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Remote Cms Auditor Jobs in Utah (NOW HIRING)

Senior Auditor

Salt Lake City, UT · On-site +1

$77K - $95K/yr

This is a remote position The Sr. Auditor will report to the Manager of AAPC Services with a direct ... CMS and other national coding and compliance guidelines • Excellent written and verbal ...

Remote Cms Auditor information

What is a remote CMS auditor?

A Remote CMS Auditor is a professional who evaluates and reviews an organization's compliance with Centers for Medicare & Medicaid Services (CMS) regulations while working remotely. Their responsibilities include assessing healthcare providers' adherence to CMS policies, conducting audits of medical records and billing practices, and identifying areas of non-compliance. Working remotely, they use secure software and digital tools to analyze data and prepare reports, helping organizations improve their compliance and avoid penalties. This role is vital for maintaining high standards in healthcare service delivery and ensuring proper reimbursement.

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

To thrive as a Remote CMS Auditor, you need expertise in healthcare compliance, medical coding, and auditing practices, typically supported by a degree in health information management and relevant certifications such as CPC or RHIA. Familiarity with CMS guidelines, EHR systems, and auditing software is crucial for accurate documentation review. Strong attention to detail, analytical thinking, and effective communication set high performers apart in this role. These competencies ensure compliance with federal regulations, minimize errors, and uphold the integrity of healthcare operations.

How does a remote CMS auditor typically collaborate with healthcare providers and internal teams during an audit?

A Remote CMS Auditor frequently works with both healthcare providers and internal compliance teams through virtual meetings, secure document sharing, and regular email communications. The auditor may request documentation, clarify findings, and provide feedback while ensuring all sensitive information is handled in compliance with HIPAA and CMS guidelines. Effective collaboration is essential for accurate assessments and timely resolution of audit issues, so strong communication skills and familiarity with remote tools are key. Additionally, auditors often participate in team meetings to discuss audit results, share best practices, and stay updated on regulatory changes.

What is the difference between Remote Cms Auditor vs Remote Content Reviewer?

AspectRemote Cms AuditorRemote Content Reviewer
Required CredentialsCMS auditing certifications, knowledge of compliance standardsContent moderation training, familiarity with platform policies
Work EnvironmentAnalyzing website content for compliance, often independentlyReviewing user-generated content for appropriateness
Employer & IndustryDigital marketing, media, or publishing companiesSocial media platforms, online marketplaces, content platforms
Search & Comparison IntentUnderstanding compliance and audit processesContent quality and policy enforcement

The Remote Cms Auditor primarily focuses on evaluating website content for compliance with standards and regulations, requiring specific certifications and analytical skills. In contrast, Remote Content Reviewers concentrate on moderating user-generated content to ensure it adheres to platform policies. Both roles are essential in digital content management but differ in scope and expertise required.

What are the most commonly searched types of Cms Auditor jobs in Utah?

The most popular types of Cms Auditor jobs in Utah are:

What are popular job titles related to Remote Cms Auditor jobs in Utah?

For Remote Cms Auditor jobs in Utah, the most frequently searched job titles are:

What job categories do people searching Remote Cms Auditor jobs in Utah look for?

The top searched job categories for Remote Cms Auditor jobs in Utah are:

What cities in Utah are hiring for Remote Cms Auditor jobs?

Cities in Utah with the most Remote Cms Auditor job openings:

Senior Auditor

AAPC

Salt Lake City, UT • On-site, Remote

$77K - $95K/yr

Full-time

Re-posted 20 days ago


Job description

This is a remote position
The Sr. Auditor will report to the Manager of AAPC Services with a direct line of communication to Project Leads. Responsibilities will include but not be limited to:
• Audit medical records to validate clinical documentation to support evaluation and management services, ancillary services, procedures, diagnoses, and clinical documentation requirements and gaps, missed opportunities, and meet quality and production requirement standards. Auditor will review project guidelines to ensure deliverables are on-time and meeting client specific requirements.
• Research regulatory guidelines for supporting documentation when necessary.
• Prepare audit summary findings, provide detailed comments related to the audit findings and make recommendations.
• Consistently maintain production standards for job role, and quality metrics of 95% or greater.
• Responsible for maintaining department audit standards, clinical documentation standards, protocols and guidelines.
• Support team with department key performance indicators and goals (SLAs).
• Embrace workforce transformation by engaging in continuous knowledge expansion across additional functional areas and/or upskilling (learning new skills) to support evolving organizational and client needs.
• Contribute to organizational optimization by collaborating to identify opportunities for process improvement and supporting continuous enhancements to workflows and operations that promote quality and efficiency.
• Prepare oral and/or written reports of audit activity to Manager meeting with them on a regular basis to review individual performance, mentoring, and succession planning.
Expectations:
• Minimum 5 years of auditing experience
• Extensive auditing in multiple specialties
• Extensive knowledge of AMA, OIG, CMS and other national coding and compliance guidelines
• Excellent written and verbal communication skills
• Ability to "own" an entire project
• Detail oriented and deadline driven attitude
• Ability to think critically and determine the best method for completing tasks
• Strong computer skills (Excel, Word, and internet)
• Ability to multitask and keep a sense of urgency
• Excellent customer service skills
• Strong time management, organization skills, and work ethic
• Requires long periods of time sitting and using keyboard and mouse.
Certification Requirements:
• CPC® & CPMA
• RHIT or CPMATM
Attributes:
• Humble - Learns, adapts, and improves relentlessly. Seeks feedback without insecurity and implements coaching. Recognizes others' contributions gratefully. Approaches work and relationships with an abundance mentality. Places the needs of others above self.
• Supportive - Empowers and uplifts others. Listen actively and respond with empathy and understanding. Prioritizes well-being and growth of team members and customers ahead of own interest. Faces challenges together, believing in collective strength and unity.
• Driven - Self-starts and stays highly motivated to achieve ambitious goals. Shares contagious energy and enthusiasm liberally. Takes initiative without always being directed. Demonstrates confidence in decision-making and effectively balances autonomy and authority with accountability.
• Transparent - Aligned with a culture of openness, integrity, and trustworthiness. Follows through on commitments to internal and external parties. Maintains strict accountability and values the trust placed in them by others.
• Innovative - Entrepreneurial spirit with a scrappy mentality. Dreams big, sees opportunity, pursues full potential, and finds ways to accomplish the impossible. Rolls up sleeves and does real work. Works quickly, intelligently, and flexibly.
We are an Equal Opportunity Employer. This company does not and will not discriminate in employment and personnel practices on the basis of race, sex, age, disability, religion, national origin, or any other basis prohibited by applicable law. Hiring, transferring and promotion practices are performed without regard to the above-listed items.