Auditor Remote Jobs in New Mexico (US)
This page tracks remote auditor openings that are location-eligible for New Mexico.
This page tracks remote auditor openings that are location-eligible for New Mexico.
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Role Description As our DRGV Auditor II, your primary role will be auditing inpatient cases for DRG validation and/or documentation improvement. This consists of reviewing accounts in proprietary software and client EMR systems to validate the accounts. Opportunity for growth includes a client facing Lead Auditor role and an internally facing Mentor role. Every day in this role you will: - Review inpatient medical records for validation of DRG assignment - Provide detailed rationale and supporting evidence for recommendation and findings - Utilize industry-recognized references to support their review findings, such as the ICD-10 Official Guidelines for Coding and Reporting, AHIMA Standards of Ethical Coding, AHIMA Practice Briefs related to compliant querying, and AHA Coding Clinics Qualifications - Current AHIMA credentials of one or more of the following are required: RHIA, RHIT, and/or CCS - 3+ years of ICD-10 auditing and DRG reimbursement experience, with recent acute inpatient auditing experience Requirements - This US-based position has a base pay range of $52,025.00 - $97,528.69 per year. Individual pay is determined by role, level, location, job-related skills, experience, and relevant education or training. - This job is eligible to participate in our annual bonus plan at a target of 5.00% Benefits - Competitive benefits package
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 NSF is currently seeking a Senior Auditor, CMMC, to conduct third-party audits for our CMMC clients. In this role, you will be responsible for effective communication with both external clients and internal team members, providing assessment, advisory, and related services concerning assigned standards and applicable registration program requirements. Only candidates qualified to conduct CMMC assessments will be considered. Qualifications - Qualified to conduct CMMC assessments. Requirements - Effective communication skills with external clients and internal team members. - Experience in assessment and advisory services related to assigned standards. Benefits - Holistic suite of value-added digital, information security, and sustainability solutions. - Support for the journey to certification. - Commitment to process and performance improvements for products, people, and the planet. Company Description With a legacy spanning more than 80 years, NSF leverages science and innovation to improve human and planet health. We provide science-driven, independent testing, inspection, certification, and advisory services and develop the very standards that drive the food, water, and life sciences industries worldwide. We empower our clients to navigate shifting regulations to improve consumer health, safety, and quality of life. - Core value: We Are One NSF, embracing cultural, ethnic, language, and demographic diversity. - Equal opportunity employer. - More information about NSF can be found at nsf.org.
Located in the heart of Albuquerque, the UNM HSC is the only academic health complex in New Mexico. #DeliveringMore
• Audits medical charts and records for compliance with federal coding regulations and guidelines. • Trains, instructs and provides technical support to medical providers and support staff. • Collaborates with hospital compliance and coding staff to ensure consistent training and procedures. • Assists management with the development of annual work plan risk assessment and evaluates external payer record requests.
An independent, tech-enabled payment integrity company.
• Validate the accuracy of CPT, HCPCS, revenue codes, and billed line-item charges on outpatient and inpatient facility claims. • Review medical records and supporting documentation to confirm that billed services, supplies, and items are appropriately documented and billed accurately. • Apply CMS guidance, coding guidelines, MUE/NCCI edits, industry standards, and policies during claim review. • Perform itemized bill reviews, including validation of revenue code line items and supporting documentation. • Conduct hospital bill audits to evaluate billed line charges and identify potential coding, billing, or documentation issues. • Assess medical necessity as part of claim review activities. • Prepare appeal responses using applicable coding guidance, industry standards, and company/client policies. • Assist with new concept development and claim selection criteria.
