Auditor

• Audit information system applications to ensure appropriate controls
• Evaluate security controls, identify vulnerabilities, and recommend improvements
• Perform IT audit and cybersecurity-focused consulting engagements
• Collaborate with internal audit team members to align IT audit coverage with enterprise cyber risk priorities
• Develop communication skills for discussing security findings and risk acceptance decisions

Internal Auditor – Technology

• Conduct detailed diagnostic chart reviews of clinical documentation and coding associated with Risk Adjustment and HCC coding.
• Review and abstract HCC codes to ensure they are coded accurately, to the highest specificity.
• Query providers to clinically validate or clarify diagnosis criteria.
• Review for compliant documentation resulting in compliant reporting/billing and RVU capture.

Coding Quality Auditor – Revenue Capture

• Provide internal audit, audit response, and internal control support for Department of Justice financial management activities.
• Support financial statement audit efforts by serving as an audit liaison, coordinating documentation requests, preparing evidence packages, and supporting sample responses.
• Conduct internal control testing, process walkthroughs, control design reviews, and maturity assessments to evaluate compliance, effectiveness, and operational risk.
• Perform root cause analysis for audit findings, NFRs, control deficiencies, and recurring audit issues.
• Maintain audit request logs, evidence indexes, document repositories, and crosswalks to source documentation to ensure timely, complete, and accurate audit responses.
• Develop, track, and support corrective action plans, remediation activities, and audit readiness initiatives.
• Support continuous monitoring, compliance assessments, and opportunities for controls automation and process improvement.
• Prepare audit reports, executive summaries, dashboards, metrics, and status briefings for government leadership.
• Coordinate across financial management, accounting, budget, internal control, and program offices to validate evidence, resolve audit issues, and support sustained compliance.
• Apply federal audit and internal control standards, including Yellow Book, GAO Green Book, OMB Circular A-123, FMFIA, and FFMIA.

Financial Audit Response Analyst – Internal Auditor

• Support and strengthen engagement in major programs, global partnerships, and trust funds related to sustainable landscapes, climate finance, mitigation, and markets, including serving as a principal representative on governance bodies and exercising rigorous oversight and high‑level representational responsibilities.
• Shape, coordinate, and implement policy on international climate change and related cross‑cutting issues, with particular emphasis on sustainable landscapes, REDD+, agriculture and land-use issues, nationally determined contributions (NDCs), mid‑century strategies, climate finance, and market-based mechanisms.
• Design and drive country-level ambition and implementation strategies for priority countries—especially in the Amazon, Congo Basin, and Southeast Asia—to advance high‑impact, measurable outcomes on forest conservation, land‑use governance, and emissions reductions.
• Conceptualize, develop, and negotiate proposals to shape international and bilateral programs, ensuring that the allocation and use of funds are strategically aligned with and demonstrably advance organizational climate and development objectives.
• Support participation in UNFCCC negotiations and other key international fora by contributing to negotiating positions, drafting text, coordinating internal inputs, and engaging with international counterparts to advance strategic interests and priorities.
• Support the design, management, and implementation of climate-related assistance programs, including development of results frameworks and robust monitoring, evaluation, and learning systems for grants and initiatives focused on sustainable landscapes, REDD+, climate-smart agriculture, and carbon markets.
• Draft and refine high‑quality memos, speeches, position papers, decision memoranda, talking points, meeting readouts and summaries, correspondence, and other strategic communications to articulate, defend, and advance climate policies, priorities, and strategies with senior leaders and external stakeholders.

Auditor – Sustainable Landscapes Specialist

• Review the work completed by the Health and Welfare Medical, Dental, Vision, Time Loss and Life Claims Processors
• Perform internal audits of our Health and Welfare Claims Processors' work
• Design and implement training plans for Claims Processors
• Conduct training sessions for groups of new Claims Processors
• Train and cross-train on plan, system and procedural changes
• Respond to day-to-day referral questions
• Perform random and large dollar claims audits
• Prepare written claim processing guideline materials
• Coordinate vendor interaction with specific PPOs and benefit providers

Medical Claims Auditor

• Perform internal audits of our Health and Welfare Claims Processors' work
• Design and implement training plans for Claims Processors
• Conduct training sessions for groups of new Claims Processors
• Train and cross-train on plan, system and procedural changes
• Respond to day-to-day referral questions
• Perform random and large dollar claims audits
• Prepare written claim processing guideline materials
• Coordinate vendor interaction with specific PPOs and benefit providers

