOU. We seek to create an environment that cultivates your professional development and personal growth, as we believe your success is our success. JOB SUMMARY: The DRG Revenue Integrity Auditor (DRG - A) performs Diagnostic Related Group (DRG) validation and quality audits on Inpatient charts. The DRG - A will perform chart reviews and will ensure that all reviewed charts capture the patient's true clinical picture from the codes assigned by the facility's coders in compliance with federal laws. The DRG - A will utilize International Classification of Diseases - Clinical Modification (CM) and Procedure Coding System (PCS) Terminology to ensure accurate coding. Responsible for validating proper sequencing and accuracy of ICD-10-CM/PCS codes, POA assignments, severity of illness (SOI), risk of mortality (ROM), Hierarchical Condition Category (HCC) capture CMI and other coding factors. Usage of most current Clinical Criteria, MCG, InterQual, payers' Clinical Policy Bulletins, CMS Guidelines, NCDs and/or LCDs. Adherence to all coding guidelines and CDI best practices, as endorsed by ACDIS and AHIMA, to determine correct coding that is clinically supported and composing and sending queries when necessary. Analyze records for potential query opportunities and appropriate code assignment along with correct code sequencing. Maintain quality of reviews by making sure the true clinical picture is captured timely. Staying up to date with medical and coding guidelines, along with advancements within their field. Support CorroHealth in developing accurate training materials. Provide training and shadowing to new hires. Assist CorroHealth with project data analysis, reporting, and feedback internally and externally to CorroHealth clients. Maintain professional etiquette. Ensures all PHI is appropriately stored and delivered to authorized individuals. Meets or exceeds production and quality metrics. Attend all mandatory meetings and trainings. Additionally, DRG - A may also be required to audit clients' clinical documentation integrity (CDI) program to include query review, analysis of coding, and overall program accuracy. Responsible to keep up with your company and EMR access log ins and passwords. All other position related duties as delegated by management. To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The list below is representative of the knowledge, skill and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. ESSENTIAL DUTIES AND RESPONSIBILITIES: Note: The essential duties and responsibilities below are intended to describe the general duties and responsibilities of this position and are not intended to be an exhaustive statement of duties. This position may perform all or most of the primary duties listed below. Specific tasks, responsibilities or competencies may be documented in the Team Member's performance objectives as outlined by the Team Member's immediate Leadership Team Member. Important Duties and Responsibilities: Adherence to all coding guidelines and CDI best practices, as endorsed by ACDIS and AHIMA, to determine correct coding that is clinically supported Analyze records for potential query opportunities and appropriate code assignment and code sequencing Maintain quality of reviews and making sure the true clinical picture is captured, along with ensuring chart review productivity Staying up to date with official coding guidelines, coding clinics and clinical criteria Available to provide training to other new hires, if required, along with supporting development of training materials, as well as clinical, coding and CDI policies Assisting with project data analysis, reporting, and feedback both internally and to clients In all situations, protecting the privacy and confidentiality of patient health and client information, and follows the Standards of Ethical Coding as set forth by AHIMA and adheres to official coding guidelines and compliance practices, standards, and procedures Conduct chart reviews as assigned, meeting the productivity standards as set forth for each project or record type Communicates with coworkers in an open and respectful manner that promotes teamwork and knowledge sharing When interacting with clients, always conducts themselves in a professional manner, exhibiting excellent relationship, work performance and communication skill so as to support the company and its business interests Maintenance of professional credentials and knowledge of CDI, coding, reimbursement, and compliance issues through continuing education Other duties and responsibilities, as assigned Work Experience: CCS Required Five or more years working in an acute care setting or a third-party vendor as a DRG Auditor or Clinical Documentation Specialist (CDS). Prior experience of working as a CDI/Coding auditor is preferred but NOT a requirement. Knowledge, Skills & Abilities: Experience with telecommuting and electronic medical record systems required Good computer skills and familiarity with commonly used work apps, such as MS Word, MS Excel, MS Outlook, Teams, etc. Strong analytical skills Works well with numbers, using basic math skills Strong team player Ability to work with multiple and diverse clients and projects Ability to switch between multiple clients throughout the day and week Ability to work with minimal supervision Ability to maintain and access multiple files We Offer: Quality of life with a remote predictable, full-time schedule Exempt/Salaried positions Opportunities for career growth within the organization Medical, Dental, Vision coverage, 401K with match Long-term disability insurance, life insurance and more Holidays Time and ample paid time off Allowance for CME and/or license renewal PHYSICAL DEMANDS: Note: Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions as described. Regular eye-hand coordination and manual dexterity is required to operate office equipment. The ability to perform work at a computer terminal for 6-8 hours a day and function in an environment with constant interruptions is required. At times, Team Members are subject to sitting for prolonged periods. Infrequently, Team Member must be able to lift and move material weighing up to 20 lbs. Team Member may experience elevated levels of stress during periods of increased activity and with work entailing multiple deadlines. A is only intended as a guideline and is only part of the Team Member's function. The company has reviewed this job description to ensure that the essential functions and basic duties have been included. It is not intended to be construed as an exhaustive list of all functions, responsibilities, skills and abilities. Additional functions and requirements may be assigned by supervisors as deemed appropriate.

