Auditor Remote Jobs in District of Columbia (US)
This page tracks remote auditor openings that are location-eligible for District of Columbia.
This page tracks remote auditor openings that are location-eligible for District of Columbia.
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Auditor Location: - Washington, DC, United States - Arlington, VA, United States Full-time Hybrid Job Description: Auditor Employment Type: Full-Time Mid-Level CGS is seeking a highly skilled Auditor to provide general auditing and accounting services in support of fraud investigations involving potentially complex financial transactions and complex organizations attempting to evade detection. The ideal candidate will develop, coordinate, and draft technical audit guidelines, be proficient in a variety of accounting systems and practices, and have excellent cross-functional communication throughout investigations. CGS brings motivated, highly skilled, and creative people together to solve the governments most dynamic problems with cutting-edge technology. To carry out our mission, we are seeking candidates who are excited to contribute to government innovation, appreciate collaboration, and can anticipate the needs of others. Here at CGS, we offer an environment in which our employees feel supported, and we encourage professional growth through various learning opportunities. Skills and attributes for success: • Analyze and audit a variety of accounting systems. • Analyze, organize, and present a large volume of data, such as bank records, financial records, healthcare claims, tax records, correspondence, policies, and other documentary evidence, through the use of common software programs. • Assist with the planning of investigations, including performing quantitative and qualitative analyses to identify potential witnesses and relevant financial documents. • Prepare concise and accurate reports of results of analysis, including detailed charts, summaries, and schedules as necessary. • Assist with conferences and interviews of representatives of financial institutions, Certified Public Accountants, and other potential witnesses to financial activities. • Utilize electronic databases to identify assets, documents, and other physical evidence. • Analyze an individual or corporations ability to pay monetary penalties based on financial disclosures and independent investigation of assets and liabilities. • Perform ancillary investigation-related services in support of assigned cases, including: • Developing, coordinating, and issuing draft technical audit guidelines and instructions applicable to financial audits and investigations. • Preparing interim and final reports throughout the investigation process for use by staff members. • Arranging for secure storage, preservation, organization, and indexing of voluminous documentary evidence. • Assisting in the compilation and analysis of documents and physical evidence and the creation of charts, graphs, and other audio-visual materials for use in motions and at trial. • Meeting with designated federal agency personnel, state, and local officials as needed throughout investigations. • Other related duties as assigned and within scope. Qualifications: • Four-year undergraduate degree or higher in statistical data analysis, finance, accounting, fraud examination, or other related field. • Minimum 3 years of professional work experience in finance, accounting, fraud examination, or statistical data analysis. • Proficient in Microsoft Office applications, including Word, Excel, PowerPoint, and Access, etc. • U.S. Citizenship and ability to obtain adjudication for the requisite background investigation. • Experience and expertise in performing the requisite services in Section 3 (Preferred qualifications). Preferred qualifications: • Experience reviewing and understanding medical records and knowledge of medical billing procedures, including experience using STARS and/or Business Objects. • Relevant experience working with a federal or state legal or law enforcement entity. Our Commitment Contact Government Services CGS strives to simplify and enhance government bureaucracy through the optimization of human, technical, and financial resources. We combine cutting-edge technology with world-class personnel to deliver customized solutions that fit our clients specific needs. We are committed to solving the most challenging and dynamic problems. For the past seven years, weve been growing our government-contracting portfolio, and along the way, weve created valuable partnerships by demonstrating a commitment to honesty, professionalism, and quality work. Here at CGS, we value honesty through hard work and self-awareness, professionalism in all we do, and to deliver the best quality to our consumers, mending those relations for years to come. We care about our employees. Therefore, we offer a comprehensive benefits package, including: • Health • Dental and Vision • Life Insurance • 401k • Flexible Spending Account • Health Dependent Care and Commuter • Paid Time Off and Observance of State and Federal Holidays Contact Government Services LLC is an Equal Opportunity Employer. Applicants will be considered without regard to their race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or status as a protected veteran. Join our team and become part of government innovation. Explore additional job opportunities with CGS on our Job Board: http://cgsfederal.com/join-our-team For more information about CGS, please visit: https://www.cgsfederal.com $50000 - $100,000 a year We may use artificial intelligence (AI) tools to support parts of the hiring process, such as reviewing applications, analyzing resumes, or assessing responses. These tools assist our recruitment team but do not replace human judgment. Final hiring decisions are ultimately made by humans. If you would like more information about how your data is processed, please contact us.
