Auditor Remote Jobs in South Dakota (US)
This page tracks remote auditor openings that are location-eligible for South Dakota.
This page tracks remote auditor openings that are location-eligible for South Dakota.
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• Conduct coding audits of outpatient facility services, including ancillary procedures, PET scans, and simple visit encounters, to ensure coding accuracy and regulatory compliance. • Perform comprehensive audits and reviews of professional Evaluation and Management (E/M) documentation and coding to validate code assignment and reimbursement accuracy. • Provide ongoing feedback, education, and coaching to coding staff to improve coding quality, consistency, and adherence to coding guidelines. • Review and analyze clinical documentation and assigned codes from a variety of medical records to ensure accurate ICD-10-CM, CPT, and other applicable code assignment in accordance with current coding standards, regulatory requirements, and client-specific policies and guidelines.
• Independently audit clinical documentation to ensure consistent with billed services in a production environment • Apply clinical and industry guidelines, payer P&P, and use of in-depth knowledge that supports medically necessity of services rendered • Develop relationships with medical providers and health plans to confirm adherence to P&P, guidelines, and continuum of care. • Continually keep abreast of technology changes, regulatory issues, and medical practice through ongoing training and self-directed research and share with others, accordingly • Share ideas that offer process improvements and share with team for education.
Role Description Under the direction of the Sr. Manager of PCN Coding Integrity, the Coding Quality Educator will assist with the day-to-day operations of the PCN Coding Integrity Team and regional coding teams. This position will assist with: - New employee training and ongoing department education - Identification, development, and delivery of new and ongoing provider education and training related to coding and clinical documentation - Conducting independent and collaborative provider coding reviews according to the coding integrity work plan - Developing appropriate documentation to support coding review work performed Qualifications - Bachelor’s Degree in Management, Health Information Technology, or related field or an equivalent combination of education and experience - Upon hire: National Certification from American Academy of Professional Coders, or - Upon hire: National Certification from American Health Information Management Association - 4 years professional fee inpatient, surgical, outpatient coding, E/M, auditing and related work; 5 years preferred - 4 years experience conducting medical coding provider audits and quality performance measures; preparing audit reports with recommendations; and providing provider education and feedback to facilitate improvement in documentation and coding; 5 years preferred - Strong experience in Excel (e.g., pivot tables), database, e-mail, and Internet applications on a PC in a Windows environment Requirements - Associate's Degree in a Healthcare related field (preferred) - 5 years experience in coding for multispecialty practice (preferred) - 2 years experience in professional fee billing methodologies (preferred) - Experience with IDX, Allscripts, Advanced Web, Meditech (preferred) - Experience with project management (preferred) Benefits - Comprehensive benefits package including a retirement 401(k) Savings Plan with employer matching - Health care benefits (medical, dental, vision) - Life insurance and disability insurance - Time off benefits (paid parental leave, vacations, holidays, health issues) - Voluntary benefits and well-being resources
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• Plan and execute risk-based IT audits covering areas such as cybersecurity, infrastructure, system implementations, access management, and data governance. • Evaluate the design and operating effectiveness of IT general controls (ITGCs) and application controls across key business systems. • Identify control gaps and process inefficiencies, and provide practical, actionable recommendations to strengthen the IT control environment. • Support SOX compliance efforts by assessing IT controls over financial reporting, including change management, logical access, and computer operations. • Coordinate with Finance, IT, and external auditors to ensure timely and accurate completion of internal audit and SOX testing activities. • Prepare clear and concise audit reports summarizing findings, risk implications, and recommended corrective actions for both technical and non-technical audiences. • Present audit results to senior management and assist in facilitating agreement on remediation plans with business and IT stakeholders. • Track and monitor the status of open audit findings, engaging with process owners to validate timely and effective remediation. • Document evidence of corrective actions and confirm that control improvements are sustainably embedded in business processes. • Partner with IT, Finance, Operations, and Compliance teams to build strong working relationships and promote a culture of accountability and continuous improvement. • Leverage data analytics tools such as Power BI and Tableau to enhance audit testing, identify anomalies, and deliver deeper insights. • Stay current on emerging IT risks, cybersecurity threats, evolving regulations, and industry best practices relevant to the internal audit function.