The Contract Management Auditor is Responsible for reviewing, analyzing and resolving discrepancies in claim payments as determined by TruBridge Contract Management software. The Contract Management Auditor works closely with team members and the client to ensure necessary and up to date contract information is provided and works with the TruBridge modeling team to confirm terms are modeled correctly. Essential Functions: Proactively researches and identifies claim reimbursement discrepancies and takes the necessary steps to resolve the issue and collect maximum reimbursement from payers for services provided. Reviews and interprets payer contracts and associated documentation to ensure accurate modeling and works with the Contract Management modeling team to ensure accurate calculations and communicate any known updates or changes needed. Works with payors and client payor representatives through verbal, online and/or written communication as required by specific payor appeal processes to correct and collect underpayments on claims as well as identifying overpayment refunds due from the client to payors as required. Manage Contract Management processes for multiple clients. Maintain tracking system and reporting on appeals and under payment recoupments. Other duties as required. Minimum Requirements: 3 Years of health care billing multiple payors. 1 Year of Health care Contract Management Auditing or Comparable Experience Above average knowledge of healthcare billing processes. High degree of self-motivation, strong organizational skills. Ability to positively collaborate and communicate with the team. Can work independently and has a high degree of critical thinking skills. Business Support

The Contract Management Auditor is Responsible for reviewing, analyzing and resolving discrepancies in claim payments as determined by TruBridge Contract Management software. The Contract Management Auditor works closely with team members and the client to ensure necessary and up to date contract information is provided and works with the TruBridge modeling team to confirm terms are modeled correctly. Essential Functions: Proactively researches and identifies claim reimbursement discrepancies and takes the necessary steps to resolve the issue and collect maximum reimbursement from payers for services provided. Reviews and interprets payer contracts and associated documentation to ensure accurate modeling and works with the Contract Management modeling team to ensure accurate calculations and communicate any known updates or changes needed. Works with payors and client payor representatives through verbal, online and/or written communication as required by specific payor appeal processes to correct and collect underpayments on claims as well as identifying overpayment refunds due from the client to payors as required. Manage Contract Management processes for multiple clients. Maintain tracking system and reporting on appeals and under payment recoupments. Other duties as required. Minimum Requirements: 3 Years of health care billing multiple payors. 1 Year of Health care Contract Management Auditing or Comparable Experience Above average knowledge of healthcare billing processes. High degree of self-motivation, strong organizational skills. Ability to positively collaborate and communicate with the team. Can work independently and has a high degree of critical thinking skills. Business Support

It's truly an exciting time to be a part of GetInsured. Our vision has always been to make finding and enrolling in health insurance simple. Currently, GetInsured has the largest state-based marketplace footprint, and our consumer-friendly interface and decision support tools empower millions of consumers across the country to make better health plan decisions. GetInsured builds and operates award-winning cloud-based enrollment tools that serve state based exchanges, brokers, insurers, and consumers. In addition to eligibility determination, plan selection, and enrollment technology for state agencies, the company delivers innovative agent marketing and call center tools and services. We are seeking a detail-oriented Quality Auditor to support the consistency, compliance, and effectiveness of quality standards within a contact center environment. This role focuses on evaluating contact center processes, workflows, scripts, and documentation to ensure alignment with organizational policies, regulatory requirements, and established quality expectations. The Quality Auditor identifies procedural gaps, operational risks, and systemic issues through evidence-based analysis and supports continuous improvement across customer service operations. In this role, the Quality Auditor prepares clear, audit-ready findings, collaborates with quality and cross-functional partners to strengthen quality standards, and contributes to preventive risk mitigation by monitoring trends and customer feedback. This position is ideal for a highly analytical, process-driven professional who values accuracy, consistency, and compliance and is committed to maintaining high standards of quality in a contact center setting. Key Responsibilities: • Evaluate contact center processes, workflows, scripts, tools, and quality standards to ensure alignment