• Conduct monthly and quarterly quality assessments of individual codes • Provide guidance and education to coding associates and leaders on coding guidelines • Perform quality assurance follow-up reviews • Serve as a subject matter expert for professional fee coding • Monitor and audit inpatient and outpatient accounts • Create presentations and educational materials for coding staff • Assist operational coding team with initial coding and denials • Train new and existing staff • Develop training materials and coding aids • Report audit findings to coding management and leadership
Role Description We currently have an exciting remote opportunity for an experienced DRG Validator. This position offers the best of both worlds: the challenge and reward of using and growing your coding expertise, combined with the flexibility and convenience of working from home. The DRG Validator is responsible for reviewing inpatient medical records to ensure the accuracy and integrity of DRG assignments, clinical documentation, and coding. This role supports compliance with regulatory guidelines and optimizes appropriate reimbursement. Key Responsibilities - Review inpatient medical records to validate the accuracy of assigned DRGs - Ensure compliance with ICD-10-CM/PCS coding guidelines and CMS regulations - Identify discrepancies in coding or documentation and recommend corrections - Collaborate with coding teams, CDI specialists, and physicians to clarify documentation - Conduct audits to detect undercoding, overcoding, or billing errors - Provide feedback and education to coding staff on DRG optimization and compliance - Maintain productivity and quality standards for case reviews Qualifications - Certified coding credential (RHIA, RHIT, CCS) - Strong knowledge of ICD-10-CM/PCS coding systems - Understanding of MS-DRG/APR-DRG methodologies - Minimum of 3 years’ experience in inpatient coding and auditing or DRG validation - Strong technical skills, including experience with VPNs, multi-factor authentication, and video conferencing tools - Proficiency in Microsoft Office, particularly Outlook (email and calendar) and Excel - A consistent, reliable work schedule and punctual attendance Benefits - Dynamic work environment - Career growth and development - Strong leadership - TOP PAY Contact Information Ready to take the next step in your career? - 📞 Call us at 800.526.0594 - 📧 Email: HR@uasisolutions.com - 🌐 Visit: www.uasisolutions.com
Electrosoft Services, Inc. is an award-winning company that provides comprehensive technology-based solutions and services to federal customers. While cybersecurity is our specialty, we also focus on ICAM, enterprise IT modernization, and software solutions. We always seek to delight our customers, so we retain highly qualified employees and offer them meaningful work, growth opportunities, and work-life balance. What sets us apart from all other contractors is the sense of teamwork our employees feel – and the knowledge that outstanding effort is recognized and rewarded. The camaraderie we share emanates from Lunch & Learn sessions where we explore new ideas together, fun group activities ranging from escape rooms to miniature golf, and much, much more. If we’ve described you and your dream workplace, please apply and share in the many benefits and opportunities we offer.
