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  • Auditor II, Philadelphia Region

    FM 3.9company rating

    Auditor Job In Malvern, PA

    FM Approvals is an international leader in third-party testing and certification services. We test property loss prevention products and services-for use in commercial and industrial facilities-to verify they meet rigorous loss prevention standards of quality, technical integrity and performance. How? By employing a worldwide certification process that's backed by scientific research and testing, and over a century of experience. The FM APPROVED mark is recognized and respected worldwide. Our certification instills confidence and commands respect in your marketplace. Summary: Mid-level auditor position within the Auditing and Quality Assurance department of FM Approvals. The role of the Quality Auditor II will be to independently schedule and conduct at customer location conformity assessment audits at predetermined frequencies. Audits include various manufacturers responsible for making products that carry the FM Approvals' certification mark. FM Approved products cover a wide range of electrical, fire protection, and building materials equipment. Incumbent is expected to have a solid base of auditing experience and demonstrated proficiency in conducting FM Approvals conformity assessment audits independently. The work assigned to candidates will be well defined and implemented with limited supervision. The complexity and size of audit assignments will vary significantly but will be limited to non QSR FM Approvals audits. Decisions regarding the scope of work performed may be delegated to an individual in this position with oversight by supervisors or managers. Schedule & Location: This is a full-time position based out of the Malvern, PA office supporting regional customer locations within the Mid-Atlantic states (Delaware, Maryland, New Jersey, New York, Pennsylvania, Virginia, West Virginia, and District of Columbia). The role requires approximately 70% travel and 30% of travel may require overnight flexibility. • Effectively perform audits and evaluate audit/test results, weighing the relevancy, accuracy, and perspective of conclusions against the accumulated audit/test evidence acquired during audits • Consistently document relevant facts and information which support the work performed and conclusions drawn so other reviewers can follow the auditor's logic and methodology • Accurately report on a wide variety of witness testing against defined criteria and do so such that the work is competently and efficiently performed in accordance with professional and FM Approvals standards • Communicate audit results effectively, both verbally and in writing, such that they are persuasive, placed in the appropriate context, and well understood by the recipient Required Education: • Bachelor's Degree in Engineering or Science field Highly Preferred Education: • Hold an ASQ, RABQSA / Exemplar Global or equivalent Lead Auditor Certification Required Work Experience: • 5+ years of manufacturing process experience • 5+ years of related quality assurance and quality auditing experience • Tenured audit experience with demonstrated proficiency performing FM Approvals conformity assessment audits Highly Preferred Work Experience: • Process control experience is preferred • ISO 9001, 17020, 17025 and/or 17065 experience Required Skills: • Possess a working knowledge of FM Approvals, its business processes, policies and procedures, governance practices, and regulatory obligations • Demonstrate proficiency in applying audit principles, skills, and techniques of varying degrees of complexity • Demonstrate effective time management skills by completing assignments within allocated time budgets and calendar schedules while handling multiple tasks • Complete tasks independently, seeking guidance from senior auditors or management as needed • Solid familiarity with concepts related to Approval/Certification/Quality Control Programs • Excellent interpersonal, oral, and written communication skills • Possess critical thinking, analytical and problem-solving skills • Microsoft Office Suite computer literacy • Ability to use and understand various measurement tools (pressure gauges, calipers, voltmeters, etc.) • Ability to read, interpret and understand critical dimensions within engineering technical drawings • Ability to take direction and work with minimal supervision • Must be self-motivated with excellent organizational skills • Ability to obtain and assess objective evidence throughout the audit while acting impartially • Observe, document, and evaluate audit observations while effectively managing customer interactions during the audit process The hiring range for this position is $72,160-$103,700 annually. The final salary offer will vary based on individual education, skills, and experience. The position is eligible to participate in FM's comprehensive Total Rewards program that includes an incentive plan, generous health and well-being programs, a 401(k) and pension plan, career development opportunities, tuition reimbursement, flexible work, time off allowances and much more. FM is an Equal Opportunity Employer and is committed to attracting, developing, and retaining a diverse workforce.
    $72.2k-103.7k yearly 1d ago
  • DRG Coding Auditor