with organizational policies, regulatory requirements, and defined quality expectations • Validate adherence to established quality assurance policies, procedures, and documentation standards across operations • Identify procedural gaps, quality risks, and systemic issues impacting service delivery, compliance, or customer experience • Analyze qualitative and quantitative data to identify recurring patterns, trends, and emerging risks over time • Prepare clear, evidence-based, audit-ready reports that summarize findings, assess impact, and recommend corrective or preventive actions • Escalate quality, compliance, or operational risks to Quality Assurance leadership with appropriate supporting documentation • Collaborate with Quality, Operations, Training, and other cross-functional partners to support continuous improvement initiatives • Contribute to the development, refinement, and alignment of quality standards, workflows, scripts, and supporting resources Qualifications Qualifications and Skills • Minimum of 2 years of auditing experience in quality assurance, compliance, risk, or operational audit roles • Experience working in a contact center environment, with exposure to multi-channel customer interactions • Strong working knowledge of ACA related contact center operations, including eligibility, enrollment, and customer support workflows • Demonstrates understanding of quality assurance standards, process controls, and documentation requirements • Proven ability to identify procedural gaps, assess operational risk, and distinguish isolated issues from systemic trends • Experience producing clear, evidence-based, audit-ready documentation and reports • Strong analytical, critical thinking, and problem-solving skills • Excellent written and verbal communication skills, with a high level of professionalism, discretion, and attention to detail • Proven analytical and problem-solving abilities • Familiarity with QA, reporting, or audit tools used in contact center operations • Ability to quickly learn and adapt to new systems, tools, and technologies in a fast-paced environment • Comfortable working in a remote/work-from-home environment, with the ability to manage time effectively and remain engaged and accountable Benefits • 401(k) matchable up to 4% • Individuals Care Health Reimbursement Arrangement (ICHRA) • Paid time off (PTO) • Paid Training • Supportive Environment • Work From Home Opportunity

Note: If you are CURRENTLY employed at Children's and/or have an active badge or network access, STOP here. Submit your application via Workday using the Career App (Find Jobs). Work Shift Day Work Day(s) Monday-Friday Shift Start Time 8:00 AM Shift End Time 5:00 PM Worker Sub-Type Regular Children's is one of the nation's leading children's hospitals. No matter the role, every member of our team is an essential part of our mission to make kids better today and healthier tomorrow. We're committed to putting you first, and that commitment is at the heart of our company culture: People first. Children always. Find your next career opportunity and make a difference doing what you love at Children's. Job Description Provides audits and reviews patient charts, corresponding ICD-10 CM, CPT-4 codes, modifiers, HCPCS codes, and charges for appropriateness. Provides reports to management of findings and recommendations for solutions. Identifies areas of improvement which will enhance internal controls and performance throughout Children's Healthcare of Atlanta. Proactively supports the efforts that ensure safe patient care and services and promote a safe environment at Children's Healthcare of Atlanta. Works with management team to educate Coding staff on coding and documentation compliance. Experience Minimum of 5+ years professional auditing experience Preferred Qualifications Associates degree in Health Information Management or related field Education High school diploma or equivalent Certification Summary Minimum of one of the following: Certified Professional Coder (CPC) Certified Professional Medical Auditor (CPMA) Certified Coding Specialist - Physician-based (CCS-P) Knowledge, Skills, and Abilities Knowledge of diagnosis-related group and ambulatory payment classification regulations Demonstrated knowledge of InterQual Criteria and Medicaid and managed care rules and regulations Strong analytical, organizational, and communication skills Job Responsibilities Manage inventory levels in Operating Room (OR & CVOR), ensuring adequate supply availability and minimal supply disruption. Manage Cath Lab and Interventional Radiology (IR) inventory levels to ensuring supply availability and minimal disruption to procedure areas. Conducts chart audits for compliance assessment and establishes coding policy and procedure. Prepares a report of findings for each audit along with an action plan. Records and monitors corrections to the bill. Assists in designing continued education to address deficiencies. Plans and organizes work assignments to complete audits in an efficient manner. Identifies problem situations or inadequate charge reconciliation procedures. Clearly documents information to support findings and conclusions. Keeps appropriate management personnel informed of any problems or unusual circumstances on a timely basis. Facilitates improvement in the overall quality and completeness of medical records documentation. Provides documentation education. Children's Healthcare of Atlanta is an equal opportunity employer committed to providing equal employment opportunities to all qualified applicants and employees without regard to race, color, sex, religion, national origin, citizenship, age, veteran status, disability or any other characteristic covered by applicable law. Primary Location Address Used for remote worker assignment Job Family Coding