Role Description IT Systems Auditor demonstrates understanding of the Federal Financial Improvement Act (FFMIA) requirements and experience applying FFMIA requirements in assessment of financial systems. - Understanding of systems development phases and related work products, including requirements and design documentation. - Plans, executes, and reports on information systems controls assessments. - Understanding of GAO, the Federal Information Systems Controls Audit Manual and Federal Audit Manual approaches. - Ability to access information system controls in areas of Cybersecurity, access controls, change controls and segregation of duties. - Demonstrated experience in evaluating controls within ERP systems. - Provides summary reports and working papers with detailed results and actionable recommendations. Qualifications - At least 4 years of applicable financial or business experience, including at least 1 year of government experience. - Relevant 8140 certification from a nationally recognized authority. - Bachelor's Degree in relevant business or technical field. - Skilled in Microsoft Office programs (Excel, Word, PowerPoint, MS Project, etc.). - Excellent analytical and writing skills. - Familiarity with Federal Acquisition Regulations. - Knowledgeable in OMB Circulars A-123, A-127, A-134, and the Federal Information Systems Controls Audit Manual requirements. - Experience with Federal accounting principles: how to apply them in various accounting systems, how data can be captured and analyzed in various environments. - Experience with Defense Systems and Applications preferred. - Must be able to obtain or currently possess IT-II Non-Critical Sensitive security clearance or Tier 3 (T3). Requirements - At least 4 years of applicable financial or business experience, including at least 1 year of government experience. - Relevant 8140 certification from a nationally recognized authority. - Bachelor's Degree in relevant business or technical field. - Skilled in Microsoft Office programs (Excel, Word, PowerPoint, MS Project, etc.). - Excellent analytical and writing skills. - Familiarity with Federal Acquisition Regulations. - Knowledgeable in OMB Circulars A-123, A-127, A-134, and the Federal Information Systems Controls Audit Manual requirements. - Experience with Federal accounting principles: how to apply them in various accounting systems, how data can be captured and analyzed in various environments. - Experience with Defense Systems and Applications preferred. - Must be able to obtain or currently possess IT-II Non-Critical Sensitive security clearance or Tier 3 (T3). Benefits - Meaningful work and growth opportunities. - Work-life balance. - Teamwork and camaraderie through activities like Lunch & Learn sessions and group activities. Company Description Electrosoft Services, Inc. is an award-winning company that provides comprehensive technology-based solutions and services to federal customers. While cybersecurity is our specialty, we also focus on ICAM, enterprise IT modernization, and software solutions.
At Bureau Veritas, we are driven by our values of Trusted, Responsible, Ambitious & Humble, and Open & Inclusive. If this resonates with you, we’d love to hear from you.
Role Description Bureau Veritas N.A., Inc. is seeking qualified Fire Plans Examiner for remote work in Texas. The ideal candidate will conduct plan reviews for residential and commercial buildings. Working under the direction of the Fire Program Manager, the Fire Plans Examiner is responsible for performing a full range of fire plan reviews and evaluations for complex fire systems, fuel storage tanks, fueling installations, high piled combustible storage, access control, general fire code reviews for commercial, industrial and residential buildings in accordance with the appropriate codes, and other applicable regulations. Responsibilities and Duties: - Perform comprehensive plan review assignments between 8:00am and 5:00pm Monday–Friday - Resolve complex technical questions and respond to contractor questions regarding plan review. - Interpret code regulations. - Participate in pre-construction meetings with local jurisdictions. - Readily communicate with staff, citizens and builder/contractors as necessary. - Readily communicate with team members. - Working knowledge of the IFC/IBC Codes and applicable local codes and amendments - Prepare written plan review correspondence and update information into various computer software programs. - Assess and resolve complaints received from clients, designers or contractors - Promote professional development by achieving additional ICC certifications, attending training opportunities and consistent study of codes and standards as related to work performance. - Working knowledge of office computer software - Microsoft Word, Excel, etc. - Working knowledge of project review software - Must possess problem solving skills - Maintain excellent customer service - Support business development efforts - Manage assigned projects Qualifications - Requires a high school diploma or GED. - Associate's or Bachelor's degree in Fire Science, Architecture, or related field (Preferred). - Bachelor's degree can sometimes substitute for experience. - TCFP Fire Plans Examiner and ICC Fire Plans Examiner Certification Preferred or the ability to obtain additional certifications as it relates to work performance and duties. - NICET Fire Alarm/Fire Sprinkler Level III or higher are a plus. - 1 - 5 years minimum as a Fire Plans Examiner / Prior Fire plan review experience is a plus. Requirements - Ability to provide guidance, assistance, and/or interpretation to others regarding the application of procedures and standards to specific situations. - Ability to utilize a wide variety of reference, descriptive, and/or advisory data and information. - Ability to perform calculations related to fire systems submittals, addition, subtraction, multiplication, and division; the ability to calculate decimals and percentages. - Ability to apply principles of rational systems; to interpret instructions furnished in written, oral, diagrammatic, or schedule form; and to exercise independent judgment to adopt or modify methods and standards to meet variations in assigned objectives. Benefits - Dynamic employment opportunities with an attractive salary/benefit package. - Opportunity to play a vital role with a global organization.