    Elevance Health

    Auditor Job In Wilmington, DE

    will work virtually. Alternate locations may be considered. The DRG CODING AUDITOR is responsible for auditing inpatient medical records and generating high quality recoverable claims for the benefit of the company, for all lines of business, and its clients. Also responsible for performing clinical reviews of medical records and other documentation to evaluate issues of coding and DRG assignment accuracy. Specializes in review of DRG coding via medical record and attending physician's statement sent in by acute care hospitals on submitted DRG. How you will make an impact: * Analyzes and audits claims by integrating medical chart coding principles, clinical guidelines and objectivity in the performance of medical audit activities. * Draws on advanced ICD-10 coding expertise, clinical guidelines, and industry knowledge to substantiate conclusions. * Utilizes audit tools and auditing workflow systems and reference information to make audit determinations and generate audit findings letters. * Maintains accuracy and quality standards as set by audit management for the auditing concept, valid claim identification, and documentation purposes (e.g., letter writing). * Identifies new claim types by identifying potential claims outside of the concept where additional recoveries may be available, such as re-admissions, Inpatient to Outpatient, and HACs. * Suggests and develops high quality, high value concept and or process improvement and efficiency recommendations. Minimum Requirements: * Requires at least one of the following: AA/AS or minimum of 5 years of experience in claims auditing, quality assurance, or recovery auditing. * Requires at least one of the following certifications: RHIA certification as a Registered Health Information Administrator and/or RHIT certification as a Registered Health Information Technician and/or CCS as a Certified Coding Specialist and/or CIC as a Certified Inpatient Coder. * Requires 5 years of experience working with ICD-9/10CM, MS-DRG, AP-DRG and APR-DRG. Preferred Skills, Capabilities and Experiences: * BA/BS preferred. * Experience with vendor based DRG Coding / Clinical Validation Audit setting or hospital coding or quality assurance environment preferred. * Broad knowledge of medical claims billing/payment systems provider billing guidelines, payer reimbursement policies, billing validation criteria and coding terminology preferred. * Knowledge of Plan policies and procedures in all facets of benefit programs management with heavy emphasis in negotiation preferred For candidates working in person or remotely in the below location(s), the salary* range for this specific position is $95,172 to $149,556. Locations: Colorado; Illinois; Maryland; Minnesota; Nevada In addition to your salary, Elevance Health offers benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). The salary offered for this specific position is based on a number of legitimate, non-discriminatory factors set by the Company. The Company is fully committed to ensuring equal pay opportunities for equal work regardless of gender, race, or any other category protected by federal, state, and local pay equity laws. * The salary range is the range Elevance Health in good faith believes is the range of possible compensation for this role at the time of this posting. This range may be modified in the future and actual compensation may vary from posting based on geographic location, work experience, education and/or skill level. Even within the range, the actual compensation will vary depending on the above factors as well as market/business considerations. No amount is considered to be wages or compensation until such amount is earned, vested, and determinable under the terms and conditions of the applicable policies and plans. The amount and availability of any bonus, commission, benefits, or any other form of compensation and benefits that are allocable to a particular employee remains in the Company's sole discretion unless and until paid and may be modified at the Company's sole discretion, consistent with the law. Job Level: Non-Management Exempt Workshift: 1st Shift (United States of America) Job Family: MED > Licensed/Certified - Other Please be advised that Elevance Health only accepts resumes for compensation from agencies that have a signed agreement with Elevance Health. Any unsolicited resumes, including those submitted to hiring managers, are deemed to be the property of Elevance Health. Who We Are Elevance Health is a health company dedicated to improving lives and communities - and making healthcare simpler. We are a Fortune 25 company with a longstanding history in the healthcare industry, looking for leaders at all levels of the organization who are passionate about making an impact on our members and the communities we serve. How We Work At Elevance Health, we are creating a culture that is designed to advance our strategy but will also lead to personal and professional growth for our associates. Our values and behaviors are the root of our culture. They are how we achieve our strategy, power our business outcomes and drive our shared success - for our consumers, our associates, our communities and our business. We offer a range of market-competitive total rewards that include merit increases, paid holidays, Paid Time Off, and incentive bonus programs (unless covered by a collective bargaining agreement), medical, dental, vision, short and long term disability benefits, 401(k) +match, stock purchase plan, life insurance, wellness programs and financial education resources, to name a few. Elevance Health operates in a Hybrid Workforce Strategy. Unless specified as primarily virtual by the hiring manager, associates are required to work at an Elevance Health location at least once per week, and potentially several times per week. Specific requirements and expectations for time onsite will be discussed as part of the hiring process. Candidates must reside within 50 miles or 1-hour commute each way of a relevant Elevance Health location. The health of our associates and communities is a top priority for Elevance Health. We require all new candidates in certain patient/member-facing roles to become vaccinated against COVID-19 and Influenza. If you are not vaccinated, your offer will be rescinded unless you provide an acceptable explanation. Elevance Health will also follow all relevant federal, state and local laws. Elevance Health is an Equal Employment Opportunity employer, and all qualified applicants will receive consideration for employment without regard to age, citizenship status, color, creed, disability, ethnicity, genetic information, gender (including gender identity and gender expression), marital status, national origin, race, religion, sex, sexual orientation, veteran status or any other status or condition protected by applicable federal, state, or local laws. Applicants who require accommodation to participate in the job application process may contact ******************************************** for assistance. Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state, and local laws, including, but not limited to, the Los Angeles County Fair Chance Ordinance and the California Fair Chance Act.
    $95.2k-149.6k yearly 9d ago
  • DRG Coding Auditor

