Coding Compliance Auditor
2 weeks ago
Position Overview
MedStar Family Choice is in search of a skilled Coding Compliance Auditor to enhance our DC Medicaid Plan team. The ideal candidate must hold a certification in Medical Coding and will be responsible for conducting audits and investigations to ensure adherence to both District and federal regulations related to the Medicaid Program Integrity.
Key Responsibilities
- Execute audits of providers to uncover and rectify improper billing practices.
- Analyze existing payment policies and propose enhancements to bolster program integrity.
- Manage responses to external inquiries, investigations, and data requests from government entities.
- Prepare comprehensive audit reports and communicate findings to management, initiating corrective action plans as necessary.
- Conduct monthly checks of exclusion databases and report any findings.
- Maintain confidentiality of sensitive information throughout the auditing process.
Qualifications
- High School Diploma or GED is mandatory; a Bachelor's degree is preferred.
- A minimum of one coding credential is required: Certified Coding Specialist (CCS), Certified Coding Associate (CCA), or Certified Professional Coder (CPC).
- At least four years of relevant experience is essential, with prior auditing experience in a healthcare or insurance setting being highly desirable.
- Proficient knowledge of healthcare billing regulations and coding guidelines is necessary.
Skills and Competencies
- Exceptional organizational skills with the ability to manage multiple tasks efficiently.
- Strong verbal and written communication abilities.
- Proficiency in MS Office applications is required.
- Ability to work independently with minimal supervision.
This position offers a competitive salary range based on experience and qualifications.
-
Senior Compliance Auditor
2 weeks ago
Washington, United States COMPLIANCE WEEK Full timeLocation: Remote Position Title: Principal Compliance Auditor Role Overview Elevate your career as a Principal Compliance Auditor within the Compliance division at Compliance Week. Our compliance team drives the organization’s Enterprise Risk Management initiatives, utilizing the Institute of Internal Auditors' Three Lines model. We ensure that our...
-
Compliance Coding Auditor
2 weeks ago
Washington, United States Medstar Full timePosition OverviewMedStar Family Choice is in search of a qualified Compliance Coding Auditor to enhance our DC Medicaid Plan team. The ideal candidate must hold a certification in Medical Coding and will be responsible for conducting audits and investigations to ensure adherence to relevant laws and regulations governing the Medicaid Program Integrity.Key...
-
Senior Compliance Auditor
2 weeks ago
Washington, United States COMPLIANCE WEEK Full timeLocation: Washington, DC (Hybrid) Position Overview Elevate your career as a Senior Compliance Auditor within the Compliance division at Compliance Week. Our compliance team is dedicated to enhancing the organization’s Enterprise Risk Management framework by applying the Institute of Internal Auditors' Three Lines model. In this capacity, we stay aligned...
-
Coding Compliance Auditor
2 weeks ago
Washington, United States Medstar Full timePosition OverviewMedStar Family Choice is seeking a qualified Coding Compliance Auditor to support the DC Medicaid Plan team. The ideal candidate must hold a certification in medical coding and will be responsible for conducting audits and investigations to ensure adherence to both District and federal regulations related to the Medicaid Program...
-
Senior Compliance Auditor
2 weeks ago
Washington, United States COMPLIANCE WEEK Full timeLocation: Washington, DC (Hybrid) Position Overview Elevate your career as a Senior Compliance Auditor within the Compliance division. This unit plays a crucial role in managing the organization's Enterprise Risk Management program, utilizing the Institute of Internal Auditors' Three Lines model. In our operations, we adapt to leading practices, evolving...
-
Senior Compliance Auditor
2 weeks ago
Washington, United States COMPLIANCE WEEK Full timeLocation: Washington, DC (Hybrid) Position Overview Elevate your career as a Senior Compliance Auditor within the Compliance division. This unit is integral to the organization’s Enterprise Risk Management framework, employing the Institute of Internal Auditors' Three Lines model. Our mission is to adapt to evolving practices, business processes, and the...
-
Senior Compliance Auditor
2 weeks ago
Washington, United States COMPLIANCE WEEK Full timeLocation: Remote/Hybrid Position Overview Elevate your career as a Senior Compliance Auditor within Compliance Week's auditing division. Our team is dedicated to enhancing the organization's Enterprise Risk Management initiatives, utilizing the Institute of Internal Auditors' Three Lines model. In this role, you will be instrumental in adapting to evolving...
-
Compliance Auditor for Healthcare Services
2 weeks ago
Washington, United States MedStar Health Full timeRegulatory Auditor - Remote OpportunityMedStar Health is seeking a skilled Regulatory Auditor to enhance our compliance efforts. The preferred candidate will possess a CPC Medical Coder certification and demonstrate the ability to operate autonomously in a dynamic work environment. While this role supports remote work, candidates from the DMV Area...
