US Heart and Vascular is in need of a Remote Medical Front Office Specialist to join our team at HeartPlace clinics in the DFW area.
Coding Compliance Auditor (2223)
Location
United States
Posted
89 days ago
Salary
0
Seniority
Mid Level
No structured requirement data.
Job Description
Coding Compliance Auditor (2223)
US Heart & Vascular
Job DetailsJob Location: Remote, TN - Franklin, TN 37067Position Type: Full TimeEducation Level: High School Diploma/GEDJob Category: Other PositionsUS Heart and Vascular is in need of a Remote Coding Compliance Auditor to join our team. Position Summary: The Coding Compliance Auditor performs internal medical record audits and prepares compliance auditing reports, subsequent educational materials and training as directed by the Compliance and Privacy department. Audits include regular compliance medical record audits or focused review projects for ongoing review of coding and documentation for cardiovascular specialties to support compliance with coding and documentation rules and regulations. Responsibilities: • Performs coding audits reviewing for compliance and accuracy with CPT, ICD-10, HCPCS and corporate coding policy and follows up for timely completion within designated time period. • Maintains excellent documentation of all reviews, methodologies employed, results, corrective actions implemented, and monitoring. • Assists in focused review projects including data analysis, reporting, and corrective action identification and referral to the Coding Education Department. • Reports findings of identified trends and risks to the Director of Billing and Coding Compliance. • Participates in the departmental meetings and provides compliance knowledge and background as required. • Assists the Director of Billing and Coding Compliance with the development of policies and procedures for the compliance audit program • Prepares monthly, bi-monthly, quarterly and annual reports for and as directed by the Director of Billing and Coding Compliance or the Vice President, Compliance and Privacy Officer. • Establishes and maintains cooperative working relationships with the corporate management team, physician practices and all staff members to provide expertise and compliance training as needed, • Performs additional administrative duties as assigned by the Compliance and Privacy department. • Performs additional administrative duties as assigned by the Compliance and Privacy department Requirements: • Certification: Certified Professional Coder (CPC) from AAPC or AHIMA equivalent Certification: • Certified Professional Medical Auditor (CPMA) from AAPC (required to obtain within 12 months of hire date) • Minimum of 5 years of experience in medical coding (cardiovascular specialties preferred) • Minimum of 2 years of experience in medical auditing (cardiovascular specialties preferred) • Minimum of 2 years of experience in direct provider education • Strong knowledge of healthcare regulations, billing practices, and coding standards • Experience with compliance audits, investigations, and regulatory reporting • Excellent communication, analytical, and leadership skills • Bachelor’s degree in health care administration, Public Health, Business, or related field preferred but not required • Certification: Certified Cardiology Coder (CRC) from AAPC preferred but not required • Experience in risk adjustment coding and health plan operations preferred but not required • Knowledge of federal, state and local laws, statutes, regulations, codes, and standards related to the area of responsibility. Qualifications
Job Requirements
- Certification: Certified Professional Coder (CPC) from AAPC or AHIMA equivalent Certification.
- Certified Professional Medical Auditor (CPMA) from AAPC (required to obtain within 12 months of hire date).
- Minimum of 5 years of experience in medical coding (cardiovascular specialties preferred).
- Minimum of 2 years of experience in medical auditing (cardiovascular specialties preferred).
- Minimum of 2 years of experience in direct provider education.
- Strong knowledge of healthcare regulations, billing practices, and coding standards.
- Experience with compliance audits, investigations, and regulatory reporting.
- Excellent communication, analytical, and leadership skills.
- Bachelor’s degree in health care administration, Public Health, Business, or related field preferred but not required.
- Certification: Certified Cardiology Coder (CRC) from AAPC preferred but not required.
- Experience in risk adjustment coding and health plan operations preferred but not required.
- Knowledge of federal, state and local laws, statutes, regulations, codes, and standards related to the area of responsibility.
