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Cms Auditor Jobs in Indiana (NOW HIRING)

... CMS coding guidelines for outpatient and inpatient records. * Obtaining accurate and complete ... Quarterly internal and external auditing. * Reviewing Coding Clinic and attending coding workshops ...

... CMS coding guidelines for outpatient and inpatient records. * Obtaining accurate and complete ... Quarterly internal and external auditing. * Reviewing Coding Clinic and attending coding workshops ...

... CMS coding guidelines for outpatient and inpatient records. * Obtaining accurate and complete ... Quarterly internal and external auditing. * Reviewing Coding Clinic and attending coding workshops ...

Showing results 21-35

Cms Auditor information

What are the key skills and qualifications needed to thrive as a CMS auditor?

To thrive as a CMS Auditor, you need expertise in healthcare compliance, detailed knowledge of Centers for Medicare & Medicaid Services (CMS) regulations, and a background in auditing or healthcare administration. Familiarity with claims review software, electronic health records (EHR) systems, and relevant certifications such as Certified Professional Medical Auditor (CPMA) or Certified Internal Auditor (CIA) is highly valued. Strong analytical thinking, meticulous attention to detail, and effective communication skills are essential for working with healthcare providers and team members. These skills ensure accurate audit findings, regulatory compliance, and effective collaboration in the evolving healthcare landscape.

What is a CMS auditor?

A CMS Auditor is responsible for reviewing and assessing compliance with the Centers for Medicare & Medicaid Services (CMS) regulations. They conduct audits of healthcare organizations, insurance providers, or related entities to ensure adherence to policies, billing accuracy, and regulatory standards. Their role involves analyzing documentation, identifying non-compliance issues, and recommending corrective actions. Strong knowledge of healthcare laws, risk assessment, and auditing practices is essential for success in this role.

What are some common challenges faced by CMS auditors, and how can they be managed?

CMS Auditors often navigate the complexities of changing federal and state regulations as well as diverse healthcare billing practices, which can make audits both detailed and challenging. Staying current with regulatory updates, maintaining strong documentation habits, and leveraging audit management tools can help manage these challenges effectively. Regular training and open communication with providers and compliance teams also support accurate, efficient auditing. While the work can be demanding, it offers valuable opportunities to impact healthcare quality and prevent fraud, which many auditors find rewarding.

What are the most commonly searched types of Cms Auditor jobs in Indiana? The most popular types of Cms Auditor jobs in Indiana are:
What are popular job titles related to Cms Auditor jobs in Indiana? For Cms Auditor jobs in Indiana, the most frequently searched job titles are:
Infographic showing various Cms Auditor job openings in Indiana as of August 2026, with employment types broken down into 3% As Needed, 80% Full Time, 13% Part Time, and 4% Contract. Highlights an 88% Physical, 3% Hybrid, and 9% Remote job distribution.

Regional Director of Clinical Services

Franciscan Ministries

Auburn, IN • On-site

$145K - $153K/yr

Full-time

Posted 8 days ago


Job description

Frequent regional travel to IL, IN, and OH required. 

Position Summary

In this role, you will be responsible for supporting communities in all states in which Franciscan Ministries and Franciscan Advisory Services operates. This independent position is responsible for all aspects of clinical services at the regional level. This will include monitoring clinical processes, training, auditing, and supporting community Nursing Management in ensuring the delivery of quality care. This position focuses on the quality standards and organizational objectives in partnership with each assigned community.   Travel for the position is approximately 75% of the time, with the remainder being remote.

Essential Functions, Key Duties, & Responsibilities

  • Assist the community leadership in achieving and maintaining key indicator benchmarks, and quality measures above the state and national average to ensure the best possible outcomes for residents.
  • Onboard and train new clinical leadership hires at the communities.
  • Audit, train and ensure adoption of the electronic health record platform.
  • Conduct targeted review, mock survey and survey preparedness at each community to ensure the community is in compliance and well-prepared for annual survey.
  • Assure clinical leadership is knowledgeable of new regulations and standards as implemented by regulatory agencies.
  • Assist with and be a resource to each community in survey preparation following standard of practice/CMS guidelines as well as Franciscan Ministries/Franciscan Advisory Services policies and procedures.
  • Assist with Plans of Correction as needed and monitor new QA processes developed in the event of a citation.
  • Utilize competency tools for ensuring clinical staff practice meets accepted professional standards while collaborating with community Clinical Leaders to identify needs.
  • Remain up to date on current professional standards of practice, laws and regulations which may impact the communities.
  • Provide oversight of the planning and organization of Quality Improvement activities at the communities. Identify and assist in development and revision of policies and procedures, and forms, as needed.
  • Monitor for Risk Management and Compliance issues within the communities and report issues to the community’s leadership and the VP Clinical Services.
  • Serve as a resource and expert in the area of infection control practices and surveillance while analyzing data to prevent infections from occurring or spreading, including direct observations and needed corrections while in the community.
  • Perform other duties as assigned.
  • Comply with all policies and procedures and any updates.

Position Requirements

Education: A nursing degree from an accredited college or university

Licenses/Certifications: Active, unrestricted Licensed Practical Nurse (LPN) or Registered Nurse (RN) license in practicing state

Experience: 5+ years of clinical leadership experience

Skills & Abilities:

  • Excellent verbal and written communication skills
  • Ability to multi-task and prioritize projects and deadlines concurrently.
  • Knowledge and proficiency in electronic health care records; Point Click Care preferred
  • Proficient in federal and state regulatory requirements

Travel: 75%

#LivingJoyfully


USD $145,000.00/Yr.
USD $153,000.00/Yr.