Auditor Remote Jobs in Alaska (US)
This page tracks remote auditor openings that are location-eligible for Alaska.
This page tracks remote auditor openings that are location-eligible for Alaska.
Open jobs
995
Hiring companies this week
10
Salary sample
$36 - $82,888
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995 Jobs
534 Companies
Solving complex Public Sector Use cases using emerging technologies - SBIR Phase III Awardee
• Lead and oversee implementation of Federal Financial Management System Requirements (FFMSRs) • Apply DoD Risk Management Framework and NIST SP 800-53 controls to support FFMIA system security requirements • Design and validate business process and application controls over data input, processing, and output • Manage compliance assessments, including GAO-05-225G – Core Financial System Requirements Checklist • Direct configuration of audit trails for the OneStream platform to ensure data traceability, metadata capture, and time-stamped transactions • Review and support internal control documentation required under the DoD FIAR methodology • Support control sustainment activities as per the DoD Internal Control over Financial Reporting (ICOFR) and Internal Control over Financial Systems (ICFS) guides
• Audit medical records to validate clinical documentation to support evaluation and management services, ancillary services, procedures, diagnoses, and clinical documentation requirements and gaps, missed opportunities, and meet quality and production requirement standards. • Review project guidelines to ensure deliverables are on-time and meeting client specific requirements. • Research regulatory guidelines for supporting documentation when necessary. • Prepare audit summary findings, provide detailed comments related to the audit findings and make recommendations. • Consistently maintain production standards for job role, and quality metrics of 95% or greater. • Responsible for maintaining department audit standards, clinical documentation standards, protocols and guidelines. • Support team with department key performance indicators and goals (SLAs). • Embrace workforce transformation by engaging in continuous knowledge expansion across additional functional areas and/or upskilling (learning new skills) to support evolving organizational and client needs. • Contribute to organizational optimization by collaborating to identify opportunities for process improvement and supporting continuous enhancements to workflows and operations that promote quality and efficiency. • Prepare oral and/or written reports of audit activity to Manager meeting with them on a regular basis to review individual performance, mentoring, and succession planning.
• Perform charge audits and potential client assessments • Timely resolution of incorrect and/or missing charges • Conduct regular audits for missing revenue • Educate stakeholders on standards for documentation and charge capture practices • Review Injection & Infusion work queues in Epic • Resolve missing and error charges identified by Opera Solutions software • Conduct site visits to clients for assessments and training • Maintain understanding of government rules and regulations
Sutton National Group Aligns Interests For True Value Chain Differentiation
• Plan, organize, conduct, and direct complex audits of financial, operational, compliance, delegated authority, reinsurance, and information systems functions. • Perform audits in compliance with the Standards for the Professional Practice of Internal Auditing issued by the Institute of Internal Auditors, Model Audit Rule requirements, and Sutton National Internal Audit policies and procedures. • Assist in evaluating and testing Internal Controls over Financial Reporting (“ICFR”) in support of the Company’s MAR compliance framework and Section 16 reporting requirements. • Conduct audits of underwriting programs, MGA relationships, TPAs, reinsurance operations, claims administration, and other outsourced or delegated functions relevant to a fronting carrier environment. • Evaluate controls surrounding premium bordereaux, collateral management, funds held arrangements, claims handling, reinsurance reporting, and delegated authority oversight. • Assess compliance with insurance regulatory requirements, contractual obligations, and internal policies across program business operations. • Assist the Director of Internal Audit in implementing the strategic Internal Audit plan, including development of the annual audit plan and enterprise risk assessment. • Assist with review of Internal Audit work papers, drafting audit reports, and finalizing audit observations and recommendations. • Present written audit reports with practical recommendations and follow up on remediation efforts and management action plans. • Partner with management to promote a strong culture of internal control awareness, accountability, and continuous improvement throughout the organization.
• Conduct audits to evaluate compliance with a wide variety of Federal and State laws, regulatory rules & regulations, PSJH policies and procedures. • Collaborate with Case Management, Utilization Review, Revenue Integrity, Clinical Risk, Internal Legal Affairs and Finance under supervision. • Navigate and analyze data across Clinical EMR and Epic Billing systems, reviewing line-item charges and supporting documentation. • Present audit findings collaboratively to reduce risk within Providence as a system.