Related Guides
Related Categories
Related Job Pages
More Compliance Jobs
Compliance Management System (CMS) Analyst
EarnInEarnIn is reimagining how money moves in an effort to make financial success accessible to everyone. The company’s platform gives customers as many options as
About EarnIn As one of the first pioneers of earned wage access, our passion at EarnIn is building products that deliver real-time financial flexibility for those with the unique needs of living paycheck to paycheck. Our community members access their earnings as they earn them, with options to spend, save, and grow their money without mandatory fees, interest rates, or credit checks. We’re fortunate to have an incredibly experienced leadership team, combined with world-class funding partners like A16Z, Matrix Partners, DST, Ribbit Capital, and a very healthy core business with a tremendous runway. We’re growing fast and are excited to continue bringing world-class talent onboard to help shape the next chapter of our growth journey. POSITION SUMMARY EarnIn is looking for a Compliance Management System (CMS) Analyst to help scale and strengthen EarnIn’s compliance program as we launch and evolve new financial products and services. This role sits at the intersection of compliance, product development, and operational excellence. You’ll lead compliance risk assessments, control design and validation, and quality assurance activities across our CMS while partnering closely with teams across the company to ensure the right safeguards are built, implemented, and maintained. You’ll also help modernize how compliance operates by introducing automation, analytics, and AI-enabled approaches to improve monitoring, control validation, and quality assurance. This role is ideal for someone who enjoys building scalable compliance programs in fast-growing fintech environments and working collaboratively with teams creating new financial products. This is a remote position that offers a unique opportunity to make a meaningful impact in a dynamic, fast-paced environment. The US base salary range for this position is $80,000 - $90,000 + equity + benefits. Our salary ranges are determined by role, level, and location. WHAT YOU'LL DO - Conduct compliance risk assessments for products, features, operational changes, and at the enterprise level. - Serve as a compliance partner to product and engineering teams, translating regulatory expectations into practical controls as features are designed and launched. - Collaborate with cross-functional teams to design and implement scalable compliance controls throughout the product lifecycle. - Perform control validation to confirm controls operate effectively and mitigate regulatory risk. - Help build and scale monitoring and quality assurance capabilities across the Compliance Management System. - Help modernize compliance operations by introducing automation, analytics, and AI-enabled approaches to control validation and monitoring. - Contribute to the development and delivery of practical, business-focused compliance training. - Track issues, remediation efforts, and control improvements as part of continuous CMS enhancement. - Partner with other compliance functions on cross-functional regulatory and operational initiatives. WHAT WE'RE LOOKING FOR - 1+ years of experience in fraud investigations, dispute resolution, compliance, or risk management within fintech, banking, or financial services. - Bachelor's degree or equivalent professional experience. - Familiarity with U.S. consumer financial regulations (e.g., UDAAP, Reg Z, etc.). - Experience conducting compliance risk assessments and evaluating control effectiveness. - Familiarity operating within a Compliance Management System (CMS). - Ability to translate regulatory requirements into practical, scalable operational controls. - Strong analytical skills, attention to detail, and sound judgment. - A collaborative, low-ego team player who thrives in fast-paced environments where teams build and iterate quickly. NICE TO HAVE - Experience working cross-functionally with product, engineering, and business teams. - Experience working in high-growth fintech or digital financial services companies. - Experience with compliance automation, workflow tools, analytics platforms, or AI-enabled compliance tools. #LI-Remote At EarnIn, we believe that the best way to build a financial system that works for everyday people is by hiring a team that represents our diverse community. Our team is diverse not only in background and experience but also in perspective. We celebrate our diversity and strive to create a culture of belonging. EarnIn does not unlawfully discriminate based on race, color, religion, sex (including pregnancy, childbirth, breastfeeding, or related medical conditions), gender identity, gender expression, national origin, ancestry, citizenship, age, physical or mental disability, legally protected medical condition, family care status, military or veteran status, marital status, registered domestic partner status, sexual orientation, genetic information, or any other basis protected by local, state, or federal laws. EarnIn is an E-Verify participant. EarnIn does not accept unsolicited resumes from individual recruiters or third-party recruiting agencies in response to job postings. No fee will be paid to third parties who submit unsolicited candidates directly to our hiring managers or HR team.
Global Regulatory Head
ActitheraTranslating medicinal chemistry insights into next-generation radioligand therapies (RLTs)
• Author and compile briefing books for regulatory meetings • Lead the preparation, submission, and maintenance of INDs, CTAs, and amendments • Formulate global regulatory strategies, including accelerated pathways for RLT assets • Represent the company in interactions with FDA, EMA, PMDA, and other agencies • Ensure all submissions comply with ICH, GMP, and radiation-specific regulations • Collaborate with clinical, CMC, and quality teams to align on regulatory requirements • Monitor regulatory landscapes for RLT advancements and update strategies accordingly • Mentor regulatory staff and build capabilities in RLT submissions
Enhanced Due Diligence Associate
RobinhoodClick here to learn more about our Total Rewards, which vary by region and entity. If our mission energizes you and you’re ready to build the future of finance, we look forward to seeing your application. Robinhood provides equal opportunity for all applicants, offers reasonable accommodations upon request, and complies with applicable equal employment and privacy laws. Inclusion is built into how we hire and work—welcoming different backgrounds, perspectives, and experiences so everyone can do their best. Please review the Privacy Policy for your country of application.