-
Compliance Auditor for Healthcare Services
2 weeks ago
Washington, United States MedStar Health Full timeRegulatory Auditor - Remote OpportunityMedStar Health is seeking a skilled Regulatory Auditor to enhance our operations. The preferred candidate will possess a CPC Medical Coder certification and demonstrate the capability to operate autonomously in a dynamic setting. While this role supports remote work, candidates from the DMV Area (Washington DC,...
-
Compliance Accounting Auditor
3 months ago
Washington, United States MH Miles & Company Full timeJob DescriptionJob DescriptionMH Miles Company, CPA, PC is a certified public accounting firm with offices in Decatur, GA, Douglasville, GA, and Washington, DC. Our firm and its affiliates consist of certified public accountants, certified fraud examiners, management consultants, and support staff who have substantial experience in serving commercial...
-
Principal Internal Auditor, Compliance
1 month ago
Washington, Washington, D.C., United States JobTarget Full timeWashington, DC (901 E)Principal Internal Auditor, Compliance (Hybrid)Position OverviewIgnite your career as Principal Internal Auditor within Pew's Compliance unitPew's compliance unit facilitates the institution's Enterprise Risk Management program leveraging the Institute of Internal Auditors Three Lines model. In executing our program, we keep pace with...
-
Principal Internal Auditor, Compliance
2 months ago
Washington, Washington, D.C., United States Pew Charitable Trusts Full timeWashington, DC (901 E)Principal Internal Auditor, Compliance (Hybrid)Position OverviewIgnite your career as Principal Internal Auditor within Pew's Compliance unit Pew's compliance unit facilitates the institution's Enterprise Risk Management program leveraging the Institute of Internal Auditors Three Lines model. In executing our program, we keep pace with...
-
Principal Internal Auditor, Compliance
2 months ago
Washington, United States The Pew Charitable Trusts Full timePrincipal Internal Auditor, Compliance (Hybrid)Position Overview Ignite your career as Principal Internal Auditor within Pew’s Compliance unit!Pew’s compliance unit facilitates the institution’s Enterprise Risk Management program leveraging the Institute of Internal Auditors Three Lines model. In executing our program, we keep pace with leading...
-
Code Inspection and Compliance Manager
7 days ago
Washington, United States ECS Mid-Atlantic, LLC Full timeJob SummaryWe are seeking a highly skilled Building Code Compliance Specialist to join our team at ECS Mid-Atlantic, LLC. As a key member of our team, you will be responsible for ensuring that our clients' buildings meet the highest standards of safety and compliance.Key ResponsibilitiesConduct thorough building inspections to identify any code compliance...
-
Building Code Compliance Specialist
7 days ago
Washington, United States Engineering Consulting Services Full timeJob SummaryWe are seeking a highly skilled Building Code Compliance Specialist to join our team at Engineering Consulting Services. As a key member of our team, you will be responsible for ensuring that our clients' construction projects meet the highest standards of safety and compliance.Key ResponsibilitiesPerform third-party building inspections to ensure...
-
Revenue Auditor
12 hours ago
Washington, Pennsylvania, United States Penn National Gaming Full timeJob Summary:We are seeking a highly skilled Revenue Auditor to join our team at Penn National Gaming. As a Revenue Auditor, you will play a critical role in ensuring the accuracy and integrity of our financial reporting.Key Responsibilities:Conduct daily audits of cage, slots, table games, gaming, and non-gaming revenue areas to ensure compliance with...
-
Construction Code Compliance Officer
2 weeks ago
Washington, Utah, United States Washington City Full timeJob OverviewDepartment: Community DevelopmentDivision: Building InspectionSalary Range for Building Inspector 2: $62,110 - $74,532 (DOE)Salary Range for Building Inspector 3: $69,833 - $83,800 (DOE)Certification Requirement: Must be ICC 4 way certified in both Residential and Commercial sectors.General Purpose:- Ensure adherence to building, electrical,...
-
Auditor Specialist
7 days ago
Washington, Washington, D.C., United States Vision Achievement Full timeJob SummaryVision Achievement is seeking a highly skilled Auditor Specialist to join our team. As an Auditor Specialist, you will be responsible for planning and delivering Life Science consulting engagements related to quality/regulatory affairs infrastructure, appropriate to the level of risk in a target product.Key ResponsibilitiesPlan and deliver Life...
-
Building Inspector
3 days ago
Washington, United States ECS Limited Full timeAbout the RoleWe are seeking a highly skilled Building Inspector - Code Compliance Specialist to join our team at ECS Limited. As a key member of our team, you will be responsible for ensuring that our clients' buildings meet the highest standards of safety and compliance.Key ResponsibilitiesConduct thorough building inspections to identify any defects or...
-
Code Compliance Inspector
7 days ago
Washington, United States SAFEbuilt Full timeJob SummaryWe are seeking a highly skilled and experienced Housing Code Inspector III to join our team at SAFEbuilt. As a key member of our organization, you will be responsible for ensuring compliance with local building codes and regulations.Key ResponsibilitiesConduct field inspections to ensure compliance with building codes and regulationsExamine plans...