Position TitleRevenue Integrity Clinical Nurse AuditorDays - Full TimeRemote / Career Interest:The Revenue Integrity Clinical Nurse Auditor leverages clinical knowledge and documentation review to ensure appropriate charge capture and revenue optimization. Responsibilities include leveraging Epic technology and analytics to identify Revenue Integrity trends and investigate areas of revenue leakage, monitor financial performance, and work with IT to build mistake-proofing into the Epic system. The nurse auditor will work with clinical teams, compliance and other departments within Revenue Cycle to provide documentation and charging education and maximize system efficiency, timely and complete charge capture, and submission of clean claims to payors to drive financial performance. Responsibilities and Essential Job Functions Responsible for identifying, building, and maintaining Revenue Guardian edits within the Epic billing system based on documentation and CDM review. Performs routine chart audit and clinical documentation review to identify missing, incorrect, or undocumented charges across clinic, hospital, and ancillary departments. Works with clinical, financial, and operational stakeholders to stand up accurate and complete charging and coding for new and emerging therapies and services and high-risk/high-dollar services provided. Uses clinical expertise to perform ongoing reviews of medical record documentation and clinical pertinence in accordance with peer standards and Medicare Regulations. Monitors and tracks KPIs such as missing and late charges, charge lag, daily revenue, DFNB days/days to timely bill, and clinically triggered charges. Supports process improvement activities to assure medical record compliance with regulatory and accreditation bodies. Monitors denial trends related to upstream set-up issues and acts as a liaison across departments to find solutions. Assists with the development, implementation, and testing process improvement and associated technical solutions. Aligns with CDI, Coding, and Revenue Cycle Insurance follow-up teams to reduce denials and influence proactive revenue optimization. Provides ongoing education and feedback to improve documentation in support of accurate charge capture, coding, and final claim submission. Leverages artificial intelligence (AI), system automation and analytics to identify and prioritize revenue leakage across the health system. Works effectively with ambulatory & IT, physicians, clinics, and all hospital clinical areas to resolve charge capture and process gaps. Works effectively with Revenue Integrity Charge Analysts, CDM, and Pricing Committees. Demonstrates knowledge of Coding Guidelines and Conventions (CPT/HCPCS, ICD-10-CM/PCS). Must be able to perform the professional, clinical and or technical competencies of the assigned unit or department. These statements are intended to describe the essential functions of the job and are not intended to be an exhaustive list of all responsibilities. Skills and duties may vary dependent upon your department or unit. Other duties may be assigned as required. Required Education and Experience Bachelors Degree in Nursing from an accredited college or university. 2 or more years of experience in utilization review, clinical review, or authorizations Preferred Education and Experience 4 or more years EPIC experience 4 or more years Coding experience and/or CPC or CPC-A coding certification Required Licensure and Certification Licensed Registered Nurse (LRN) - Multi-State - State Board of Nursing Current State RN license Time Type:Full time Job Requisition ID:R-49293Important information for you to know as you apply: The health system is an equal employment opportunity employer. Qualified applicants are considered for employment without regard to race, color, religion, sex (including pregnancy, gender identity, and sexual orientation), national origin, ancestry, age, disability, veteran status, genetic information, or any other legally-protected status. See also Diversity, Equity & Inclusion . The health system provides reasonable accommodations to qualified individuals with disabilities. If you need to request reasonable accommodations for your disability as you navigate the recruitment process, please let our recruiters know by requesting an Accommodation Request form using this link *****************************. Employment with the health system is contingent upon, among other things, agreeing to the health-system-dispute-resolution-program.pdf and signing the agreement to the DRP. Need help finding the right job? We can recommend jobs specifically for you! Create a custom Job Alert by selecting criteria that suit your career interests.