• Analyzes and Audits Claims • Integrates medical chart coding principles, clinical guidelines and objectivity in performance of medical audit activities • Draws on advanced ICD-10 coding expertise, clinical guidelines, and industry knowledge to substantiate conclusions • Performs work independently • 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 • Identifies New Claim Types • Suggests and develops high quality, high value concepts and or process improvement tools
• Audits Outpatient and Specialty Claims • Utilizes medical chart coding principles and client specific guidelines • Performs work independently, reviews and interprets medical records • Utilizes advanced proficiency, Cotiviti encoder and audit tools • Maintains production goals, accuracy and quality standards • Identifies potential claims outside of concept for additional recoveries • Suggests, develops and implements new ideas for audit production and client satisfaction
Role Description UPMC Health Plan has an exciting opportunity for a Clinical Auditor/Analyst position in the Fraud, Waste & Abuse department. This is a full-time position working Monday through Friday daylight hours and will be a remote position. The Clinical Auditor/Analyst is an integral part of the Special Investigations Unit (SIU) and is responsible for conducting clinical audits and reviews regarding the analysis of care and services related to clinical guidelines, coding requirements, regulatory requirements, and resource utilization. The Clinical Auditor/Analyst creates, maintains and analyzes auditing reports related to their assigned work plan and communicates the results with management. Other responsibilities include but are not limited to: - Analysis of controlled substance prescribing and utilization to identify potential clinical care issues. - Prepayment review of claims and unlisted codes. - Claims analysis and the use of fraud and abuse detection software tools. - Collaboration with appropriate Health Plan departments including Quality Improvement, Legal, and Medical Management. - Interaction with providers, law enforcement, and/or regulatory entities. Responsibilities: - Respond to fraud, waste, and abuse referrals and/or complete data analysis and related audits as assigned. - Utilize fraud detection software to assess and monitor for potential FWA. - Review and analyze claims, medical records and associated processes related to the appropriateness of coding, clinical care, documentation, and health plan business rules. - Provide a clinical opinion for special projects or various issues including appropriate utilization of controlled substances, prescribing of controlled substances, or medically appropriate services. - Query medical and/or pharmacy claims and conduct a risk assessment by performing data analysis and applying applicable coding guidelines, Health Plan policies, and any applicable National Coverage Determination (NCD) or Local Coverage Determination (LCD). - Evaluate referrals from Pharmacy Benefit Manager (PBM) by analyzing medical and pharmacy claims and associated clinical documentation in HealthPlaNET, Mars, Epic and/or Cerner. - Complete audits by utilizing standard coding guidelines and principles and coding clinics to verify that the appropriate CPT codes/DRGs were assigned and supported in the medical record documentation. - Attend in person or virtual recipient restriction hearings. - Review Medical Pended Queue claims to understand and resolve claim referral issues through research and interaction with other Health Plan Departments including Medical Management, Medical Directors, various committees, and other appropriate Health Plan departments. - Assist in the development of new policies concerning future Health Plan payment of identified issues as necessary. - Assess, investigate and resolve low to intermediate issues. - Write concise written reports including statistical data for communication to other areas of UPMC Health Plan and to communicate with department heads for identification of various problem issues, how they affect the Health Plan, and to make recommendations for resolution of the issue. - Identify error trends to determine appropriate training needs and suggest modifications to company policies and procedures. - Conduct provider education, as necessary, regarding audit results. - Communicate effectively with Medical Directors and ancillary departments as necessary to address issues and concerns. - Understand customers including internal Health Plan Departments (i.e. Claims staff, Customer Service, Marketing, etc.) and external customers (i.e. Health System Internal Audit, Client Audit teams) to understand issues, identify solutions and facilitate resolution. - Serve