Role Description BSI Consulting Services is seeking a seasoned Environmental, Health, and Safety Auditor to join our consulting team. This is a hands-on, field-based auditing role that requires extensive direct, on-site experience performing EHS and environmental compliance audits at industrial and commercial facilities across the United States. This position is NOT focused on audit oversight, program management, or administrative coordination. Successful candidates will have a proven background personally planning, conducting, and documenting compliance audits, rather than managing or supervising audits performed by others. Key Responsibilities - Plan, lead, and execute EHS and environmental compliance audits at client facilities across the U.S., including regulatory compliance and risk-based audits. - Perform hands-on environmental compliance assessments, evaluating conformity with applicable federal, state, and local environmental regulations (air, waste, water, chemical management, etc.). - Conduct on-site inspections, employee interviews, and document reviews to identify compliance gaps and regulatory risks. - Prepare clear, accurate, and high-quality audit reports, including findings and corrective action recommendations. - Provide technical review and quality assurance of audit deliverables prepared by other team members. - Collaborate directly with industrial clients to deliver EHS compliance management services and practical, implementable solutions. - Consistently meet or exceed client expectations related to scope, schedule, budget, and technical quality. - Support long-term client relationships that drive repeat business and ongoing engagements. - Travel to client sites approximately 25–50% of the time. Qualifications - Bachelor’s or Master’s degree in environmental, civil, or chemical engineering; environmental science; sustainability; public health; safety; or a related field. - 5–15 years of EHS consulting and regulatory compliance experience. - Minimum of 5 years of direct, hands-on experience performing EHS and environmental compliance audits (experience limited to oversight, review, or coordination does not meet this requirement). - Demonstrated experience personally conducting environmental regulatory compliance audits, including permitting, monitoring, recordkeeping, and reporting requirements. - Strong working knowledge of U.S. environmental, health, and safety regulations and compliance programs. - Experience working in industrial or manufacturing environments, either as a consultant or in-house at regulated facilities. - Proven ability to independently manage audits from planning through field execution and final reporting. - Consistent track record of high-quality project delivery and client satisfaction. - Excellent written and verbal communication skills. Requirements - CHMM, CSP, CPEA, or other relevant professional certification. - ISO 14001 and/or ISO 45001 Lead Auditor certification. - Experience evaluating or auditing EHS management systems. - Demonstrated success delivering practical, compliance-driven solutions for industrial and commercial clients. Benefits - Competitive salary. - Group-sponsored health and dental. - Short-term and long-term disability. - Company-matched 401k plan. - Company paid life insurance. - 11 paid holidays and 4 weeks paid time off. - The salary for this position can range from $102,000 - $127,500 annually; the starting salary within that range will be determined based on experience, skills, market considerations, and alignment with internal equity principles.
Recognized as a top place to work in health care, Baptist Health cares for more patients in Northeast Florida than any other provider, ranking as “most preferred” for more than 30 years. We’re Jacksonville's only locally governed, faith-based, not-for-profit health system and provide a full spectrum of preventive and specialty care through 200+ locations and six hospitals. Our centers of excellence include Baptist MD Anderson Cancer Center, Baptist Heart Hospital, Baptist Neurological Institute and Wolfson Children's Hospital.
