... medication, quantity, day supply, DAW codes, origin codes, insurance billing, and supporting ... Pharmacy auditing or pharmacy technician experience preferred * Applies Growth Mindset - Actively ...
... medication, quantity, day supply, DAW codes, origin codes, insurance billing, and supporting ... Pharmacy auditing or pharmacy technician experience preferred * Applies Growth Mindset - Actively ...
Pharmacy Director
Lakeview, OR · On-site
$122K - $161K/yr
... as vendors and auditors. The Pharmacy Director also functions as a Clinical Pharmacist, ensuring the safe, effective, and timely delivery of medication therapy to District patients. Key ...
Pharmacy Director
Lakeview, OR · On-site
$122K - $161K/yr
... as vendors and auditors. The Pharmacy Director also functions as a Clinical Pharmacist, ensuring the safe, effective, and timely delivery of medication therapy to District patients. Key ...
Pharmacy Director
Lakeview, OR · On-site
$122K - $161K/yr
... as vendors and auditors. The Pharmacy Director also functions as a Clinical Pharmacist, ensuring the safe, effective, and timely delivery of medication therapy to District patients. Key ...
Pharmacy Director
Lakeview, OR · On-site
$122K - $161K/yr
... as vendors and auditors. The Pharmacy Director also functions as a Clinical Pharmacist, ensuring the safe, effective, and timely delivery of medication therapy to District patients. Key ...
Pharmacy Director
Lakeview, OR · On-site
$121K - $205K/yr
... as vendors and auditors. The Pharmacy Director also functions as a Clinical Pharmacist, ensuring the safe, effective, and timely delivery of medication therapy to District patients.Key ...
Quick apply
Pharmacy Director
Lakeview, OR · On-site
$121K - $205K/yr
... as vendors and auditors. The Pharmacy Director also functions as a Clinical Pharmacist, ensuring the safe, effective, and timely delivery of medication therapy to District patients.Key ...
Pharmacy Director
Lakeview, OR · On-site
$121K - $205K/yr
... as vendors and auditors. The Pharmacy Director also functions as a Clinical Pharmacist, ensuring the safe, effective, and timely delivery of medication therapy to District patients. Key ...
Pharmacy Director
Lakeview, OR · On-site
$121K - $205K/yr
... as vendors and auditors. The Pharmacy Director also functions as a Clinical Pharmacist, ensuring the safe, effective, and timely delivery of medication therapy to District patients. Key ...
Clinical Pharmacist - Inpatient
$67.74 - $101.60/hr
Reviews medication orders for appropriateness and accuracy including, but not limited to ... Completes quality assurance auditing as required for prescriptive authority. What you bring:
Clinical Pharmacist - Inpatient
$67.74 - $101.60/hr
Reviews medication orders for appropriateness and accuracy including, but not limited to ... Completes quality assurance auditing as required for prescriptive authority. What you bring:
Clinical Pharmacist - Inpatient
Springfield, OR · On-site
$67.74 - $101.60/hr
Reviews medication orders for appropriateness and accuracy including, but not limited to ... Completes quality assurance auditing as required for prescriptive authority. What you bring:
Clinical Pharmacist - Inpatient
Springfield, OR · On-site
$67.74 - $101.60/hr
Reviews medication orders for appropriateness and accuracy including, but not limited to ... Completes quality assurance auditing as required for prescriptive authority. What you bring:
Pharmacy Biller
Coos Bay, OR · On-site
$17.25 - $22.25/hr
... medication claim processing. · Contacts third-party payors via phone, email, or fax to follow up ... Maintains accurate and complete billing documentation and records for auditing and reporting ...
Quick apply
Pharmacy Biller
Coos Bay, OR · On-site
$17.25 - $22.25/hr
... medication claim processing. · Contacts third-party payors via phone, email, or fax to follow up ... Maintains accurate and complete billing documentation and records for auditing and reporting ...
Pharmacy Biller
Coos Bay, OR · On-site
$24.65/hr
Maintains accurate and complete billing documentation and records for auditing and reporting ... medication management. • Strong organizational skills with the ability to prioritize tasks ...
Pharmacy Biller
Coos Bay, OR · On-site
$24.65/hr
Maintains accurate and complete billing documentation and records for auditing and reporting ... medication management. • Strong organizational skills with the ability to prioritize tasks ...
Pharmacy Biller
Coos Bay, OR · On-site
$17.25 - $22.25/hr
Initiates and tracks prior authorizations to support successful medication claim processing ... Maintains accurate and complete billing documentation and records for auditing and reporting ...
Pharmacy Biller
Coos Bay, OR · On-site
$17.25 - $22.25/hr
Initiates and tracks prior authorizations to support successful medication claim processing ... Maintains accurate and complete billing documentation and records for auditing and reporting ...
Pharmacy Operations Manager - Blackburn Center
Portland, OR · On-site
$143K - $200K/yr
Complete Quality Assurance auditing as required for prescriptive authority. * Ensure safe, appropriate, cost-effective medication therapies for patients according to the established laws, rules ...
Pharmacy Operations Manager - Blackburn Center
Portland, OR · On-site
$143K - $200K/yr
Complete Quality Assurance auditing as required for prescriptive authority. * Ensure safe, appropriate, cost-effective medication therapies for patients according to the established laws, rules ...
Medication Auditor information
What is a medication auditor?
Medication Auditors are healthcare professionals responsible for reviewing, analyzing, and ensuring the accuracy and compliance of medication-related processes within healthcare facilities. Their duties often include auditing medication records, verifying prescriptions, checking for regulatory adherence, and identifying discrepancies or errors that could impact patient safety. Medication Auditors play a crucial role in helping healthcare organizations maintain high standards of medication management and avoid costly mistakes or legal issues. They may work in hospitals, pharmacies, or healthcare administration settings.