Role Description The Senior Internal Auditor is responsible for planning, coordination and completion of internal audits and Sarbanes-Oxley 404 requirements. You will help complete risk assessments to establish the annual internal audit plan, preparing internal audit reports for review by the Internal Audit Manager, performing special projects and ad hoc assignments. Technical auditing and accounting skills and 3+ years of experience with GAAP is required. As our Senior Internal Auditor, you will report to the Internal Audit Manager. On a given day, you may: - Evaluate risk areas and provide important input on the development of the Audit Plan. - Lead audit procedures, identify issues, develop criteria and analyze evidence. - Complete the financial, Sarbanes-Oxley and information technology-based audit engagements. - Lead effort to maintain the internal audit programs and policies and develop new audit programs. - Provide or help provide training and guidance to Internal Audit seniors and staff in conducting audits and other audit-related issues. - Experience with data analytics and use of tools such as Tableau and Microsoft BI. Qualifications - Bachelor's Degree in Accounting. - 3+ years of relevant accounting/auditing experience; public accounting and/or internal auditing at a manufacturing company. - Knowledge of and skill in applying internal auditing, GAAP and accounting principles and practices. - Oversee and motivate engagement team members and engage with all levels of management. - Manage multiple field audit assignments and special projects. - Readiness to accept additional responsibilities, and willingness to try new ideas and methodologies. - You must be authorized to work in the US without sponsorship now or in the future. Requirements - The estimated annual salary range for this role is $90,000 - $110,000 annually. Please note the salary information shown above is a general guideline only. Starting salary will vary by location, qualifications, and prior experience. - Travel up to 30% of the time, including international assignments. Benefits - Medical, Dental, life insurance, short-term and long-term disability, family leave, vision coverage, and a matched 401(k) plan.
• Support and execute operational and/or compliance audits, advisory projects, and SOX/C-SOX assessment • Support Internal Audit Managers in business partnerships and risk assessment • Coordinate with business process owners and external auditors • Manage audit project phases: planning, execution, issue escalation, remediation verification • Contribute to data analysis and documentation of audit findings • Ensure compliance with internal audit standards • Collaborate with Internal Control and external auditors for SOX/C-SOX compliance • Support advisory engagements and special projects to enhance internal audit function
Role Description Audits medical record documentation and coding to extract data and determine appropriate ICD-10-CM/PCS and HCPCS codes for billing, internal and external reporting, and compliance with the Official Coding Guidelines for Coding and Reporting, payer regulations, and hospital policy. Educates physicians and clinical personnel to ensure complete documentation in the medical record and queries physicians to resolve incomplete or conflicting information to ensure compliant coding and billing practices. Educates and trains coders to ensure both a working knowledge of coding and reimbursement guidelines and successful career ladder completion, including the development of training materials and reference documents. Researches audit results, error reports, and denials and resolves by successful appeal, staff education, and correction of discrepancies. Qualifications - 4 year / Bachelor's Degree in Health Information Management or related medical degree (Required) - In lieu of a Bachelor's Degree; an Associate Degree and a Minimum of 4 years additional relevant experience is acceptable. - 4 - 5 years Experience with ICD-9, ICD-10, and HCPCS coding including hospital inpatient medical records (Required) - 4 - 5 years Extensive knowledge of medical terminology, pathophysiology, and pharmacology (Required) - 4 - 5 years Experience calculating and analyzing MS-DRG, DRG, APC, and other payer reimbursement methodologies (Required) Requirements - Adheres to the hospital and departmental attendance and punctuality guidelines - Performs all job responsibilities in alignment with the core values, mission and vision of the organization - Performs other duties as required and completes all job functions as per departmental policies and procedures - Maintains current knowledge in present areas of responsibility (i.e., self education, attends ongoing educational programs) - Attends staff meetings and completes mandatory in-services and requirements and competency evaluations on time. Benefits - General environment: Works in a well-lighted, air-conditioned area, with moderate noise levels. - May be required to change from one task to another of different nature without loss of efficiency or composure. - Periods of high stress and fluctuating workloads may occur. - May be scheduled as needed including overtime. Certifications and Licensures - Required Certifications/Licensures: Certified Coding Specialist (CCS) - Preferred Certifications/Licensures: Registered Health Information Technician (RHIT), Registered Health Information Administrator (RHIA), AHIMA Approved ICD-10 Trainer General Skills - Organizational Skills - Communication Skills - Interpersonal Skills - Customer Relations - Mathematical - Analytical - Grammar / Spelling - Read / Comprehend Written Instructions - Follow Verbal Instructions - Basic Computer Skills - Microsoft Office Suite - General Clerical Skills Physical Requirements - Have near normal vision - Clarity of vision (both near and far), ability to distinguish colors - Ability to perform - repetitive tasks/motion Physical Demands - Standing - Occasionally within shift (1-33%) - Walking - Occasionally within shift (1-33%) - Sitting - Continuously within shift (67-100%) - Bending/Stooping - Occasionally within shift (1-33%) - Twist at waist - Occasionally within shift (1-33%) - Pushing/Pulling - Occasionally within shift (1-33%) - Reaching above shoulder - Occasionally within shift (1-33%)