as an SIU representative at internal and external meetings, document and present findings to SIU Staff and document as appropriate in the SIU FWA Case Management Database. - Assist in the development and revision of SIU policies and procedures. - Identify trends for improvements internally, such as claims payment, to determine appropriate training needs and suggest modification to company policies and procedures. - Participate in training programs to develop a thorough understanding of the materials presented. - Obtain CPE or CEUs to maintain nursing license, and/or professional designations. - Design and maintain reports, auditing tools and related documentation. - Maintain or exceed designated quality and production goals. - Maintain employee/insured confidentiality and adhere to HIPAA regulations. Qualifications - Registered Nurse (RN). - Five years of clinical experience. - Two years of fraud & abuse, auditing, case management, quality review or chart auditing experience required. - Ability to analyze data, maintain designated production standards, and organize multiple projects and tasks. - In-depth knowledge of medical terminology, ICD-10 and CPT-4 coding. - Knowledge of health insurance products and various lines of business. - Detail-oriented individual with excellent organizational skills. - Keyboard dexterity and accuracy. - High level of oral and written communication skills. - Proficiency with Microsoft Office products (Excel, Access, OneDrive, OneNote and Word). Requirements - AAPC or AHIMA Certified (CPC, CPMA, CIC, CCA, CCS, CCS-P) or AHFI designation preferred. - Registered Nurse (RN). - Current licensure either in the state where the facility is located or, if the facility is in a state covered by the multistate Nursing Licensure Compact (NLC) agreement, a multistate license issued by a participating NLC state. Company Description UPMC is an Equal Opportunity Employer/Disability/Veteran.
We’re one of the fastest-growing civil defense firms in the country—known for breaking the mold of the traditional law firm. Our dynamic, diverse team of trial attorneys delivers exceptional results, from landmark cases to numerous defense verdicts across the nation. We invest in our people with specialized training in our proven defense methods, clear paths to leadership, and robust professional development.
Role Description We're looking for a billing compliance professional who has been in the weeds; someone who has audited timekeeper entries line by line, pushed back on attorneys when entries didn't hold up, and written appeals that resulted in successful resolutions. You know your UTBMS codes. You know when a narrative is going to get cut before it ever reaches the carrier. And when the billing guidelines don't have a clear answer, you make a sound judgment call, in alignment with the spirit of carrier guidelines, and own it. This is a high-volume role with real variety, steady audit work, alongside special projects that require you to shift gears quickly, reprioritize, and perform at a high level under pressure. You'll work within a collaborative, fully remote team that communicates directly, respects each other's expertise, and expects everyone to bring their best. If you've spent years building expertise in this niche and you're looking for a team that actually values it, this is for you. This position reports to the Director of Quality Assurance and the Head of Legal Operations, and collaborates closely with the Billing Department. This is a fully remote position. Our entire team works 100% remotely, and we are built to operate that way with strong communication, clear expectations, and mutual accountability. For candidates located near one of our office locations, optional hybrid arrangements are available but never required. The right candidate is someone who takes ownership, communicates proactively, and thrives with autonomy. Responsibilities - Conduct front-end pre-bill audits for insurance defense matters before invoices are submitted to carriers. - Perform line-by-line invoice review to verify accuracy, reasonableness, and compliance with carrier billing guidelines and UTBMS task codes. - Identify billing discrepancies based on carrier requirements, industry standards, and litigation practices and make corrections before submission. - Communicate directly with attorneys, paralegals, and billing staff to resolve non-compliant entries, including navigating pushback with professionalism and persistence. - Prepare, submit, and track formal billing appeals; coordinate with the billing department to adjust invoices following appeal outcomes. - Build and analyze compliance reports in Excel to identify timekeeper performance trends and systemic