Role Description Baptist Medical Center Jacksonville is currently hiring for a Full-time Inpatient Hospital Coding Auditor to join our Coding Department at Baptist Metro Square! - Performs retrospective and concurrent Quality Assurance audits of Inpatient encounters for accuracy and compliance, appropriate MS-DRG and APR-DRG with adherence to the Official Coding Guidelines for Coding and Reporting utilizing ICD-10 CM and PCS classification. - Identifies areas of educational opportunities, tracking audits received for purposes of trending and providing feedback to Coding Leadership. - Auditing will include scope of both government and commercial payors including but not limited to RAC, ACHA. Qualifications - Associate of Science Required - Bachelor of Science (non Nursing) Preferred - Certified Coding Specialist (CCS) - AHIMA - Registered Health Information Technician - AHIMA - Registered Health Information Administrator - AHIMA Requirements - Auditing Experience - 3-5 Years Coding Experience - 3-5 Years Knowledge of State and Federal Requirements - Candidate must reside in the following approved states: Alabama, Florida, Georgia, Idaho, Indiana, Kentucky, Louisiana, Mississippi, North Carolina, Ohio, Oklahoma, Oregon, South Carolina, South Dakota, Tennessee, Texas, Virginia, West Virginia, Wyoming. Company Description Recognized as a top place to work in health care, Baptist Health cares for more patients in Northeast Florida than any other provider, ranking as “most preferred” for more than 30 years. We’re Jacksonville's only locally governed, faith-based, not-for-profit health system and provide a full spectrum of preventive and specialty care through 200+ locations and six hospitals. - Our centers of excellence include Baptist MD Anderson Cancer Center, Baptist Heart Hospital, Baptist Neurological Institute and Wolfson Children's Hospital. - For more than 25 years, health care consumers have named Baptist Health the "most preferred healthcare provider" in the region. - Baptist was recently recognized by Forbes magazine as one of America’s top employers for diversity.
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Title: Clinical Validation Auditor III Location: United States Job Identification: 14843 Job Description: Are you a nurse with a strong understanding of inpatient care and a passion for getting the details right? Join EXL as a Clinical Validation Auditor and help ensure medical claims are coded accurately and fairly. This is a fully remote position where you’ll use your clinical judgment to review medical records, validate billed DRG codes, and help identify overpayments. A brief coding/auditing assessment may be included as part of the interview process Salary range for this role is $70k - $95k The posted range is the hiring range for this role — a subset of the broader range available to employees over time — and reflects base salary across our national hiring scale. Final offers are based on several factors, including the candidate's skills and experience, internal pay equity, work location, market conditions for the role, and the specific scope and responsibilities of the position. The top of the range is reserved for candidates who notably exceed the requirements; the lower end applies to those with less experience or fewer preferred qualifications. For positions based in higher-cost zones (e.g., California, New York, New Jersey), actual compensation may exceed the posted range; your recruiter will share specifics during the process. Responsibilities What You’ll Be Doing: - Review inpatient medical records to verify that the DRG (Diagnosis-Related Group) code makes sense based on the documentation. - Apply clinical and coding knowledge to spot inaccuracies and identify potential overpayments. - Document your findings in clear, professional language that explains the rationale behind your review. - Use industry tools like 3M or Webstrat (don’t worry—we’ll train you if needed!) to support your decisions. - Work independently while meeting productivity and quality goals. - Stay up to date with clinical guidelines, DRG rules, and industry trends. Qualifications What We’re Looking For: - Registered Nurse (RN) with an active license. - 5+ years of acute care experience (hospital setting preferred) - Experience in DRG audits or coding validation is a big plus! - Bonus points if you have certifications like CCS, RHIA, or RHIT - Knowledge of readmission reviews (PPR) is also a plus You’ll Be a Great Fit If You: - Love digging into the details and solving problems - Know how to explain clinical decisions clearly and professionally - Can manage your time well and stay focused working remotely - Are comfortable using tools like Excel, Word, and OneNote - Enjoy working as part of a supportive, high-performing team Why Work at EXL? At EXL, you’ll join a team that values collaboration, clinical accuracy, and continuous improvement. We offer the flexibility of remote work, a culture of support, and the opportunity to grow in the fast-evolving world of healthcare analytics. Required Skills - Attention To Consistency - Computer Literacy - Interpersonal Relationship Building - Leadership Capabilities - Microsoft Office - RN, LPN, LVN - Working under Pressure About Us EXL (NASDAQ: EXLS) is a leading data analytics and digital operations and solutions company. We partner with clients using a data and AI-led approach to reinvent business models, drive better business outcomes and unlock growth with speed. EXL harnesses the power of data, analytics, AI, and deep industry knowledge to transform operations for the world’s leading corporations in industries including insurance, healthcare, banking and financial services, media and retail, among others. EXL was founded in 1999 with the core values of innovation, collaboration, excellence, integrity and respect. We are headquartered in New York and have more than 54,000 employees spanning six continents.