    Carebridge 3.8company rating

    Auditor Job In Wilmington, DE

    will work virtually. Alternate locations may be considered. The DRG CODING AUDITOR is responsible for auditing inpatient medical records and generating high quality recoverable claims for the benefit of the company, for all lines of business, and its clients. Also responsible for performing clinical reviews of medical records and other documentation to evaluate issues of coding and DRG assignment accuracy. Specializes in review of DRG coding via medical record and attending physician's statement sent in by acute care hospitals on submitted DRG. How you will make an impact: * Analyzes and audits claims by integrating medical chart coding principles, clinical guidelines and objectivity in the performance of medical audit activities. * Draws on advanced ICD-10 coding expertise, clinical guidelines, and industry knowledge to substantiate conclusions. * Utilizes audit tools and auditing workflow systems and reference information to make audit determinations and generate audit findings letters. * Maintains accuracy and quality standards as set by audit management for the auditing concept, valid claim identification, and documentation purposes (e.g., letter writing). * Identifies new claim types by identifying potential claims outside of the concept where additional recoveries may be available, such as re-admissions, Inpatient to Outpatient, and HACs. * Suggests and develops high quality, high value concept and or process improvement and efficiency recommendations. Minimum Requirements: * Requires at least one of the following: AA/AS or minimum of 5 years of experience in claims auditing, quality assurance, or recovery auditing. * Requires at least one of the following certifications: RHIA certification as a Registered Health Information Administrator and/or RHIT certification as a Registered Health Information Technician and/or CCS as a Certified Coding Specialist and/or CIC as a Certified Inpatient Coder. * Requires 5 years of experience working with ICD-9/10CM, MS-DRG, AP-DRG and APR-DRG. Preferred Skills, Capabilities and Experiences: * BA/BS preferred. * Experience with vendor based DRG Coding / Clinical Validation Audit setting or hospital coding or quality assurance environment preferred. * Broad knowledge of medical claims billing/payment systems provider billing guidelines, payer reimbursement policies, billing validation criteria and coding terminology preferred. * Knowledge of Plan policies and procedures in all facets of benefit programs management with heavy emphasis in negotiation preferred For candidates working in person or remotely in the below location(s), the salary* range for this specific position is $95,172 to $149,556. Locations: Colorado; Illinois; Maryland; Minnesota; Nevada In addition to your salary, Elevance Health offers benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). The salary offered for this specific position is based on a number of legitimate, non-discriminatory factors set by the Company. The Company is fully committed to ensuring equal pay opportunities for equal work regardless of gender, race, or any other category protected by federal, state, and local pay equity laws. * The salary range is the range Elevance Health in good faith believes is the range of possible compensation for this role at the time of this posting. This range may be modified in the future and actual compensation may vary from posting based on geographic location, work experience, education and/or skill level. Even within the range, the actual compensation will vary depending on the above factors as well as market/business considerations. No amount is considered to be wages or compensation until such amount is earned, vested, and determinable under the terms and conditions of the applicable policies and plans. The amount and availability of any bonus, commission, benefits, or any other form of compensation and benefits that are allocable to a particular employee remains in the Company's sole discretion unless and until paid and may be modified at the Company's sole discretion, consistent with the law. Please be advised that Elevance Health only accepts resumes for compensation from agencies that have a signed agreement with Elevance Health. Any unsolicited resumes, including those submitted to hiring managers, are deemed to be the property of Elevance Health. Who We Are Elevance Health is a health company dedicated to improving lives and communities - and making healthcare simpler. We are a Fortune 25 company with a longstanding history in the healthcare industry, looking for leaders at all levels of the organization who are passionate about making an impact on our members and the communities we serve. How We Work At Elevance Health, we are creating a culture that is designed to advance our strategy but will also lead to personal and professional growth for our associates. Our values and behaviors are the root of our culture. They are how we achieve our strategy, power our business outcomes and drive our shared success - for our consumers, our associates, our communities and our business. We offer a range of market-competitive total rewards that include merit increases, paid holidays, Paid Time Off, and incentive bonus programs (unless covered by a collective bargaining agreement), medical, dental, vision, short and long term disability benefits, 401(k) +match, stock purchase plan, life insurance, wellness programs and financial education resources, to name a few. Elevance Health operates in a Hybrid Workforce Strategy. Unless specified as primarily virtual by the hiring manager, associates are required to work at an Elevance Health location at least once per week, and potentially several times per week. Specific requirements and expectations for time onsite will be discussed as part of the hiring process. Candidates must reside within 50 miles or 1-hour commute each way of a relevant Elevance Health location. The health of our associates and communities is a top priority for Elevance Health. We require all new candidates in certain patient/member-facing roles to become vaccinated against COVID-19 and Influenza. If you are not vaccinated, your offer will be rescinded unless you provide an acceptable explanation. Elevance Health will also follow all relevant federal, state and local laws. Elevance Health is an Equal Employment Opportunity employer and all qualified applicants will receive consideration for employment without regard to age, citizenship status, color, creed, disability, ethnicity, genetic information, gender (including gender identity and gender expression), marital status, national origin, race, religion, sex, sexual orientation, veteran status or any other status or condition protected by applicable federal, state, or local laws. Applicants who require accommodation to participate in the job application process may contact ******************************************** for assistance. Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state, and local laws, including, but not limited to, the Los Angeles County Fair Chance Ordinance and the California Fair Chance Act.
    $95.2k-149.6k yearly 8d ago
  • Multiple positions for Auditor(GAAP Exp

