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Commission Cms Auditor Jobs (NOW HIRING)

Covenant Health

SUPV HEALTH INFO MGMT

Knoxville, TN · On-site

Ensures that auditing and monitoring in accordance with the Covenant Health Coding Compliance Plan ... Ensures that Joint Commission, CMS, Federal, State, Medical Staff, and other requirements relative ...

Covenant Health

SUPV HEALTH INFO MGMT

Knoxville, TN · On-site

Ensures that auditing and monitoring in accordance with the Covenant Health Coding Compliance Plan ... Ensures that Joint Commission, CMS, Federal, State, Medical Staff, and other requirements relative ...

Stcharles

Credentialing Coordinator

OR · On-site +1

$25.18 - $37.77/hr

... Joint Commission, CMS, and NCQA guidelines, URAC and Oregon State Law. Ensures processes are ... Maintains provider records for auditing, and maintains close communication with all appropriate ...

Covenant Health

SUPV HEALTH INFO MGMT

Knoxville, TN · On-site

Ensures that auditing and monitoring in accordance with the Covenant Health Coding Compliance Plan ... Ensures that Joint Commission, CMS, Federal, State, Medical Staff, and other requirements relative ...

Covenant Health

SUPV HEALTH INFO MGMT

Knoxville, TN

Ensures that auditing and monitoring in accordance with the Covenant Health Coding Compliance Plan ... Ensures that Joint Commission, CMS, Federal, State, Medical Staff, and other requirements relative ...

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Commission Cms Auditor information

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$10

$19

$46

How much do commission cms auditor jobs pay per hour?

As of Sep 2, 2026, the average hourly pay for commission cms auditor in the United States is $19.21, according to ZipRecruiter salary data. Most workers in this role earn between $14.42 and $19.23 per hour, depending on experience, location, and employer.

What is a Commission CMS auditor?

Commission CMS Auditors are professionals who review and assess compliance with Centers for Medicare & Medicaid Services (CMS) regulations, particularly in relation to commissions paid by healthcare organizations. They ensure that commission structures, payments, and reporting practices meet federal and state guidelines. Their work helps prevent fraud and abuse, safeguard public funds, and ensure fair compensation practices. Commission CMS Auditors often analyze financial records, interview staff, and prepare detailed reports on their findings.

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

To thrive as a Commission CMS Auditor, you need expertise in auditing practices, knowledge of compliance regulations (especially related to the Centers for Medicare & Medicaid Services), and a relevant degree such as accounting or finance. Familiarity with audit software, data analysis tools, and experience with CMS systems or certifications like Certified Internal Auditor (CIA) are highly valuable. Attention to detail, analytical thinking, and effective communication are critical soft skills for identifying discrepancies and explaining complex findings. These skills ensure accurate audits, regulatory compliance, and the ability to uphold organizational integrity in a highly regulated environment.

What are some common challenges faced by a Commission CMS auditor, and how can they be managed effectively?

Commission CMS Auditors often encounter challenges such as interpreting complex commission structures, ensuring compliance with regulatory standards, and managing large volumes of transactional data. Effective management involves staying up-to-date with industry regulations, developing strong attention to detail, and utilizing advanced auditing tools and software. Collaborating closely with sales, finance, and IT teams also helps to clarify commission rules and resolve discrepancies, making teamwork and clear communication essential for success in this role.

What is the difference between Commission Cms Auditor vs Commission Analyst?

AspectCommission Cms AuditorCommission Analyst
Primary RoleAudits and verifies commission calculations for accuracy and complianceAnalyzes commission data to optimize payout strategies and improve processes
Required SkillsAttention to detail, auditing, data analysis, knowledge of commission systemsData analysis, reporting, understanding of compensation plans
Work EnvironmentFinance, sales, or HR departments within corporate settingsSales, finance, or HR teams focusing on compensation strategies
CertificationsOften requires accounting or auditing certificationsMay require finance or data analysis certifications

The Commission Cms Auditor primarily focuses on verifying the accuracy of commission payments through audits, ensuring compliance with policies. In contrast, the Commission Analyst analyzes commission data to identify trends and improve compensation strategies. Both roles require strong analytical skills and familiarity with commission systems, but their core responsibilities differ in focus—verification versus strategic analysis.

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Commission Cms Auditor jobs near you
Infographic showing various Commission Cms Auditor job openings in the United States as of August 2026, with employment types broken down into 100% Full Time. Highlights an 100% In-person job distribution, with an average salary of $39,947 per year, or $19.2 per hour.