We make sense of data to drive your business forward. #MakeSenseofData #DriveYourBusinessForward #PartnerYourWay
Title: Diagnosis-Related Group (DRG) Auditor III, Healthcare -Remote US Job Description: Job Identification; 14770 Job Role; Auditor-DRG Experience (In Years); 3-6 Job Location; Remote US Job Description Are you a passionate and experienced DRG Auditor looking for an opportunity to thrive in a dynamic, innovative environment? EXL USA Healthcare is seeking a DRG Auditor III to join our team! This role offers a fully remote work experience with possible 10% travel per year. The rest of the time, you'll enjoy the flexibility of working from your home office. Why EXL? At EXL, we believe in fostering an environment where our employees can learn, grow, and succeed. We provide industry-leading training, career development opportunities, and a competitive benefits package to ensure you can focus on what you do best—delivering excellence in DRG auditing. If you're looking for a role where you can make a real impact while maintaining work-life balance, this is it! Salary Range: $70,000 – $110,000 (based on experience, skills, and qualifications) Up to 10% annual travel (for team meetings and limited client onsite engagements.) The posted range is the hiring range for this role — a subset of the broader range available to employees over time — and reflects base salary across our national hiring scale. Final offers are based on several factors, including the candidate's skills and experience, internal pay equity, work location, market conditions for the role, and the specific scope and responsibilities of the position. The top of the range is reserved for candidates who notably exceed the requirements; the lower end applies to those with less experience or fewer preferred qualifications. For positions based in higher-cost zones (e.g., California, New York, New Jersey), actual compensation may exceed the posted range; your recruiter will share specifics during the process. Responsibilities What You’ll Do: Conduct comprehensive MS-DRG and APR-DRG coding reviews to ensure accuracy in DRG assignment and reimbursement. Apply expert knowledge of coding guidelines and utilize industry-leading tools to maximize overpayment identifications. Craft clear, concise, and well-supported audit findings, backed by AHA Coding Clinic Guidelines and ICD-10-CM/PCS regulations. Utilize advanced DRG encoder tools (such as 3M, Webstrat) to drive efficiency and accuracy in audits. Meet or exceed EXL’s quality and productivity standards, including strong uphold rates for appeals. Stay ahead of industry trends, coding updates, and compliance regulations to maintain expert-level knowledge. Adhere to HIPAA and EXL policies and procedures to ensure data security and regulatory compliance. Qualifications What We’re Looking For: Education & Credentials: - Minimum High School Diploma (Higher education preferred). - CCS, RHIA, or RHIT credential (Multiple credentials preferred). Experience & Expertise: - 4+ years of MS-DRG/APR-DRG coding experience with a deep understanding of AHA Coding Guidelines and DRG reimbursement methodologies. - Prior experience in DRG retrospective overpayment identification auditing is highly desirable. - Strong proficiency with DRG encoder tools (3M, Webstrat). Key Skills & Attributes: Expert-level inpatient coding knowledge with an in-depth understanding of ICD-10-CM/PCS coding guidelines. Self-motivated and able to work independently in a remote environment while maintaining high performance. Exceptional time management, problem-solving, and analytical skills. Strong written and verbal communication with attention to detail. Proficient in Excel, Word, and OneNote, with strong overall computer literacy. Passion for DRG auditing and a commitment to teamwork, collaboration, and continuous learning. What We Offer: A fast-paced, innovative environment with a team of industry-leading experts. Hands-on experience with top-tier clients in the healthcare industry. Mentorship and career development programs to help you grow professionally. A strong culture of collaboration, support, and inclusivity. Competitive benefits package, including healthcare, vision, dental, and 401(k) options. Ready to Take Your Career to the Next Level? If you're looking for a rewarding and challenging opportunity where your expertise will be valued, your growth will be supported, and your contributions will make a difference—apply today and become part of the EXL team! Required Skills - APR-DRG - Attention To Consistency - Computer Literacy - Diagnosis-Related Group (DRG) - Internal Communications - Interpersonal Relationship Building - Leadership Capabilities - MS-DRG - Microsoft Office - Working under Pressure About Us EXL (NASDAQ: EXLS) is a leading data analytics and digital operations and solutions company. We partner with clients using a data and AI-led approach to reinvent business models, drive better business outcomes and unlock growth with speed. EXL harnesses the power of data, analytics, AI, and deep industry knowledge to transform operations for the world’s leading corporations in industries including insurance, healthcare, banking and financial services, media and retail, among others. EXL was founded in 1999 with the core values of innovation, collaboration, excellence, integrity and respect. We are headquartered in New York and have more than 54,000 employees spanning six continents. For more information, visit www.exlservice.com. EXL never requires or asks for fees/payments or credit card or bank details during any phase of the recruitment or hiring process and has not authorized any agencies or partners to collect any fee or payment from prospective candidates. EXL will only extend a job offer after a candidate has gone through a formal interview process with members of EXL’s Human Resources team, as well as our hiring managers.
