Compliance Auditor

🔥 0 minutes ago

🐊 Florida – Remote

🐊 Florida – Remote

⏰ Full Time

🟡 Mid-level

🟠 Senior

🔎 Auditor

👻 Ghost score 12%

What it means: how likely this posting is sitting open without active hiring.How to read it: 60% or higher means we think this is a ghost. Lower scores are less of a worry.How we score it: age, reposts, open roles vs team size, how fast jobs close, and whether pay is listed.Fine print: an estimate from public data, not a judgment of the company. Real jobs can score high, so treat it as a hint, not a fact.

Apply Now

Find Similar Remote Jobs

Set Up Email Alert For New Jobs

📊 Check your resume score for this job

Improve your chances of getting an interview by checking your resume score before you apply.

Upload Resume

Precision Healthcare Specialists

WebsiteLinkedInAll Job Openings

51 - 200 employees

🏥 Healthcare

Healthcare

Precision Healthcare Specialists is a Southwest Florida medical specialty group that connects patients with cohesive teams of surgeons and physicians across multiple specialty areas. Their services include breast surgical oncology, colorectal surgery, dermatology, otolaryngology (ENT), orthopaedic surgery, pulmonology, urology, general surgery, audiology and endocrinology, delivered via inpatient and outpatient tests and procedures, patient portals, online payments, and consultation requests. The organization emphasizes personalized, compassionate care and coordinating specialty-focused treatment for patients.

📋 Description

• Conduct compliance-focused monitoring and audits related to coding accuracy, medical necessity, supporting documentation, and other operational functions • Conduct ad hoc reviews and audits based on high-risk, problem-prone, or otherwise specified areas • Maintain tools, reports, data, metrics, benchmarking, tracking, and trending of patient and compliance data • Participate in committees to address risks and opportunities for improvement, report on compliance data, and collaborate in process improvement initiatives • Provide reports to management on compliance metrics and audit findings as requested • Report to the VP of Compliance

🎯 Requirements

• RN or LPN required • A minimum of three to five years experience in Medicare, Medicare Advantage, and/or Commercial Payers preferred • Strong knowledge of Florida statutes, Medicare & Medicaid conditions of participation and payment, and commercial payer guidelines preferred • Ability to accurately interpret regulations, payment and coding guidelines • Ability to manage multiple priorities simultaneously and effectively handle the emotional stress of the workload • Ability to work independently exercising confidentiality, discretion and independent judgment • Ability to work in collaboration with other disciplines within the organization