Auditor Remote Jobs in New York (US)
This page tracks remote auditor openings that are location-eligible for New York.
This page tracks remote auditor openings that are location-eligible for New York.
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• Oversee the management of multiple projects • Manage client needs and expectations to ensure projects meet scope, requirements and deliverables are on-time and of high quality • Perform production work in addition to project management, meeting department’s quality and production standard thresholds • Responsible for maintaining department audit standards, clinical documentation standards, protocols and guidelines • Review auditor work for accuracy and provide feedback written and verbally to auditors • Audit medical records to validate clinical documentation to support evaluation and management services, ancillary services, procedures, and diagnoses and meet department quality and production standards • Research regulatory guidelines for supporting documentation • Prepare audit summary findings, providing detailed comments related to the audit findings and make recommendations • 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 • Prepares oral and/or written reports of client and audit activity for Manager, meeting with them on a regular basis to review individual performance, mentoring, and succession planning
We set out more than 160 years ago to promote the security of life and property at sea and preserve the natural environment. Today, we remain true to our mission and continue to support organizations facing a rapidly evolving seascape of challenging regulations and new technologies. Through it all, we are anchored by a vision and mission that help our clients find clarity in uncertain times. ABS is a global leader in marine and offshore classification and other innovative safety, quality, and environmental services. We’re at the forefront of supporting the global energy transition at sea, the application of remote and autonomous marine systems, cutting-edge technical solutions, and many more exciting advancements. Our commitment to safety, reliability, and efficiency is ever-present, guiding our clients to safer and more efficient operations.
Role Description The Auditor, Lead will plan, conduct, and lead audits for the ABS QE Aerospace Program. This position is remote. - Attend any required training and follow all procedures/processes/policies within ABS-QE for management of clients, management of a home-based office, use of ABS-QE equipment, and communication both internal and external to the organization. - Follow the training plan developed by the Global Competency Program to reach assessor status and then Lead assessor status through the prescribed program. - Work with Client Service Representatives for contacting clients and scheduling visits, planning assessments, making travel plans, conducting assessments, and reporting and managing results. - Work with the Aerospace Technical Manager on all customer concerns and ICOT scheme requirements. - Perform 3rd party onsite audits for National and International customers. - Responsible for leading teams, when necessary, and mentoring and coaching new or inexperienced colleagues as needed to meet business needs. - Schedule and plan audit activities with customers. - Interact directly with customers at all levels of management by developing accurate reports regarding the implementation and maintenance of their management system. - Provide timely and accurate reviews of audit results, corrective actions, and closures. - Participate in additional training based on future business needs. - Review quality manuals and associated documentation for compliance with requirements and applicable codes and/or standards. - Regular travel (50%+) to client sites and project locations is a core part of the role. Qualifications - Bachelor’s degree or higher. - A minimum of 2 years' experience in the Aviation, Space and Defense industry and at least one year's experience as an AEA for either AS9100, AS110, or AS9120. - Current Lead Auditor authentication in either AS9100, AS9120 or AS9100. Authentication in ISO 9001, 14001 or 13485 will be acceptable with experience in the Aviation, Space and Defense industry that can meet the requirements for Aerospace Authentication. - Minimum four (4) years of previous experience with Quality Control/Quality Assurance/Environmental related activities including auditing experience in Petroleum and/or Chemical Manufacturing industries is required. Requirements - Excellent decision-making and organizational skills. - Excellent oral and written communication skills. - Ability to work with moderate supervision. - Exhibit teamwork mentality. - Concerning the accuracy of work performed. - Flexible in achieving duties. - Ability to train, assist, coach, or mentor subordinate Auditors as necessary. - Obtain a working knowledge of the ABS Health, Safety, Quality, and Environmental Management Systems. Benefits - Medical insurance (PPO and HD). - Dental and vision insurance. - Health Savings account (HSA). - Flexible Savings Account (FSA). - Life insurance. - Accidental death and dismemberment insurance. - Disability leave programs. - Parental leave program. - Paid holidays. - Paid vacation time. - Employee Assistance Plan (EAP) for personal wellness support. - 401K plan with a generous company match, subject to plan requirements.
