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    Boston, New York, United States Canadian Imperial Bank of Commerce Full time

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  • Lead IT Auditor

    2 days ago


    Boston, United States Robert Half Full time

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  • Lead IT Auditor

    3 days ago


    Boston, United States Robert Half Full time

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  • Senior State Auditor

    23 hours ago


    Boston, Massachusetts, United States DelDOT Full time

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  • Boston, United States Insight Global Full time

    Job Description A client of Insight Global is hiring for an IT Auditor - on-site in Boston, MA. This $7 Billion company is an industry leader in the Retail space. As the IT Auditor, you will play a critical role in ensuring the integrity, reliability, and security of the information technology systems. The day to day includes: Plan and implement IT audits...

  • Senior IT Auditor

    2 months ago


    Boston, United States Federal Reserve System Full time

    Company Federal Reserve Bank of BostonAs an employee of the Boston Fed, you will work to promote sound growth and financial stability in New England and the nation. You will contribute to communities, the region, and the nation by conducting economic research, participating in monetary policy-making, supervising certain financial institutions,...


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  • Boston, Massachusetts, United States DelDOT Full time

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  • Billing Specialist

    6 days ago


    Boston, Massachusetts, United States US Main Full time

    Key Responsibilities:Oversee the billing operations for a designated group of Case Teams from initiation to completion, ensuring the precise and prompt generation of client invoices and matters, while assisting partners in managing their client Work In Progress (WIP).Exhibit a results-oriented approach and take ownership of tasks, including:Distributing...

  • Billing Specialist

    4 days ago


    Boston, United States Creative Financial Staffing Full time

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  • Boston, Massachusetts, United States DelDOT Full time

    OverviewThis role encompasses advanced auditing responsibilities at a senior level within the organization.Core DutiesDocumenting, assessing, and evaluating management controls and operational procedures to pinpoint weaknesses and potential instances of fraud, waste, and mismanagement.Conducting analyses and reporting on management controls and operational...

  • Sr. Auditor

    4 months ago


    South Bend, United States Teachers Credit Union Full time

    Sr. Auditor We are searching for an experienced Sr. Auditor. South Bend, Indiana Essential Function Under the direction of the AVP, Audit & Advisory Services (AAS), this position is responsible for planning and performing audit activities designed to assess the adequacy of the internal controls, records, policies, procedures, and processes in place at the...

  • Principal Auditor

    6 days ago


    South Bend, Indiana, United States The Ladders Full time

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  • Billing Specialist

    6 days ago


    Boston, Massachusetts, United States Complete Staffing Solutions Full time

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  • Billing Specialist

    6 days ago


    Boston, Massachusetts, United States US Main Full time

    Key Responsibilities:Oversee the billing cycle for a designated group of Case Teams from initiation to completion, ensuring precise and prompt generation of client invoices and matters, while assisting partners in managing their client Work In Progress (WIP).Exhibit a results-oriented approach and accountability for tasks, including:Distributing monthly...

  • Internal Auditor

    18 hours ago


    Boston, Massachusetts, United States TowneBank Full time

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  • Billing Associate

    1 month ago


    Boston, United States K2 Integrity Full time

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  • Boston, United States Alan Gray LLC Full time

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  • Boston, United States Alan Gray LLC Full time

    Job DescriptionJob DescriptionAlan Gray LLC is a leading audit and advisory firm with over 30 years of excellence in providing a range of services to insurance-industry clients. Our goal is to help our clients realize significant bottom-line savings. Our experienced team is committed to staying current with the latest industry information and advances in...

Billing Compliance Auditor

1 month ago


South Boston, United States Harbor Health Services Full time

Harbor Health Services is seeking a talented Billing Compliance Auditor & Educator to join our Compliance team. Harbor Health offers an excellent, comprehensive benefits package including Health, Dental, Vision, Life, & Disability insurance, 403b Savings Plan, Generous Paid Time Off plus 11 additional Holidays and much more Role: The Billing Compliance Auditor & Educator is responsible for the development and execution of the Billing Compliance program of Harbor Health. This includes compliance auditing, coding and billing auditing, clinical billing and coding education, as well as compliance program planning and execution. The Billing Compliance Auditor & Educator performs compliance audits, coding and billing audits and serves as a subject matter expert to Harbor Health on issues related to professional coding and billing and general corporate compliance practices. Position will be hybrid and will require some travel to all other health center sites. Responsibilities: Coordinates independent reviews and assessments of the organizations professional coding and billing transactions, processes, and internal controls for coding completeness and accuracy. Develops and maintains an effective Billing Compliance Program for the Community Health Center clinics of Harbor Health. Evaluates the effectiveness of Harbor Healths current billing and coding practices, validates compliance with state and federal regulations and internal policy and procedure mandates; and recommends process, procedure, and policy improvements to mitigate against identified risks. Identifies potential coding and billing errors, researching appropriate guidelines to support recommended improvements, and communicating these improvements to the Director and Revenue Cycle Management on a timely basis. Provides expert compliance advice and education to coding personnel, clinical staff and physicians, along with department and practice management. Performs a variety of audits such as: HCPCS, CPT coding, DRG coding, and medical record reviews using scientific methods, statistical processes and proven healthcare audit methodology with a focus on governmental payers, including Medicare and Medicaid. Coordinates with clinical operations, health information management and revenue cycle departments to ensure accounts audited reflect proper documentation, charge capture, coding, billing and payment. In a timely manner, clearly communicates audit findings with providers, the department managers and identify areas of educational opportunities or required corrective actions based on audit results, exhibits clear concise report writing and presentation skills. Conducts follow up education and develops corrective action plans to address audit findings and/or identified risks. Responsible for performing risk assessments to identify compliance and non-compliance concerns. Coordinates and executes pre and post-payment audits of medical records and associated clinical documentation to ensure proper charge capture and billing in accordance with standard state, federal, and internal reimbursement policies, principles, and mandates. Conducts education of new providers on compliance, billing and documentation guidelines, fraud and abuse statutes, and the audit process. Responds to billing compliance queries by clinical and non-clinical providers and/or staff while maintaining appropriate degree of confidentiality. Maintains up-to-date knowledge of industry coding, billing and documentation guidelines and healthcare compliance regulations to ensure Harbor Health clinic wide consistency and compliance with governmental and other regulatory guidelines. Maintains an open dialogue and good working relationship with external auditors, Revenue Cycle, IT, and Compliance Management; and clinic/department staff and their leadership in order to advance Harbor Healths compliance, audit and revenue objectives and goals. Requirements: Associates degree in related field required; Bachelors degree preferred Certified Professional Coder (CPC) required or Certified Risk Adjustment Coder (CRC) preferred Minimum of 5 years of experience in healthcare billing compliance auditing and education Advanced user of Microsoft Office 365 applications including Word, Excel, Outlook and Teams Project Management experience or training preferred Excellent verbal and written communication skills. Able to work compassionately with providers and administrative staff within the practices Able to work independently and collaboratively Must be able to travel between all Harbor sites in a timely manner All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability or veteran status.