Ascend Learning is a leading provider of educational software, content, and analytics services. Through its extensive group of companies, the educational techno
Title: Nurse Educator Consulting Services - West Region Location: United States Job Description: Category: Customer Service Req ID: 1085 Date: Jun 18, 2026 Location: Remote, US We Impact Lives Through Purpose-Driven Work in A People First Culture Ascend Learning, a leading healthcare and learning technology company, is the connection between a powerful portfolio of brands serving students, educators, and employers with outcomes-based, data-driven solutions across the lifecycle of learning. From testing to certification, Ascend Learning products are used by physicians, emergency medical professionals, nurses, allied health professionals, certified personal trainers, financial advisors, skilled trades professionals and insurance brokers. Headquartered in Burlington, MA, with additional office locations and hybrid and remote workers in cities across the U.S., Ascend Learning was recognized by Newsweek and Plant-A Insights Group as one of America’s 2025 Greatest Workplaces as well as America’s Best Places to work for Mental Well-Being for 2025. We're always looking for talented, passionate professionals to join us in our mission to help change lives. If this sounds like an environment where you'd thrive, read on to learn more. Ascend Learning's Nursing Category is fueled by a commitment to excellence as we support the full learning journey of future nurses. Our nursing brands — ATI, APEA, and NursingCE — offer evidence-based solutions designed to develop practice-ready nurses who are prepared for board certification and clinical practice. We use data analytics and engaging learning tools to help nursing students master core content. And we provide nursing education administrators and faculty with best-in-class support and expertise from some of the sharpest minds in nursing education. We aid nurse educators in understanding students' comprehension based on nearly two decades of data — including more than 12 million proctored assessments — that detail student learning and performance. The result is customers who are confident in their program offerings and positioned for healthy outcomes. WHAT YOU'LL DO As a Nurse Educator in Consulting Services, you’ll be part of an enthusiastic team dedicated to enhancing professional development and curriculum accreditation for nursing educators and administrators. You’ll focus on developing and implementation of program management solutions including curriculum accreditation, systematic evaluation plans, clinical site management, and program evaluation to improve client success. WHERE YOU’LL WORK This position will have the flexibility to work remotely within the United States. Candidates living within the West region preferred, within proximity to a major airport for business travel up to 50% of the time. HOW YOU’LL SPEND YOUR TIME - Create professional presentations and provide domain expert nursing consultation services on curriculum, accreditation, and faculty and program development, staying abreast of emerging trends in nursing education - Utilize analytics tools to interpret data trends, ensuring alignment with client goals across the customer lifecycle to achieve complete agreement consulting days - Develop and implement comprehensive Nursing Program Management resources, including tools for curriculum accreditation, systematic evaluation plans, clinical site management, and program evaluation - Manage relationships with faculty during the integration of nursing software products into a curriculum to support accreditation - Conduct thorough market analysis (of nursing market trends and competitors) to identify current topics for professional development presentations - Deliver live client webinars and attend nursing education conferences as a domain expert WHAT YOU'LL NEED - Master’s degree in nursing, with a current RN license in good standing, Doctorate degree strongly preferred - Certified Nurse Education (CNE) preferred - 8+ years of nursing industry experience within Nursing Academia and Curriculum Development and Accreditation - 5+ years of teaching experience with expertise in curriculum, accreditation, accreditation process, and the NCLEX test plan in the nursing education industry - 2+ years of nursing administration experience as a program chair, site visitor or active member of