JD -Quality Auditor Job Title - Certified Auditor Schedule: 8am to 5 pm EST The Outpatient Coding Auditor is responsible for conducting detailed reviews of coded outpatient medical records to ensure coding accuracy, documentation compliance, and regulatory alignment. This includes validating CPT/HCPCS and ICD-10-CM codes assigned for emergency room, same-day surgery, observation, ancillary services, and outpatient clinic visits. The role ensures the hospital's outpatient coding practices are accurate, compliant, and aligned with payer rules and coding guidelines, ultimately supporting the revenue integrity of SRMC. Key Responsibilities: Coding Audit and Validation * Review a sample of coded outpatient records including: o Emergency Department (ED) o Outpatient Surgery (Day Surgery) o Observation cases o Radiology and Laboratory services o Outpatient Clinic encounters * Validate CPT, HCPCS, and ICD-10-CM codes for diagnoses, procedures, and E/M levels. * Ensure accuracy in modifier usage, code selection, and code sequencing. * Confirm services are supported by clinical documentation and aligned with CMS Outpatient Prospective Payment System (OPPS) rules, NCCI edits, and payer policies. * Identify coding errors including overcoding, undercoding, and missed codes, incorrect sequencing, and incorrect modifiers. Documentation Review & Query Support * Assess documentation for clarity, completeness, and compliance with coding requirements. * Provide feedback to coders regarding missed opportunities or documentation improvement needs. Compliance & Regulatory Oversight * Ensure coding practices follow: o AHA CPT Guidelines o ICD-10-CM Official Guidelines for Coding and Reporting o NCCI (National Correct Coding Initiative) edits o Medicare/Medicaid and commercial payer rules * Identify and escalate potential compliance risks including unbundling, modifier misuse, and billing conflicts. Reporting & Education * Prepare detailed audit findings reports summarizing results, trends, and recommendations. * Deliver targeted education and training to outpatient coding staff based on audit findings. * Track individual coder and team performance, providing ongoing coaching and resources. * Collaborate with coding supervisors, trainers, and HIM leadership to implement corrective actions. Qualifications: * Required Certifications: o CPC, CCS (AHIMA or AAPC credential required) * Experience: o 3+ years of hands-on outpatient coding experience in a U.S. hospital setting o Prior experience with coding audits or quality assurance highly preferred * Strong knowledge of: o CPT, HCPCS, ICD-10-CM o Modifier usage (e.g., -25, -59, -LT/RT, etc.) o Outpatient reimbursement methodologies (e.g., APCs, OPPS) o CCI edits and MUEs * Familiarity with encoder software and EHR platforms (e.g., 3M, Epic, Cerner, TruCode) * Strong analytical and communication skills Performance Metrics: * Audit Accuracy Standard: ≥95% * Timeliness: Audit completion within defined SLA) * Reporting: Timely delivery of audit summaries and feedback reports * Education: Contribute to team training or knowledge sharing on a regular basis. We are an Equal Opportunity Employer. All qualified applicants are considered for employment without regard to race, color, age, religion, sex, sexual orientation, gender identity, national origin, disability, protected veteran status, or any other characteristic protected by federal, state or local law.