Quality Assurance Coordinator - Nurse

Yukon-Kuskokwim Health Corporation

Bethel, AK • On-site

Full-time

Medical, Life, Retirement, PTO

Re-posted 5 days ago

Job description

Quality Assurance Coordinator - Nurse
Bethel, Alaska
We are working together to achieve excellent health. Come join us!
The Yukon-Kuskokwim Health Corporation is a Tribal health care organization, serving nearly 30,000 people living across rural, southwest Alaska in villages with populations from about 10 to more than 1,000. Bethel, the regional hub and location of the only hospital in the region, has a population of nearly 7,000. The Yukon-Kuskokwim Delta is home to thousands of lakes and two primary rivers-the Kuskokwim and Yukon.
We offer a broad range of employment opportunities and the chance to make a meaningful impact on the health of people in the region.
Position Summary:
A Quality Assurance Coordinator (QAC) - Nurse is a highly skilled nursing professional responsible for leading and supporting quality improvement initiatives across clinical departments. This role involves evaluating patient records, clinical documentation, and healthcare outcomes to ensure compliance with regulatory standards, organizational policies, best practices, and providing feedback for continuous improvement. The ideal candidate is a detail-oriented, experienced registered nurse committed to maintaining high standards of patient safety and care quality.
This position is also responsible to ensure that all requirements of the Centers for Medicare & Medicaid Services (CMS) Promoting Interoperability Program. Responsible for monitoring and ensuring all of the components of the Promoting Interoperability Program are reported in a timely manner. The Quality Assurance Coordinator position will work closely with the various departments to ensure the standards are being met, all corrective actions are taken as appropriate, and reporting is completed on time. The QAC Nurse responsible for the successful planning and execution of all projects related to Promoting Interoperability. This includes the coordination, monitoring, and status reporting of all clinical and technological components related to the demonstration of meaningful use across the health system.
Impact:
The specialist collaborates with multidisciplinary teams to foster a culture of continuous improvement and excellence in patient care.
Position Responsibilities:
A. Essential Functions:
• Lead and coordinate hospital or clinical department quality improvement projects and initiatives. The following are examples of the programs involved:
o Hospital Inpatient Quality Reporting (IQR)
o Hospital Outpatient Quality Reporting (OQR)
o Hospital Readmissions Reduction Program (HRRP)
o Hospital Value-Based Purchasing (VBP) Program
o Medicare Promoting Interoperability
o Quality Improvement Organization (QIO)
o Quality Payment Program (QPP)
• Analyze clinical data, patient outcomes, and safety reports to identify trends and areas for improvement.
• Develop, implement, and monitor policies, procedures, and best practices aimed at enhancing care quality and patient safety.
• Facilitate root cause analyses and investigations of adverse events, sentinel events, or near misses.
• Educate and train staff on quality standards, evidence-based practices, and compliance requirements. Educate staff on documentation standards and best practices to enhance overall quality.
• Collaborate with clinical teams, administration, and external agencies to meet accreditation and regulatory standards (e.g., Joint Commission, CMS).
• Monitor performance metrics and prepare reports to communicate progress and outcomes to leadership.
• Stay current on healthcare quality improvement methodologies, regulatory updates, and industry innovations.
• Support data collection, auditing, and documentation efforts for quality assurance activities.
• Support corporate accreditation and licensing processes.
B. Nonessential Functions
• Completing annual mandatory orientation/competency and performance improvement evaluation requirements.
• Special Projects: Involvement in special initiatives or projects of the Performance Improvement Department. While not a part of the primary role these projects may include corporate/departmental team building, Tribal Gathering, Employee Picnics, Patient Safety Week, Culture of Safety Survey, and other special projects.
• Safety Reporting: Reviewing Quantros incident reports or safety concerns on a daily basis and reporting events to the PI Team for discussion and further analysis. Participating in the team rotation of facilitating the 10:00am Daily CEO Safety and Quality Call, which includes weekends and holidays.
• Team and Administrative Support: Participating in team meetings, projects, and departmental rounding.
• Performing general administrative duties, such as answering phones, scheduling meetings, taking meeting minutes, facilitating meetings, managing office supplies, maintaining the office environment, etc.
• Researching Non-Critical Topics: Engaging in research on emerging healthcare trends or practices that aren't directly tied to current policies or procedures being updated or revised.
• Other duties as assigned.
Position Qualifications:
Minimum Education: Bachelor's degree, Masters degree preferred.
Minimum Experience: Five Years progressive experience in Hospital setting. Prior experience in medical record review, quality assurance or compliance preferred.
License, Certification, Registration: Registered Nurse (RN) preferred; however, candidates with equivalent experience will also be considered. Angyaq Quality Systems basic training within 6 months of hire. Healthcare Accreditation Certified Professional (HACP) certification within 2 years of hire.
Equipment/Tools: Proficient with computers, standard computing platforms including Zoom and Excel.
Specialized Knowledge and Skills: Strong written communication and document editing skills. Familiarity with accreditation bodies (e.g. Joint Commission, CMS). health care compliance requirements, laws, and regulations. Strong analytical and critical thinking skills. Attention to detail and organizational abilities. Ability to detail and organizational abilities. Ability to interpret clinical data and documentation. Ability to work independently and manage multiple deadlines.
Supervisory Responsibilities: Indirectly - supervising the document owners in all departments as it related to document development, management and compliance.
Benefits:
  • Generous PTO - starting at 4.5 weeks per year, accrued over time
  • Eleven paid holidays
  • Comprehensive healthcare coverage
  • Life and Disability Insurance
  • Flexible Spending Account
  • Retirement plans
  • Employee Wellness Center
  • Plus More!

C#
Additional Information:
ID:17206Location:BethelDepartment:Performance ImprovementEmployment Duration:80 Full timeTemporary Status:Not ApplicableHours per Week:40Minimum Hourly Pay:42.92FLSA Status:Exempt
Yukon Kuskokwim Health Corporation is an Affirmative Action/Equal Opportunity Employer. All qualified individuals will receive consideration for employment without regard to race, ethnicity, age, religion, sex, sexual orientation, gender identity, national origin, disability, protected veteran status and any other basis protected by law. Individuals with disabilities needing assistance in the recruitment process are encouraged to contact Human Resources directly.
Under P.L. 93-638, preference is given to Alaska Native/American Indian applicants.
For more information, please contact the YKHC Recruitment Department at YKHCRecruitment@YKHC.org or phone (907) 543-6060 and ask to speak with a recruiter.
To view more positions available please visit YKHC Career Center (https://chu.tbe.taleo.net/chu01/ats/careers/v2/jobSearch?org=YKHC&cws=41)

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