curriculum and evaluation committees - 2+ years of curriculum accreditation (traditional, CBC, competency based) and self-study experience - 1+ year experience using ATI products - Proficient in technology tools for client success operations - Up to 50% of travel expected - Expert Proficiency in curriculum assessment and advising accreditation standards including accrediting bodies of the ACEN, CCNE, NLNCNEA - Proficient in technology tools including SaaS platforms, D365, Gainsight, Microsoft Office and ZOOM - Capable of data entry and software builds for creating client accreditation management tools - Adept at delivering presentations to diverse audiences both in-person and virtual while utilizing PowerPoint and other technologies - Passionate about improving nursing education for faculty and programs - Ability to organize workflow focused on maximum coverage and achieving optimal client outcomes - In-depth knowledge of active learning strategies, including simulation in a nursing program - Knowledgeable in how to write NCLEX-style items; interpret item analyses; develop test blueprints at the program and course level BENEFITS - Flexible and generous paid time off - Competitive medical, dental, vision and life insurance - 401(k) employer matching program - Parental leave - Wellness resources - Charitable matching program - On-site workout facilities (Leawood, Gilbert, Burlington) - Community outreach groups - Tuition reimbursement Fostering A Sense of Belonging Our values-driven culture unifies our teams and inspires a mindset of action, innovation, and collaboration, with a relentless focus on customers. We seek out and celebrate all people and perspectives and cultivate an inclusive culture where everyone can thrive, feel valued, and be authentic. Our culture is firmly rooted in the belief that by embracing our differences and drawing on diverse perspectives, we are a stronger, more innovative, and more successful organization where employees experience a sense of belonging. Ascend Learning, LLC is proud to be an equal opportunity employer (M/F/Vets/Disabled). No agency or search firm submissions will be accepted. Applications for U.S.-based positions with Ascend Learning, LLC must be legally authorized to work in the United States, and verification of employment eligibility will be required at the time of hire.
Role Description As a Quality Auditor, you are responsible for all contact center quality assurance, associated with inbound/outbound calls, for all agents in Patient Access Management. You will score multiple calls on quality and audit all agents in Access Management. You will report findings to leadership for training, feedback and resolutions on performance. The position requires the ability to maintain friendly and appropriate communication in any situation. Knowledge and understanding of ATI standard operating procedures, multiple software programs/platforms and workflows per team are required. You are focused on delivering and contributing to the exceptional customer experience promise every day. The Quality Auditor must be motivated, professional, and energetic and be ready to work in a fast-paced, ever-changing environment. You must maintain a positive attitude, be a team player, and adhere to the ATI Physical Therapy core values and culture. You will need to provide exemplary customer service to both internal and external customers and meet and maintain monthly productivity standards of quality and quantity. This is a remote position for United States based employees. Work schedule Monday to Friday between the hours 7:00am and 7:00pm Central time. Responsibilities - Auditing interactions both inbound and outbound. - Analyzing agent behaviors and problem-solving skills. - Communicate findings to leadership at an agreed upon cadence. - Identify opportunities to improve the workflow through Quality Data. - Provide positive coaching upholding the highest level of customer service. Qualifications - High School Diploma, GED Requirements - 1-2 Year Call Center Experience - 1 Year Healthcare - Preferred: 4 years Call Center Experience - Preferred: 4 years Healthcare - Knowledge of EMR/Patient Intake Process - Quality Management Platforms - Sufficient Knowledge in Microsoft Office - Knowledge of Workforce Management Platforms Benefits - Salary Range: $20.00-$24.00 Company Description Virtual Employee: Yes
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Cyber Security, ERP, Tableau