Expertise and Technology for National Security
• Conduct pre-award and post-award procurement file audits to evaluate compliance with CACI’s policies & procedures and federal regulations, including FAR, DFARS, and agency supplements, as applicable. • Evaluate file documentation for key purchasing system elements (e.g., sourcing/competition approach, subcontract type selection, flowdowns, commerciality, representations/certifications, documentation sufficiency, cost and price analysis, and more). • Assess compliance with regulatory areas impacting procurements, to include but not limited to, FAR Part 12/Commerciality, CAS applicability, TINA/threshold-driven requirements, cost/price analysis techniques, and single/sole source justifications. • Produce clear, defensible, CPSR-ready audit comments and findings during pre-award and post-award file audits. • Identify audit trends and systemic risks and recommend improvements. • Partner with stakeholders to implement corrective actions and reduce repeat findings. • Provide practical guidance and coaching to procurement team on applying FAR/DFARS requirements in real procurement scenarios. • Support updates to policies, templates, checklists, and training materials based on audit outcomes and regulatory changes. • Lead or support projects as well as internal and external audits, as needed.
First Advantage is an equal opportunity employer. We are committed to providing a workplace and recruitment process that is free from unlawful discrimination, harassment, and retaliation. Employment decisions at First Advantage are based solely on qualifications, merit, and business needs. We do not discriminate in any aspect of employment on the basis of race, color, national origin, ancestry, citizenship, religion, creed, sex, gender identity, gender expression, sexual orientation, marital or family status, pregnancy, age, physical or mental disability, medical condition, genetic information, veteran or military status, or any other characteristic protected by applicable law.
Role Description The I-9 Compliance Auditor will act as Subject Matter Expert in Form I-9 regulations and E-Verify procedures, supporting fulfillment of customer Audit and Document Review services. This individual will support the processes and adherence of Audit and Document review requirements which ensure our customers’ compliance with federal immigration laws, employee eligibility verification (Form I-9), reviewing and verifying the accuracy and completeness of I-9 forms, supporting documentation, and adherence to all applicable USCIS (.gov) regulations. This individual must possess a complete understanding of documentation requirements for citizens of the United States, noncitizen nationals of the United States, lawful permanent residents and aliens authorized to work. This includes verifying proper documentation requirements for nonimmigrants, exchange visitors, receipts, employment authorization extensions and associated conditions. Responsibilities - Exceptional attention to detail, organizational skills, and strong verbal/written communication skills. - Proficiency in MS Office and computer literacy with the ability to learn new software applications. - Ensure compliance with all customer contractual obligations. - Create & regularly communicate frequent status updates in collaboration with business stakeholders. - Monitor progress of audit against plan and schedule. - Assist with inquiries regarding validity of supporting documentation and procedural questions. - Contribute to and maintain accuracy of internal tracking for audits and migration. Qualifications - High School Diploma or GED, or Equivalent work experience. - Microsoft Office products (Outlook, PowerPoint, Word, and Excel). - Excellent communication and interpersonal skills. - Organizational skills and strong attention to detail. - Ability to multi-task and manage daily assignments. - Sense of urgency to meet deadlines. - Highly responsive and adaptable to evolving priorities. - Thrive in process driven work environment with ability to work in a dynamic team environment as well as act independently. Benefits - Ability to work remotely with occasional business travel. - Medical, Vision, Dental, and supplementary benefit plans. - 401k with an employer match, and an Employee Stock Purchase Plan (ESPP). - Competitive and flexible Paid Time Off (PTO) and 8 paid company holidays. - Access to new tech and growth opportunities, and leaders who want to see you succeed!
• Perform in-depth claims file reviews for accuracy and compliance • Document findings and provide recommendations for corrective action • Identify trends and collaborate with departments to improve claim practices • Support audit reporting and analytics
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