Join us in building the future of finance. Our mission is to democratize finance for all. An estimated $124 trillion of assets will be inherited by younger generations in the next two decades. The largest transfer of wealth in human history. If you’re ready to be at the epicenter of this historic cultural and financial shift, keep reading. About the team + role: The preferred location for this position is in or around Robinhood's offices in New York, NY, Denver, CO, or Westlake, TX, depending on the applicant’s location. This role is eligible for remote work in limited geographies within the U.S. Check with your recruiter for more information. Robinhood’s Financial Crimes Team works across a number of verticals in an effort to protect our customers, and ensure compliance with all relevant Sanctions, Anti-Money Laundering and Terrorist Financing rules and regulations. The EDD Investigator will be responsible for conducting investigations to identify potential money laundering and/or terrorist financing activities, as well as other related activities. This role plays a vital part in the firm meeting its regulatory requirements. The right candidate will have prior EDD investigations experience, including preparing investigation reports, preferably with a broker-dealer or FinTech company. What you’ll do: - Investigate customer background information, behavioral patterns, and transactions for possible money laundering or terrorists financing activity - Prepare investigation reports summarizing findings and recommendations - Escalate matters requiring immediate attention to management and lead discussions surrounding findings uncovered during an investigation - Identify process improvements to increase quality, accuracy, efficiency and scalability - Contribute to drafting new enhanced procedures or controls - Actively participate in team and cross-departmental meetings, training, etc. What you bring: - Bachelor’s Degree or equivalent work experience - 2+ years experience in EDD/CDD compliance or AML compliance experience with a focus on EDD at a broker-dealer, FinTech, and/or bank - Previous experience using case management systems including Actimize, CDD or other similar systems - Demonstrated knowledge of BSA, AML, USA Patriot Act, OFAC and privacy laws as they apply to financial institutions - Proven understanding of broker-dealer operation and/or financial services compliance functions - Strong written and verbal communication skills, with the ability to communicate with all levels of management - Excellent analytical and problem solving skills with the ability to manage multiple priorities simultaneously - Resourceful and persistent, not willing to always accept the first answer What we offer: - Market competitive and pay equity-focused compensation structure - 100% paid health insurance for employees with 90% coverage for dependents - Annual lifestyle wallet for personal wellness, learning and development, and more! - Lifetime maximum benefit for family forming and fertility benefits - Dedicated mental health support for employees and eligible dependents - Generous time away including company holidays, paid time off, sick time, parental leave, and more! - Lively office environment with catered meals, fully stocked kitchens, and geo-specific commuter benefits In addition to the base pay range listed below, this role is also eligible for bonus opportunities + equity + benefits. Base pay for the successful applicant will depend on a variety of job-related factors, which may include education, training, experience, location, business needs, or market demands. The expected base pay range for this role is based on the location where the work will be performed and is aligned to one of 3 compensation zones. For other locations not listed, compensation can be discussed with your recruiter during the interview process. Base Pay Range: Zone 1 (Menlo Park, CA; New York, NY; Bellevue, WA; Washington, DC) $94,000—$110,000 USD Zone 2 (Denver, CO; Westlake, TX; Chicago, IL) $82,000—$97,000 USD Zone 3 (Lake Mary, FL; Clearwater, FL; Gainesville, FL) $73,000—$86,000 USD Click here to learn more about our Total Rewards, which vary by region and entity. If our mission energizes you and you’re ready to build the future of finance, we look forward to seeing your application. Robinhood provides equal opportunity for all applicants, offers reasonable accommodations upon request, and complies with applicable equal employment and privacy laws. Inclusion is built into how we hire and work—welcoming different backgrounds, perspectives, and experiences so everyone can do their best. Please review the Privacy Policy for your country of application.
Director, Quality Systems – Compliance
EnovisClinically differentiated solutions that enhance patient outcomes and restore motion for life.
• Lead the design, implementation, and continuous improvement of a unified, enterprise-wide QMS across global sites and business units. • Drive QMS standardization, simplification, and integration following mergers, acquisitions, and organizational changes. • Ensure QMS documentation, procedures, records, and workflows meet global regulatory requirements and reflect industry best practices. • Develop and oversee the annual internal audit program, including risk-based audit planning, auditor qualification, and audit execution. • Lead preparation, readiness, and hosting of external audits/inspections, including FDA, ISO Notified Bodies, MDSAP, and customer audits. • Establish, track, and report enterprise-level quality metrics and KPIs through standardized dashboards and scorecards. • Develop and mentor a high-performing Quality Systems & Compliance team. • Champion a culture of quality and compliance throughout the organization.