UnitedHealth Group is a healthcare and well-being company that’s dedicated to improving the health outcomes of millions around the world. We are comprised of
Role Description The EOHS Generalist provides centralized EOHS support to Domestic Operations by partnering with business unit leaders, operational stakeholders, and the enterprise EOHS team. This role acts as a conduit between the field and the enterprise, ensuring operational needs inform enterprise program development while helping business units effectively implement EOHS standards, policies, and tools. This position focuses on remote program support, data analysis, training development, and consultative guidance. The EOHS Generalist plays a key role in strengthening EOHS capability across Domestic Operations and ensuring the consistent execution of the EOHS management system. You will enjoy the flexibility to telecommute* from anywhere within the U.S. as you take on some tough challenges. Primary Responsibilities - Enterprise EOHS Integration & Program Development: - Serve as a conduit between business units and enterprise EOHS, elevating operational insights, emerging risks, and feedback to drive program and policy development. - Collaborate with enterprise EOHS leaders to design, refine, and implement EOHS programs, standards, and processes that support effective risk management across Domestic Operations. - Support to implement business-unit-ready tools, templates, communications, and implementation guidance. - Ensure business programs are aligned with regulatory requirements, enterprise standards and strategy, and operational realities. - Operational Support (Remote / Centralized): - Provide remote consultative support to business unit leaders regarding regulatory requirements, EOHS expectations, and program execution. - Conduct virtual assessments through document reviews, data analysis, dashboard insights, and process evaluations. - Support operational risk management by implementing tools, guidance materials, and resources that enable business units to execute EOHS responsibilities. - Assist with EOHS documentation reviews, including safety plans, procedures, and corrective action plans—to ensure consistency and compliance. - Risk Management & Compliance: - Support the identification and evaluation of occupational, environmental, and operational risks through centralized data analysis and program review. - Assist business units in developing or updating safety procedures, controls, and documentation to maintain compliance. - Conduct periodic remote compliance reviews and coordinate follow-up with business units. - Incident Management & Data Analytics: - Support incident investigations by facilitating remote root-cause analysis, reviewing incident reports, and providing recommendations for corrective and preventive actions. - Track, analyze, and trend safety and environmental data to identify systemic risks, recurring issues, and improvement opportunities. - Develop and maintain dashboards and reporting tools that provide meaningful insight into operational risk and performance. - Training Development & Safety Culture: - Partner with enterprise and business-unit training teams to design, develop, and refine EOHS training modules, micro-learning content, onboarding materials, and job aids. - EOHS subject-matter expertise to ensure EOHS and/or business training is aligned with operational needs and regulatory requirements. - Deliver virtual training and coaching to support capability building across Domestic Operations. - Support safety culture initiatives through communication development, engagement campaigns, and enterprise-level awareness activities. - Continuous Improvement: - Support enterprise EOHS initiatives, strategic priorities, and continuous improvement efforts. - Identify gaps and opportunities to improve EOHS processes, systems, and tools. - Strengthen organizational visibility into risk and drive consistent execution of EOHS standards across Domestic Operations. Qualifications - Bachelor’s degree in Environmental Health & Safety, Occupational Safety, Environmental Science, or a related field (or equivalent experience). - 3+ years of EOHS or safety experience supporting operational environments. - Working knowledge of OSHA, EPA, DOT, NIOSH and applicable safety regulations. - Access to reliable transportation and valid US driver’s license. Requirements - Professional certification such as COHN, ASP, CSP, CIH, or CHMM. - Experience supporting distributed or multi-site operations. - Experience developing EOHS programs, training, or management systems. - Strong analytical, problem-solving, and incident investigation skills. - Ability to influence leaders and employees at all levels. - Strong communication, facilitation, and organizational skills. Benefits - Comprehensive benefits package. - Incentive and recognition programs. - Equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). Application Deadline This will be posted for a minimum of 2 business days or until a sufficient candidate pool has been collected. Job posting may come down early due to volume of applicants.