billing issues. - Escalate recurring billing trends or compliance risks to management for resolution. - Manage the Billing Compliance inbox, triaging and prioritizing incoming requests. - Contribute to special projects including large-scale compliance initiatives and carrier-specific audit reviews as assigned. - Exercise sound independent judgment when billing guidelines are ambiguous or silent, acting in alignment with the spirit of carrier guidelines, and communicate your rationale clearly. Qualifications - Minimum 3–5 years of direct front-end bill review experience in an insurance defense law firm, or equivalent experience with an e-billing platform provider (e.g., CounselLink, Bottomline, Legal Tracker) supporting insurance defense billing compliance, timekeeping oversight, or litigation defense matters. - Proven ability to audit billable hours for attorneys, paralegals, and other timekeepers prior to carrier submission. - Strong knowledge of UTBMS task codes, carrier billing rules, and common rejection reasons. - Demonstrated experience preparing and submitting successful billing appeals including strong written communication skills and the ability to construct persuasive, well-documented appeal narratives. - Advanced proficiency in Microsoft Excel, including pivot tables, formulas, and building custom reports to identify trends and support audit findings. Excel fluency is essential; we will train on internal processes, but this skill must come with you. - High comfort operating in a high-volume billing environment with competing deadlines, shifting priorities, and periodic large-scale special projects. - Demonstrated ability to exercise sound independent judgment when billing guidelines are ambiguous or silent, acting in alignment with the spirit of carrier guidelines. - Strong written and verbal communication skills with a professional, direct style. Requirements - Prior experience as a timekeeper (paralegal, legal assistant, or similar role) in a litigation environment, candidates who have billed time themselves bring a practical understanding of how entries are constructed and where compliance issues originate. - Direct litigation experience in an insurance defense, civil litigation, or related legal setting. - Familiarity with carrier billing portals and billing guidelines across multiple major insurance carriers (P&C, commercial, and specialty lines). - Experience with e-billing platforms such as CounselLink, Bottomline/Legal eXchange, Legal Tracker, BillBlast, TyMetrix 360, or similar. - Familiarity with billing guidelines across multiple insurance carriers. - Bachelor's degree or equivalent combination of education and direct experience. Benefits - The hourly pay range of $30-37/hour, depending on experience. - Overtime paid at 1.5× the regular hourly rate, as needed. - Comprehensive benefits coverage offered, including plans available at zero employee cost (average annual employee contribution for health/vision/dental coverage is $700-1,700). - Employee Assistance Program through HealthAdvocate. - Employees benefit from a 401(k) program that includes a 100% match on the first 3% contributed and a 50% match on the following 4-5%. - Vacation time is accrued annually at the employee’s base rate. - Paid parental leave at base pay. - Employees receive a monthly technology reimbursement of $60. - 37.5-hour standard workweek designed to promote balance and prevent burnout. - Educational reimbursement program for non-attorney eligible team members (up to $3,500 per calendar year). - Internal diversity and inclusion programs, such as the Women’s Initiative and Young Professionals Initiative. - Firm-wide charitable giving program. - Numerous social and off-site events each year to enrich your relationships with your colleagues.
NSF International, formerly known as the National Sanitation Foundation, is an award-winning, nonprofit, non-governmental organization headquartered in Ann Arbor, Michigan. Founded
Role Description We are looking to expand our team with the addition of a Senior Aerospace Auditor - Independent Contractor to conduct 3rd party audits for NSF's aerospace clients. The Independent Contractor Auditor will be responsible for: - Communicating effectively with external clients - Communicating effectively with internal Account Managers Qualifications - Experience in aerospace auditing - Strong communication skills - Ability to work independently Requirements - Relevant certifications in aerospace auditing - Proven track record in conducting audits Benefits - Flexible working hours - Opportunity to work with a diverse team - Impactful work that contributes to global health and safety
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