At Cleveland Clinic Health System, we believe in a better future for healthcare. And each of us is responsible for honoring our commitment to excellence, pushing the boundaries and transforming the patient experience, every day.We all have the power to help, heal and change lives - beginning with our own. That's the power of the Cleveland Clinic Health System team, and The Power of Every One.Job TitleCoding Quality AuditorLocationClevelandFacilityRemote LocationDepartmentHIM Operations Admin-FinanceJob CodeT98559ShiftDaysSchedule7:00am-5:00pmJob SummaryJob Details Join the Cleveland Clinic team, where you will work alongside passionate caregivers and provide patient-first healthcare. Cleveland Clinic is recognized as one of the top hospitals in the nation. At Cleveland Clinic, you will receive endless support and appreciation and build a rewarding career with one of the most respected healthcare organizations in the world. As a Coding Quality Auditor, you will be responsible for assessing the accuracy and completeness of inpatient and outpatient medical record documentation through the conduct of random and focused coding audits. You will document findings, prepare and present audit results and perform investigations to provide comprehensive feedback. In this capacity, you will serve as a subject matter expert in coding, offering guidance and support to ensure compliance with established coding standards, regulatory requirements and organizational best practices. A caregiver in this role works remotely from 7:00 a.m. - 5:00 p.m. A caregiver who excels in this role will: Audit Electronic Medical Records, procedural cases and surgical cases, including pre-bill coding, DRG and APC quality audits, case mix analysis and compliance software reviews for highly complex cases. Provide feedback on the application of coding guidelines, practices, proper documentation techniques, data quality improvements and revenue enhancement opportunities. Perform retrospective and concurrent audits in accordance with coding guidelines to ensure coding accuracy and proper reporting. Prepare and present reports for pre-bill and retrospective coding audits directly to Providers and coding staff. Analyze coded data to identify areas of risk and provide recommendations for documentation improvement. Assist in the development of programs and procedures to improve coding accuracy rates. Interact with Providers and coding staff to resolve documentation or coding issues. Respond to coding questions from assigned coders and Providers, providing official coding references and guidelines. Maintain routine interaction with Providers and coding staff to address and resolve medical record documentation and coding issues. Assist in the facilitation of scheduled external audits. Analyze case mix reports and other statistical reports to support coding quality and compliance initiatives. Maintain current knowledge of coding principles and guidelines as conventions are updated. Monitor and analyze industry trends and issues for potential organizational impact. Report compliance and risk issues to the compliance department and provide suggestions for process improvements. Recommend changes to coding policies and guidelines to enhance accuracy and compliance. Minimum qualifications for the ideal future caregiver include: High School Diploma and five years of professional coding experience OR Associate's Degree and four years of professional coding experience OR Bachelor's Degree and three years of professional coding experience ONE of the following certifications is REQUIRED and must be maintained: the American Health Information Management Association (AHIMA) Registered Health Information Administrator (RHIA), Registered Health Information Technician (RHIT), Certified Coding Specialist (CCS), Certified Coding Specialist-Physician (CCS-P), or the American Academy of Professional Coders (AAPC) Certified Inpatient Coder (CIC) or Certified Professional Coder (CPC) Proficient in Microsoft Office Applications (e.g., Word, Excel) In depth knowledge of ICD-10-CM/PCS coding principles, CPT coding principles, DRG assignment, APC assignment and modifier assignment Knowledge of human anatomy and physiological disease processes Knowledge of medical terminology Knowledge of auditing concepts and principles Coding assessment relevant to the work may be required Preferred qualifications for the ideal future caregiver include: Bachelor's or Associate's degree Specific training related to CPT procedural coding and ICD-10 diagnostic coding through continuing education programs/seminars and/or community college Two years of progressive on-the-job experience as a coding quality auditor in a health care environment and/or medical office setting Professional coding experience (Evaluation and Management coding) Professional billing or auditing experience Surgery coding experience Physical Requirements: Ability to perform work in a stationary position for extended periods. Ability to travel throughout the hospital system. Ability to work with physical records, such as retrieving and filing them. Ability to operate a computer and other office equipment. Ability to communicate and exchange accurate information. In some locations, ability to move up to 25 lbs. Personal Protective Equipment: Follows standard precautions using personal protective equipment as required. The policy of Cleveland Clinic Health System and its system hospitals (Cleveland Clinic Health System) is to provide equal opportunity to all of our caregivers and applicants for employment in our drug free environment. All offers of employment are followed by testing for controlled substances. Cleveland Clinic Health System administers an influenza prevention program. You will be required to comply with this program, which will include obtaining an influenza vaccination on an annual basis or obtaining an approved exemption. Decisions concerning employment, transfers and promotions are made upon the basis of the best qualified candidate without regard to color, race, religion, national origin, age, sex, sexual orientation, marital status, ancestry, status as a disabled or Vietnam era veteran or any other characteristic protected by law. Information provided on this application may be shared with any Cleveland Clinic Health System facility. Please review the Equal Employment Opportunity poster. Cleveland Clinic Health System is pleased to be an equal employment employer: Women / Minorities / Veterans / Individuals with Disabilities