What skills and qualifications are needed to be a medication auditor?
To thrive as a Medication Auditor, you need a strong background in pharmacy, nursing, or healthcare administration, along with in-depth knowledge of medication management and regulatory compliance. Familiarity with audit software, electronic health records (EHR), and medication tracking systems is typically required, and certifications like Certified Pharmacy Technician (CPhT) or Certified Professional Medical Auditor (CPMA) are advantageous. Attention to detail, analytical thinking, and effective communication are vital soft skills for identifying discrepancies and collaborating with healthcare teams. These competencies ensure accurate medication audits, reduce errors, and uphold patient safety and regulatory standards.
What challenges do medication auditors face when reviewing medication records, and how can they address them?
Medication Auditors often encounter challenges such as incomplete documentation, discrepancies between medication orders and administration records, and varying compliance levels with regulatory standards. To address these, it’s important for auditors to maintain strong attention to detail, communicate effectively with pharmacy and nursing staff, and stay updated on the latest compliance requirements. Building collaborative relationships with healthcare teams also helps in resolving issues quickly and promoting best practices across departments.
What is the difference between Medication Auditor vs Pharmacy Technician?
| Aspect | Medication Auditor | Pharmacy Technician |
|---|---|---|
| Required Credentials | Certification in medication auditing or pharmacy-related credentials | State licensure, certification (e.g., CPhT) |
| Work Environment | Healthcare facilities, insurance companies, pharmacies | Retail pharmacies, hospitals, clinics |
| Employer & Industry Usage | Insurance companies, healthcare providers, pharmacy chains | Pharmacies, hospitals, long-term care facilities |
| Common Search & Comparison | Medication Auditor vs Pharmacy Technician |
Medication Auditors focus on reviewing medication records for compliance and accuracy, often working in healthcare or insurance settings. Pharmacy Technicians assist pharmacists in dispensing medications and managing pharmacy operations. While both roles require knowledge of medications, Medication Auditors primarily analyze records, whereas Pharmacy Technicians handle medication preparation and customer service.
What cities in Oregon are hiring for Medication Auditor jobs?
Cities in Oregon with the most Medication Auditor job openings:
Full-time
Medical, Dental, Vision, Retirement, PTO
Re-posted 22 days ago
Job description
Are you detail-oriented, analytical, and interested in helping pharmacies strengthen compliance and reduce audit risk? Do you enjoy reviewing information, identifying patterns, and helping teams improve their processes? RiteChoice Rx may be the right fit for you.
At RiteChoice Rx, you’ll be part of a growing independent pharmacy organization that partners with community health centers and providers to support patients across Philadelphia and surrounding areas. Our mission is simple: provide fast, friendly, and affordable pharmacy services to the communities we care about.
We are seeking an organized and compliance-focused Claims Auditor to join our Compliance Department. This role will support internal pharmacy claims auditing, help identify billing and documentation discrepancies, and work closely with pharmacy teams and operational leadership to strengthen audit readiness.
The ideal candidate is someone who can review claim details carefully, communicate findings clearly, and support a culture of compliance across the organization. Pharmacy auditing, medical billing auditing, or pharmacy technician experience is strongly preferred.
Supervision
The Claims Auditor will report directly to the Compliance Manager.
- This is a full-time position.
- This position is remote, with occasional travel to the corporate office.
Essential Job Duties
- Perform routine internal audits of pharmacy claims to ensure billing accuracy, proper documentation, and compliance with federal, state, PBM, and company requirements.
- Review submitted and adjudicated claims to confirm that key claim elements are accurate, including patient information, prescriber details, medication, quantity, day supply, DAW codes, origin codes, insurance billing, and supporting documentation.
- Identify, investigate, and document claim discrepancies, billing irregularities, documentation deficiencies, refill timing concerns, override issues, cash billing variances, and other potential audit risks.
- Ensure claims are properly supported by required documentation, including hardcopy notes, signatures, delivery records, claim history, payer communication, rebill notes, reversal activity, and override documentation.
- Monitor pharmacy billing practices to help reduce audit exposure, chargebacks, and compliance concerns.
- Track audit findings and identify patterns or recurring issues that may point to workflow, training, or process gaps.
- Communicate audit results, trends, and potential risks to the Compliance Manager, pharmacy leadership, and operational teams.
- Partner with pharmacy teams and operational leadership to help correct claim issues, strengthen front-end workflows, and improve overall audit readiness.
- Develop reports and summaries that show claim accuracy, audit trends, correction timelines, recurring errors, and opportunities for improvement.
- Support training and education for pharmacy staff on insurance requirements, documentation expectations, billing practices, and audit readiness.
- Participate in cross-training, peer review, and process improvement efforts to support consistency across pharmacy locations.
- Maintain professionalism, confidentiality, and integrity in all audit-related activities.
Qualifications
- Medical billing auditing experience
- Pharmacy auditing or pharmacy technician experience preferred
- Applies Growth Mindset - Actively seeking new ways to grow and be challenged.
- Demonstrates a deep understanding of the pharmacy regulations.
- Thinks and acts strategically.
- Ensures Outcomes - minimizes company exposure to outside auditors and regulators.
- Participates actively within a High Performing Teams.
- Engages and inspires other
- Communicates to ensure readiness to execute programs
Benefits
- Work for an engaging and growing company.
- Health and vision insurance.
- Dental insurance.
- Paid time off.
- 401(k) with employer matching.
- Competitive salary.
- Performance-based bonus eligibility, if applicable.
Schedule
- Full-time position.
- Remote work setting.
- Occasional travel to the corporate office may be required.
- Monday to Friday schedule anticipated.