Grants Monitoring, Oversight, and Technical Assistance
• Conduct on-site clinical walkthroughs and evaluate the quality and compliance of medical care provided in monitored facilities. • Interview facility healthcare staff and residents to collect high-quality data regarding medical services and living conditions. • Synthesize complex medical findings and clinical data into clear, actionable reports that identify deficiencies and conform to federal oversight standards. • Create comprehensive workpapers and draft specialized sections of site-specific reports that outline medical deficiencies and recommendations. • Coordinate closely with Senior Inspectors and Lead Auditors to successfully integrate medical oversight findings into the team's inspection activities, reports, and final draft reports. • Maintain absolute confidentiality and safeguard sensitive information, including protected health information and PII, collected during fieldwork. • Maintain high physical and logistical readiness, capacity to walk 15,000+ steps, stand for 8–10 hours, and carry equipment through various facility terrains.
3rd Party Inspection, Testing, Evaluation, Certification, Plan Review and Engineering Company
• Perform regularly scheduled in plant audits as requested by Regional Inspection Manager • Perform on site scheduled audits as requested by Regional Inspection Manager • Perform product sampling as requested by Regional Inspection Manager • Continually monitor client’s implementation of approved quality systems • Continually evaluate and communicate status of each client’s quality system to the Regional Inspection Manager • All inspection reports will be sent to the Regional Inspection Manager for review by the end of each month • Establish excellent relationships with States and HUD to ensure we are respected as a leader and partner • Ensure all applicable ICC NTA procedures are consistently followed in the execution of inspection jobs • Continually identify, recommend, and pursue opportunities for process improvements within the Department and ICC NTA • Promote effective communication throughout the organization • Identify opportunities and recommend actions that will enhance communication among all employees • Contribute on an ongoing basis, insights and ideas for resolving repetitive issues as they arise in the field by establishing and maintaining a consistent line of communication with Inspection Managers • Perform other duties, responsibilities and special assignments as directed by the Regional Inspection Manager
Role Description The International Sustainability and Carbon Certification (ISCC) Auditor will be responsible for auditing sustainability related schemes and services. - Execution of ISCC/Carbon/Sustainability/Food Safety and other management system audits and reporting as per standard procedures and regulatory standards in alignment with client requirements or internationally recognized requirements. - Reporting audit results accurately and timely manner in compliance with organization and industry requirements. - Technical review for specific Schemes via ISCC/Carbon certification. - Updating related regulations requirements and report. - Maintenance of compliance against accreditation requirements. - Supporting business development efforts with customer referrals and working collaboratively for smooth delivery of projects. Company Description
Healthcare Leadership Careers • Administrative Support Services • Management Advisory and Consulting
Role Description Reporting to the SVP, Associate Chief Compliance Officer, Compliance & Internal Audit, the Internal T&E Auditor and Investigator serve as the direct lead for the Compliance T&E oversight & monitoring program in addition to investigating any compliance T&E policy violations. This newly created position partners closely with the compliance leadership team, business operations and finance department. This position requires a seasoned T&E internal audit professional with experience with travel and expense financial data analytics, travel and expense policy compliance monitoring and expense data analytics. Qualifications - A bachelor’s degree required; master’s degree preferred. - 3+ years of experience in finance, internal audit or travel & expense investigations. - Experience with platforms such as Workday or other T&E tracking software. - Prior experience leading audits and conducting internal investigations in a healthcare setting. - Ensures compliance with regulations and controls by examining and analyzing records, reports, operating practices, and documentation; recommends opportunities to strengthen the internal control structure related to T&E. - Demonstrated experience promoting enterprise‑level initiatives and partnering across an organization. - Strong analytical capabilities, excellent communication, attention to detail, and ability to work in a dynamic, fast-paced setting. - Advance knowledge of data analytic techniques and advance Excel proficiency is required. Requirements - Collaborate with operations and other business support staff. - Applies advanced knowledge and understanding of concepts, principles, and technical capabilities to manage audits, investigations and T&E education initiatives. - Possesses strong attention to detail. - Ability to effectively prioritize and execute tasks in a fast‑paced, dynamic environment. - Excellent time management, personal integrity and ability to maintain confidentiality. Benefits - Health Coverage: Enjoy medical, dental, and vision plans to keep you and your family healthy. - PTO and Vacation: Benefit from generous paid time off and holidays to relax and recharge. - Financial Wellness: Take advantage of Health Savings Accounts (HSA) and Flexible Spending Accounts (FSA) to manage your healthcare expenses effectively. - Retirement Planning: Secure your future with our 401(k) plan, complete with company contributions to help you build your retirement savings. - Support When You Need It: Our Employee Assistance Plan (EAP) provides confidential support for personal and professional challenges. Company Description PACS is elevating healthcare by revolutionizing our approach to leadership and quality care. Guided by our core values of love, excellence, trust, accountability, mutual respect, and commitment, we strive to foster a culture of compassionate care within our teams and the communities we serve. As we grow rapidly, exciting opportunities await you to engage in impactful projects and contribute valuable insights to stakeholders nationwide.