Work for Indiana Begin a fulfilling career with the State of Indiana by joining one of the largest employers in the state, offering a range of opportunities across 60+ agencies. At the state, you'll find competitive compensation, a robust benefits package and a commitment to work-life balance. Most importantly, you'll have the chance to make a real and measurable impact on the lives of Hoosiers across Indiana. About the Indiana Department of Revenue (DOR): Since 1947, the Indiana Department of Revenue has proudly served the people and businesses of Indiana. With more than 600 dedicated team members, we administer over 65 different tax types and process nearly $30 billion in tax revenue each year. Our commitment to excellence has earned us recognition as a Top Workplaces employer, reflecting our focus on service, integrity, and innovation. Role Overview: The Revenue Tax Auditor conducts audits on behalf of the State of Indiana on a variety of taxpayers. You will analyze books and records of businesses to ensure compliance with tax laws. You will ensure the highest level of customer focus, with a strong commitment to taxpayers through continuous, innovative methods to increase accuracy, efficiency, an productivity in all areas of departmental operations and tax administration. This position is in the Columbus, Indiana, Field Office. Residency in the service area is highly preferred. Requires occasional travel to taxpayer locations. Travel is reimbursed. Salary: This position starts at an annual salary of $53,222 with the opportunity for adjustment based on relevant experience and skill sets of the applicant. The Department utilizes three auditor-level classifications based on acquired competencies and demonstrated skill sets. Salary for this position may be commensurate with education and job experience. Use our Compensation Calculator to view the total compensation package. A Day in the Life: Responsibilities include: Independently perform field audits on taxpayers, including international companies with numerous subsidiaries, for all listed taxes. Travel within the established jurisdiction in Indiana to conduct audits. Travel outside of Indiana when required. Conduct pre-audit analysis on audit files to develop a list of preliminary questions and/or areas of concern. Write audit reports, summarizing audit results in a clear and concise manner. Clearly and diplomatically explain audit scope, audit adjustments, tax laws, and policies to taxpayer representatives in order to resolve misunderstandings and errors. Perform administrative functions which may include preparing and updating a file inventory log, a calendar, travel vouchers and attendance reports. Interpret Indiana Tax Code, audit procedures and regulations. Auditor utilizes computer system, the Internet, and research materials specific to the taxpayer to identify areas of potential problems. Maintain records of activities and progress during examinations. Conduct audits on a statistical sampling basis. Provide technical assistance and training to lower-level auditors. The job profile is not designed to cover or contain a comprehensive listing of activities, duties, or responsibilities that are required of the employee. Other duties, responsibilities, and activities may change or be assigned at any time. This position is exempt from overtime compensation for additional work hours which may be required to complete essential functions or other assigned work. Exempt employees may work more than 75 hours in a pay period without additional compensation and must report a minimum of 75 hours per pay period of work hours and/or paid leave taken to receive their base biweekly salary. What You'll Need for Success: Credentials: Bachelor's degree with a minimum of 15 hours of Accounting coursework. 3 - 5 years of experience in tax auditing. Additional qualifications: Working knowledge of accounting principles and auditing standards and procedures. General knowledge of statutes, regulations, and case law related to tax compliance. Ability to generate data requests and to extract, evaluate, and use information from a variety of business records. Ability to effectively interview and solicit pertinent information from taxpayers and their representatives, some of whom may be uncooperative or hostile. Ability to establish and maintain effective working relationships with co-workers, taxpayers, their representatives, and others involved in the audit process. Ability to travel overnight in the performance of assigned audits. Ability to perform essential functions with or without reasonable accommodations. Supervisory Responsibilities/Direct Reports: This role may be utilized in a supervisory capacity based on agency needs. Benefits of Employment with the State of Indiana: The State of Indiana offers a comprehensive benefits package for full-time employees that includes: Three (3) medical plan options (including RX coverage) as well as vision and dental plans Wellness Rewards Program: Complete wellness activities to earn gift card rewards Health savings account, which includes bi-weekly state contribution Deferred compensation 457(b) account (similar to 401(k) plan) with employer match Two (2) fully-funded pension plan options A robust, comprehensive program of leave policies covering a variety of employee needs, including but not limited to: 150 hours of paid New Parent Leave and up to eight weeks of paid Childbirth Recovery Leave for eligible mothers Up to 15 hours of paid community service leave Combined 180 hours of paid vacation, personal, and sick leave time off 12 paid holidays, 14 in election years Education Reimbursement Program Group life insurance Referral Bonus program Employee assistance program that allows for covered behavioral health visits Qualified employer for the Public Service Loan Forgiveness Program Free Parking for most positions Free LinkedIn Learning access Equal Employment Opportunity: The State of Indiana is an Equal Opportunity Employer and is committed to recruiting, selecting, developing, and promoting employees based on individual ability and job performance. Reasonable accommodations may be available to enable individuals with disabilities to complete the application and interview process as well as perform the essential functions of a role. If you require reasonable accommodations to complete this application, you can request assistance by contacting the Indiana State Personnel Department at ***************.