• Planning and executing various financial audits and advisory engagements
• Developing work papers that adequately support audit findings
• Evaluating complex processes, risks, and internal controls
• Documenting observations and recommendations and presenting findings to Senior Audit Leadership
• Performing and overseeing internal control testing
• Assisting Audit Management by conducting risk assessments and developing audit programs
• Leading teams in execution of assurance and advisory engagements

Auditor, Team Lead/Senior Team Lead

• Develop and execute audit project plans
• Validate processes for effectiveness and efficiency
• Validate compliance to requirements and identify non-compliance and improvement opportunities
• Conduct opening and closing meetings with audit stakeholders, including executive management and their assigned leaders
• Document audit findings and write final reports
• Communicate the results of the audits to assigned management teams
• Work with audit stakeholders to ensure timely and effective corrective actions are submitted and perform audit follow-up activity to verify effectiveness of corrective actions
• Work with the audit stakeholder or corrective action plan assignee to provide consultation on root cause analysis pertaining to process non-compliance
• Analyze process data, metrics, models and flows to identify risk based, root causes of problems
• Conduct research and compile and analyze performance reports, process controls and business analytics/statistics to continuously improve process capability

Quality Systems Specialist – Internal Auditor, Mid-Level/Senior

• Provide patient focused, standardized, compliant revenue cycle support
• Assist Providence St Joseph Health in meeting financial objectives
• Thrive in a culture of patient-focused, whole-person care built on understanding, commitment, and mutual respect

Revenue Cycle Auditor, RN

• Execute technology, cybersecurity, and digital risk audit engagements as part of a risk‑based internal audit plan
• Perform audit fieldwork aligned to defined objectives while applying professional skepticism and curiosity to identify risks beyond standard audit procedures
• Assess the design and operating effectiveness of controls across technology domains including cloud infrastructure, identity and access management, network security, application security, logging and monitoring, vulnerability management, and incident response
• Go beyond “check‑the‑box” testing to understand how systems actually operate , where controls may fail, and how risk could evolve as the business and technology landscape change
• Conduct stakeholder interviews and walkthroughs to understand system architecture, processes, and risk trade‑offs
• Identify, document, and analyze audit observations, including root causes and potential business or customer impact
• Prepare clear, concise, and well‑supported workpapers in accordance with Internal Audit standards and methodologies
• Contribute to audit reporting by summarizing findings, insights, and risk themes in a way that is meaningful to both technical and non‑technical stakeholders
• Partner with technology, security, and business stakeholders to validate observations and support effective remediation
• Track audit issues and support follow‑up activities to promote timely and sustainable risk mitigation
• Support Internal Audit activities beyond core audits, including risk assessment, audit planning, advisory engagements, and continuous improvement initiatives
• Stay current on emerging technology and cybersecurity risks, threat trends, and evolving industry practices
• Contribute to the ongoing modernization of the Internal Audit function through adoption of improved tools, methodologies, and ways of working

Internal Auditor II – Technology

• Conduct internal audits and reviews of ARPA-H programs, processes, and operations.
• Develop audit and review planning memoranda, including objectives, scope, methodology, and timelines.
• Coordinate with ARPA-H offices and divisions to obtain documentation and information necessary to support audits and reviews.
• Analyze operational, financial, and programmatic data to assess internal controls, identify risks, detect anomalies, and evaluate compliance.
• Prepare final audit and review reports, including findings, conclusions, and recommendations, to improve compliance, internal controls, and program or process effectiveness.
• Recommend corrective actions and process improvements to support compliance with governing laws, regulations, and established policies.
• Develop and refine internal processes, metrics, trend analyses, and risk mitigation approaches.
• Review and proofread internal and external policies, instructions, and guidance documents to assess impacts on ARPA-H and the Comptroller Office, and to support compliance with applicable legal and regulatory requirements.
• Research complex issues, synthesize information from multiple sources, and provide analytical support and improvement recommendations aligned with organizational priorities.

Internal Controls Auditor

• Ensure SEARHC meets federal and state regulations and internal policies in regard to healthcare coding, documentation, and billing practices
• Review health records to verify coding and clinical documentation meets applicable coding and billing requirements, Medicare/Medicaid regulations, federal and state laws, and SEARHC policy
• Conduct Audits: Review health record documentation, claims, coding, policies and processes to identify compliance or non-compliance with SEARHC policies, state and federal laws and regulation, Medicare/Medicaid regulations, and national coding standards
• Analyze Data: Examine data to identify patterns and trends for compliance or non-compliance
• Identify Risk: Analyze audit results, data, policies, and processes to assess risk
• Develop Audit Plans: Create audits based on risk assessments, billing practices, new services, Medicare/Medicaid risk areas, Medicare/Medicaid audits, and RAC and PERM audits
• Prepare Reports: Document audit findings and recommendations
• Present reports to the Compliance Director, Chief Legal Officer, Division Vice President, Compliance Committee and Accreditation Governing Body
• Training and Education: Prepare and provide training and education to staff in response to audit findings, and staff inquiries
• Assist the Compliance Director as needed
• Work closely with legal counsel when interpreting billing laws and regulations
• Receive and investigate compliance and HIPAA complaints during absence of the Compliance Director.