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. - Working in collaboration with appropriate Health Plan departments including Quality Improvement, Legal, and Medical Management. - Conducting multiple line of business focused reviews or ad hoc reviews as needed. - Analysis of billing by providers/physicians, and providing trending, analysis, and reporting of auditing data. - Routine 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. - Query medical and/or pharmacy claims and conduct a risk assessment by performing data analysis and applying applicable coding guidelines. - Evaluate referrals from Pharmacy Benefit Manager (PBM) by analyzing medical and pharmacy claims and associated clinical documentation. - Complete audits by utilizing standard coding guidelines and principles to verify appropriate CPT codes/DRGs. - Attend in-person or virtual recipient restriction hearings. - Review Medical Pended Queue claims to resolve claim referral issues. - Assist in the development of new policies concerning future Health Plan payment of identified issues. - Assess, investigate, and resolve low to intermediate issues. - Write concise reports including statistical data for communication to other areas of UPMC Health Plan. - Identify error trends to determine appropriate training needs and suggest modifications to company policies and procedures. - Conduct provider education regarding audit results. - Communicate effectively with Medical Directors and ancillary departments. - Understand internal and external customer issues to facilitate resolution. - Serve as an SIU representative at internal and external meetings. - Assist in the development and revision of SIU policies and procedures. - Identify trends for improvements internally, such as claims payment. - Participate in training programs to develop a thorough understanding of 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. - 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). Licensure, Certifications, and Clearances - 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 a multistate license issued by a participating NLC state.
Orlando Health is a nonprofit healthcare provider with a network of facilities throughout Orlando, Florida. The provider’s network of facilities consists of specialty hospitals f
Role Description The Physician Coding Auditor performs coding related audits to monitor professional coding to ensure optimal efficiency and follow the controlling compliance guidelines with governmental and private payers. The Physician Coding Auditor is responsible for analyzing Physician and Coder charges for Surgical, procedural and E/M based coding. - Responsible for internal auditing and analyzing professional coding for all service lines. - Monitor the audit results closely to identify any potential coding inaccuracy. - Provides the Educators the needed support in identifying coding errors. - Provides results or trends with Education Team for physician education. - Review medical records to ensure coding accuracy. - Identify and communicate physician documentation and coding opportunities for improvement. - Provides feedback to physicians, non-physician providers, physician office staff, administration, practice managers, and team members of the Physician and Professional Services Central Business Office regarding best practices to ensure physician coding compliance. - Collaborates with Physician Coding Education Team to ensure appropriate and complete coding accuracy for payor guideline reimbursement. - Utilizes resource material available in department, CMS, AMA, AHCA and federal registry to support coding practices. - Maintains patient and coder confidentiality audit results. - Collaborate with physician coding leadership for monitoring coding quality. - Participate in Health Plan Audits. - Follow and adhere to Standards of Ethical Coding, all applicable regulations and guidelines, and all client specific policies. - Perform physician queries for coding and documentation clarification during concurrent chart review process. - Serves as a resource to new coders. - Addresses all Orlando Health departments professionally and positively, in all settings, by always maintaining a high level of professional demeanor and dress. - Proficiency in coding including ICD-10, CPT, E/M, modifiers while maintaining a 90% accuracy. - Maintains reasonably regular, punctual attendance consistent with Orlando Health policies, the ADA, FMLA and other federal, state, and local standards. - Maintains compliance with all Orlando Health policies and procedures. - Attends payor, departmental and interdepartmental meetings as required. - Other duties as assigned based on organization needs and