• Audit third-party vendor coding and CDI outputs to ensure accuracy, compliance, and adherence to contracted performance standards • Audit internal CDI Specialist I and II work, including chart reviews, queries, and reconciliation activities • Identify coding inaccuracies, unsupported diagnoses, missed HCC opportunities, and documentation gaps • Deliver audit findings, trend analysis, and corrective action recommendations to CDI leadership and vendor partners • Track and report audit performance metrics to support continuous quality improvement initiatives. • Review completed encounters in the post-visit, pre-billing window to validate documentation completeness and coding accuracy • Review and audit Pre-visit plan coding and CDI • Evaluate alignment between medical record documentation and draft claims, ensuring proper HCC capture • Assess each diagnosis for appropriate ICD-10-CM specificity and MEAT criteria compliance • Prioritize high-impact conditions and risk-adjustable diagnoses for intervention and resolution • Ensure compliant query practices aligned with AHIMA and ACDIS standards • Review query quality, provider responses, and documentation updates to confirm clinical support for diagnoses • Validate final alignment between documentation and submitted claims, resolving discrepancies in partnership with coding and billing teams • Translate audit findings into targeted provider and team education on documentation, coding specificity, and risk adjustment compliance • Partner with CDI, coding, and leadership teams to improve workflows, policies, and audit readiness • Serve as a subject matter expert and resource on risk adjustment, CDI best practices, and audit standards • Support the evolution of CDI and audit processes as automation, EMR integrations, and vendor models mature • Identify opportunities to expand audit scope (e.g., documentation patterns, provider performance trends, process inefficiencies) • Contribute to the development of scalable audit frameworks and quality assurance methodologies • Deliver real-time and aggregate coding and documentation feedback to providers and their clinical support teams • Design and facilitate education sessions on ICD-10-CM specificity, chronic condition documentation, HCC coding, and risk adjustment compliance both virtually and, on occasion, in person • Perform other related responsibilities as assigned
Preserving, Creating & Facilitating
• Perform comprehensive charge audits for inpatient and outpatient services. • Review itemized billing statements against medical records to verify accuracy and completeness. • Identify and document: • Missing charges • Duplicate charges • Unsupported or non-compliant charges • Validate charges based on clinical documentation, coding rules, and billing guidelines. • Ensure all billing aligns with: • CMS and payer requirements • National healthcare billing audit guidelines • Organizational compliance standards • Submit clear, actionable audit findings to revenue cycle teams for correction and rebilling. • Analyze audit findings to determine root causes and patterns. • Maintain accurate audit documentation that is clear, traceable, and defensible. • Track audit outcomes and financial impact. • Assist in developing recommendations to improve charge capture accuracy and billing processes. • Partner with: • Coding and billing teams • Clinical departments • Revenue cycle leadership • Provide guidance on: • Documentation requirements • Charge capture practices • Billing compliance standards • Support education efforts to prevent recurring audit issues.
At MultiCare, we strive to offer a true sense of belonging for all our employees. Across our health care network, you will find a dynamic range of meaningful careers, opportunities for growth, safe workplaces, and flexible schedules. We are connected by our mission - partnering and healing for a healthy future - and dedicated to the health and well-being of the communities we serve.
Role Description The Investigator/Auditor for Privacy & Civil Rights is an ideal opportunity at MultiCare, working directly with compliance and business leadership to assure compliance with patient-related federal and state privacy and/or discrimination. In this position, you will plan, execute and manage a variety of regulatory, investigative and auditing based projects. Responsibilities - You will manage the investigation and remediation of any suspected incidents of discrimination. - You will research and assist on Federal and State regulatory requests or issues of non-compliance. - You will participate in OCR and other regulatory audits, meetings and initiatives. - You will facilitate tracking, resolution and response of any OCR, DOH, or DOJ requests, inquiries or Joint Commission improvement/corrective action plan. Qualifications - Bachelor's degree in computer sciences, social sciences, legal, business, or clinical field. - Master's Degree preferred. - An Associate Compliance Professional or Certified. - Minimum five (5) years of healthcare experience required. - Minimum three (3) years of investigation, compliance or legal experience working directly with state & federal regulatory agencies on civil rights issues or certification as an ADA Coordinator OR HIPAA compliance or legal experience working directly with state & federal regulatory agency. Benefits - Rooted in the local community, partnering with patients, families and neighbors across the Pacific Northwest for more than 140 years. - Competitive tuition assistance, award-winning residencies, fellowships and career development to invest in you. - Generous PTO, Code Lavender and Employee Assistance Programs to help you maintain balance and feel cared in your work and life. - Respect, integrity, kindness and collaboration guide how we care for patients, communities and each other. - Resource Groups and outreach programs help ensure every team member feels safe, seen, heard and valued. - Work and live where natural beauty, adventure and strong community connections are part of everyday life. - Comprehensive benefits package, including competitive salary, medical, dental and retirement benefits and paid time off. - Pay scale is $82,888.00 - $119,288.00 USD, influenced by factors specific to applicants.
• Evaluate the design and effectiveness of technology controls • Identify risks and work collaboratively with business and technology stakeholders • Perform IT audits and risk assessments across various areas • Conduct walkthroughs of IT processes and systems to identify key risks, controls, and opportunities for improvement • Assess compliance with organizational policies, regulatory requirements, and industry frameworks • Participate in cybersecurity assessments and reviews • Support enterprise risk management activities by identifying emerging technology and cybersecurity risks • Prepare clear, concise, and well-documented audit workpapers, reports, and presentations
• Audits Inpatient DRG Claims: Utilizes medical chart coding principles and client specific guidelines in performance of medical audit activities with Inpatient DRG claims • Performs work independently, reviews and interprets medical records and applies in-depth knowledge of coding principles to determine potential billing/coding issues • Effectively Utilizes Audit Tools: Utilizes Cotiviti proprietary auditing systems with a high level of proficiency to make audit determinations and generate audit letters • Meets or Exceeds Standards/Guidelines for Productivity: Maintains production goals set by the audit operations management team • Meets or Exceeds Standards/Guidelines for Accuracy and Quality: Achieves the expected level of accuracy and quality set by the audit for the auditing concept, for valid claim identification and documentation (letter writing)
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Oracle, PMP, Cyber Security