Compliance Auditor

• Conduct credentialing audits to ensure compliance with internal policies, state regulations, contractual requirements, and NCQA standards.
• Acts as a liaison between WashU Managed Care Credentialing and its 40+ Managed Care Payors.
• Maintains accurate and organized records of audit findings, reports, and other relevant documentation.
• Evaluates credentialing processes and internal controls to identify risks and opportunities for improvement.
• Communicates audit results and recommendations in a clear and professional manner.
• Provides guidance and support to credentialing staff on compliance and quality improvement initiatives.

Managed Care Credentialing Auditor – FPP Physicians Network

• Under the supervision of the Quality Integrity program, Manager, the HCC Coding Quality Auditor is responsible for detailed diagnostic chart reviews of clinical documentation and coding associated with Risk Adjustment and HCC coding.
• The incumbent reviews and abstracts HCC codes to ensure they are coded accurately, to the highest specificity, queries providers to clinically validate or clarify diagnosis criteria, and reviews for compliant documentation resulting in compliant reporting/billing and RVU capture.

Coding Quality Auditor – Revenue Cycle

• Perform functional audits, procedural reviews, and compliance testing as directed by the Head of Internal Audit, Director of Internal Audit, and SOX Manager.
• Conduct compliance, financial, regulatory, and operational appropriate interviews to obtain an understanding of all auditable entities.
• Analyze and draw conclusions toward compliance, effectiveness, and efficiency of the SOX specific control environment, by preparing workpapers and audit reports that detail findings and recommendations.
• Document the results of audit work and applicable work papers in accordance with the audit departmental procedures.
• Evaluate and monitor established internal controls, policies, and procedures (both written and practiced) for adequate asset safeguards, control of risks, and compliance.
• Identify and complete non-standard procedures required to satisfy audit objectives based on field work or issues identified in the course of reviews.
• Examine general ledger entries for appropriate segregation and approval processes.
• Prepare written draft audit reports/memorandums to management detailing audits for management’s review.
• Perform and document follow-up of auditee responses on prior audit and exam reports.
• Facilitate the documentation of all SOX remediation efforts as well as perform testing of remediation activities during and/or upon completion.
• Expand knowledge of all subsidiaries’ departments through training programs, seminars, employee interaction, and publications.
• Continuously develop & expand internal audit skills as well as strengthen best practices.
• Assist external auditors and regulators with information compilation, retrieval, and reconciliations as directed by Internal Audit Management.
• Follow established policies and procedures throughout the company.
• Safeguard sensitive data and resources.
• Maintain strict confidentiality.
• Performs related duties as assigned by supervisor.

Senior SOX Auditor – Internal Audit

• Conduct enterprise-wide and ad-hoc spot audits of outpatient encounters to assess coding accuracy, completeness, and compliance with regulatory requirements and organizational policies.
• Identify and correct coding errors in Epic and ensure appropriate follow-through on audit findings.
• Submit clear, concise, and compliant queries to clinicians for clarification of documentation as needed.
• Accurately code outpatient encounters in accordance with ICD-10-CM, CPT, HCPCS, and applicable payer guidelines.
• Provide one-on-one and group coding education to clinicians and clinical support teams, based on audit findings and identified learning opportunities.
• Collaborate with clinical, compliance, and revenue cycle departments to support accurate and complete documentation and coding.
• Track and trend audit results to support continuous improvement initiatives and report out to leadership as needed.
• Stay current with coding updates, CMS guidelines, payer policies, and industry best practices.

See all jobs on JobTailor

Internal Auditor – Technology

Coding Quality Auditor – Revenue Capture

Financial Audit Response Analyst – Internal Auditor

Auditor – Sustainable Landscapes Specialist

Medical Claims Auditor

Medical Claims Auditor

Medical Claims Auditor

Auditor, Team Lead/Senior Team Lead

Quality Systems Specialist – Internal Auditor, Mid-Level/Senior

Revenue Cycle Auditor, RN

Internal Auditor II – Technology

Internal Controls Auditor

Compliance Auditor

Managed Care Credentialing Auditor – FPP Physicians Network

Coding Quality Auditor – Revenue Cycle

Senior SOX Auditor – Internal Audit

Certified Professional Medical Auditor