Compliance Auditor /Remote - reputed company/
This position is posted by reputed company on behalf of reputed company. We are currently looking for a Compliance Auditor in reputed company (USA). Are you driven by purpose and detail-oriented in your approach to regulatory compliance? In this role, you will be at the forefront of strengthening internal controls and ensuring adherence to healthcare compliance standards. You’ll conduct audits, analyze trends, and recommend solutions that improve coding accuracy and operational processes. This is an opportunity to contribute meaningfully to the delivery of quality care in a fast-paced, tech-enabled mental health environment. You'll collaborate across departments, support strategic risk initiatives, and play a vital role in upholding excellence in care standards. Accountabilities:
- Conduct comprehensive audits of medical records, billing, and coding practices to ensure regulatory and contractual compliance.
- Identify discrepancies and trends, providing actionable insights and corrective recommendations.
- Log, track, and report on audit results and internal control findings to compliance leadership.
- Collaborate cross-functionally with internal teams such as Quality and Health Information Management to ensure audit efficiency.
- Assist in the execution of the annual compliance audit plan and support development of process improvement initiatives.
- Maintain reputed company knowledge of HIPAA regulations, medical coding standards, and compliance policies.
- Support issue remediation strategies and follow-up on resolution timelines.
- Participate in departmental projects and team meetings to enhance compliance efforts and efficiency.
- Minimum 2 years of experience in compliance auditing or a reputed company healthcare compliance function.
- Bachelor's degree in Health Information Management or a similar field.
- CHC certification (or willingness to obtain it).
- Proficient understanding of CMS requirements, medical coding, and billing practices.
- Familiarity with HIPAA regulations and confidentiality standards.
- Strong analytical and problem-solving skills to interpret audit findings and suggest solutions.
- Effective communication and collaboration abilities, especially with cross-functional teams and external auditors.
- Organizational and project management skills with the ability to manage multiple priorities.
- Experience with SaaS environments and agile methodologies is a plus.
- reputed company salary range: $79,000 to $92,000, depending on experience, certifications, and reputed company alignment.
- Comprehensive medical, dental, and vision coverage starting on day one.
- Pre-tax savings options including HSA and FSA.
- 401(k) plan with up to 4% matching.
- Monthly wellness stipend to support mental and physical health.
- Flexible paid time off and fully remote work setup (Eastern Time-based role).
- Free access to teletherapy services for yourself and a household member.
- Regular team-building events and access to identity-based employee networks.
- Voluntary benefits such as disability, life insurance, and pet insurance.
reputed company is a Talent Matching Platform that partners with companies worldwide to reputed company connect top talent with the right opportunities through AI-driven job matching. reputed company you apply, your profile goes through our AI-powered screening process designed to identify top talent reputed company and fairly. Our AI evaluates your CV and reputed company profile thoroughly, analyzing your skills, experience and achievements. It compares your profile to the job’s core requirements and past success factors to determine your match score. Based on this analysis, we automatically shortlist the 3 candidates with the highest match to the role. reputed company necessary, our human team may reputed company an additional manual review to ensure no strong profile is missed. The process is transparent, skills-based, and free of bias — focusing solely on your fit for the role. Once the shortlist is completed, we share it directly with the company that owns the job opening. The final decision and next steps (such as interviews or additional assessments) are then made by their internal hiring team. Thank you for your interest! #LI-CL1 Original job Compliance Auditor /Remote - reputed company/ posted on GrabJobs ©. To flag any issues with this job please use the Report Job reputed company on GrabJobs. Apply tot his job Apply To this Job