projects. - Works in collaboration for testing, training, and mentoring incoming coders according to the coding guidelines and individual skills for the Division for which the coder will be assigned. - Conducts focused physician reviews as needed and provides data to manager. Qualifications - High School diploma or equivalent. - Exceptional knowledge in Microsoft Office Suite. - Thorough knowledge of official coding guidelines as per AMA, AHCA, and CMS as evidenced by results of coding skills test of 90% or better. Requirements - Must maintain one (1) of the following nationally recognized certifications: - CPMA certification required through the American Academy of Professional Coders (Five (5+) years auditing experience in lieu of CPMA with expectation to acquire CPMA within 1 year of hire). - Coding Credential Required: AHIMA or AAPC credential. - CEMA certification via National Alliance of Medical Auditing Specialists. - Five (5+) years of professional based coding experience in multiple specialties is required. Benefits - Competitive Pay. - Evening, nights, and weekend shift differentials offered for qualifying positions. - All Inclusive Benefits (start day one): - Student loan repayment. - Tuition reimbursement. - FREE college education programs. - Retirement savings. - Paid paternity leave. - Fertility benefits. - Back up elder and childcare. - Pet insurance. - PTO/Holidays, and more for full time and part time employees. - Forbes Recognizes Orlando Health as a Best-In-State Employer. - Employee-centric environment.
UnitedHealth Group is a healthcare and well-being company that’s dedicated to improving the health outcomes of millions around the world. We are comprised of
Role Description The Senior Clinical Quality Auditor will be responsible for supporting care management products and operations reporting to the Manager of Quality for UMR. You will provide general support in reviewing and researching program processes for overall staff compliance. In addition to fostering teamwork and collaboration, much of your work will involve review of calls and documentation of elements of the call. Solid auditing skills are essential. You will also need effective communication skills, and the ability to effectively collaborate with your team members. You’ll enjoy the flexibility to work remotely from anywhere within the U.S. as you take on some tough challenges. Primary Responsibilities: - Participate in audit preparation, analysis and review complex business processes, systems, workflows, SOPs, policies and procedures to identify and document risks and trends that may be non-compliant with contracts and or statutory requirements. - Monitor Program staff for compliance to established processes, policies, and guidelines; and identify opportunities to improve process performance. - Implement and complete UMR UM and care management quality audits and provide coaching to staff and program management based on evaluation results. - Participate in effective analysis of audit results and identify trends impacting program compliance. - Collaborate in the design, creation and implementation of quality improvement projects and initiatives. - Utilize applicable systems/tools to maintain and document Quality metrics/outcomes. - Participate in Inter-Rater Reliability sessions with internal stakeholders to ensure evaluation consistency. - Other responsibilities as assigned. Qualifications - Current, unrestricted RN license in state of residence. - 3+ years of proven experience in health plan quality improvement identifying areas of opportunity. - Demonstrated experience auditing clinical programs in a managed care setting. - Intermediate proficiency with Microsoft Word, Excel and PowerPoint. Requirements - Experience working for UMR. Soft Skills - Solid interpersonal skills and high level of professionalism. - Excellent problem-solving skills with strong attention to detail. - Excellent written and verbal communication skills. - Ability to work independently in a remote environment and deliver exceptional results. - Excellent time management and work prioritization skills. Benefits - Comprehensive benefits package. - Incentive and recognition programs. - Equity stock purchase. - 401k contribution (all benefits are subject to eligibility requirements). Salary Information The salary for this role will range from $72,800 to $130,000 annually based on full-time employment. Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. Application Deadline This will be posted for a minimum of 2 business days or until a sufficient candidate pool has been collected. Job posting may come down early due to volume of applicants.
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