We are seeking a meticulous and quality-focused Quality Auditor to ensure that products, processes, and systems meet established quality standards and comply with internal and external requirements. The Quality Auditor will conduct inspections and audits, analyze results, and collaborate with cross-functional teams to support continuous improvement. This role is critical in maintaining product integrity and customer satisfaction in a manufacturing or operational environment. Job Responsibilities Conducting routine audits and inspections of products, processes, and documentation to verify compliance with quality standards. Identifying, documenting, and reporting non-conformities or quality issues found during audits. Collaborating with production, engineering, and quality teams to address findings and implement corrective actions. Ensuring compliance with applicable industry standards, customer requirements, and internal procedures. Monitoring quality performance trends and preparing accurate audit reports and records. Participating in continuous improvement initiatives to enhance quality processes and reduce defects. Assisting with calibration, equipment checks, and sample testing as needed. Job Qualifications High school diploma, GED, or equivalent. Strong attention to detail and commitment to quality. Ability to interpret inspection criteria, work instructions, and basic technical documents. Good communication skills and ability to work with cross-functional teams. Basic computer proficiency for reporting and data entry. Prior experience in quality auditing, quality control, or manufacturing inspection. Knowledge of quality systems (e.g., ISO 9001) and auditing principles. Experience with statistical process control (SPC) tools or quality metrics. Ability to stand for extended periods, perform repetitive tasks, and handle light materials.

Key Responsibilities: Create tests, test groups, and quality associations for critical part characteristics within D365 to generate quality orders when required. Complete inspections of incoming products, production parts, and/or outgoing shipments to ensure conformity with Kinedyne's requirements. Perform daily cycle counts as required. Report identified non-conformances to the appropriate leadership team. Education: High School Diploma or GED required. Minimum Skills: Be able to work quickly while being thorough and detailed. Be able to read, write, and perform basic math skills. Be able to read and understand Engineering drawings. Be able to use a variety of measurement tools (ie: calipers, micrometers, plating thickness gauge, tape measure). Minimum Experience: Demonstrated experience with auditing processes/product and reacting per company procedures when a non-conformance is identified. Experience using the Windows operating environment. Proficient in MS Word, Excel, PowerPoint, and Outlook. A minimum of 2 yrs experience in a quality related position within a manufacturing environment. A combination of years of experience, advanced education, and function-specific training and experience may be considered in lieu of the minimum experience requirements. About Kinedyne: Over the course of five decades, Kinedyne has evolved from a single facility in New Jersey to an international organization with more than 500 employees at facilities in four different countries around the world. As we grew and our product lines evolved, we believed that with Better Cargo Securement- Greater Cargo Capacity- and Faster Cargo Access Technologies, we can make the increasingly complex shipping environment just a litter easier for the industry to deal with today and as the future unfolds. All the efforts throughout our history have enabled us to provide our customers the products, service, and support that they have come to expect from us over our five decades of growth, we've earned our right to be called The Cargo Control People. What We Offer: A comprehensive Benefits Package that includes: Medical/ Dental/Vision-with HSA (company provides yearly funding). Individual or Family Plans are available at affordable bi-weekly rates. Paid maternity and paternal leave. Company paid long & short-term disability, 401K with competitive company match. PTO & Tuition reimbursement. Company Paid Life Insurance.