    Us It Solutions 3.9company rating

    Auditor Job In Wilmington, DE

    We are from US IT Solutions, an ISO Certified, E-Verify, WMBE Certified organization established in 2005 in CA. O ur company is serving various State, Local and County Departments for over 10 years. USITSOL has been helping clients innovate across all phases of the application lifecycle for over a decade. Some of our prestigious clients are State of CA, State of OR, State of FL, State of NC, State of GA, State of CO, State of VA, State of AR, State of MI, State of OH, State of IL, State of MO, State of MS, California State University, Sacramento Area Sanitation Department, SMUD, Sound Transit, LA Superior Courts, District of Columbia, UMAS, University of Central Florida and Hennepin County and many more. Job Description Perform audits of evidentiary documentation provided by claimants such as invoices, sales journals, general ledgers, bank statements and inventory entries to determine compliance with tax laws and regulations. Assess and explain requirements to claimants. Information gathering through investigative interviews and documentation acquisition. Qualifications Attention to detail to ensure compliance with all applicable laws, rules, regulations and policies, as well as to ensure quality of work submitted Technical skills to interpret laws, rules, regulations and policies. Application of GAAP principals in the analysis of taxpayer records. Verbal communication skills to communicate effectively and reliably. Computer skills to create, manipulate and enhance digital files and information within a variety of standardized computer operating systems. Additional Information All your information will be kept confidential according to EEO guidelines.
    $64k-85k yearly est. 60d+ ago
  • Batch Auditor

    Byheart 3.2company rating

    Auditor Job In Reading, PA

    ByHeart is an infant nutrition company built from the ground up to deliver real innovation on behalf of babies and parents. Our mission is simple: make the best formula in the world. That's why we studied the latest breast milk science, worked directly with suppliers we know and trust, set uncompromising quality standards, developed our own small batch blending process, built our own manufacturing facilities, and conducted a groundbreaking clinical trial. Our goal is to create a future where all parents feel amazing about feeding their baby-no matter how they do it. When we launched our Whole Nutrition Infant Formula in March 2022, we were the first new U.S infant formula manufacturer in 15 years. Since then, we've been leading the way in a lot of ways. We're… The only U.S.-made infant formula to use organic, grass-fed whole milk The first and only U.S. infant formula company to add the two most abundant proteins found in breast milk-alpha-lac and lactoferrin-to our ingredients list The first infant formula company to receive Clean Label Project's Purity Award (and we test for 700 contaminants vs the required 400) We ran the largest clinical trial by a new infant formula brand in 25 years-clinically proving our benefits vs a leading infant formula like: Less spit up Softer poops Easier digestion More efficient weight gain Enhanced nutrient absorption Longer stretches between nighttime feeds* ByHeart has rapidly emerged as a leader in infant nutrition, fortifying the domestic supply chain by owning end-to-end manufacturing in 3 US facilities and ranking in the top 10% of the U.S. infant formula category within just one year. Strategic partnerships with retailers like Walmart and Whole Foods have expanded access to their premium, science-backed formula, now available in over 70% of U.S. stores. With >$400M in funding, we're shifting the industry forward-and this is just the beginning. Help us build a future where all parents can feel amazing about feeding, by joining our growing team of >300 people that stretches across the country. We're proud to offer competitive, family-first benefits, including but not limited to: Health insurance for the whole family: medical, dental, & vision insurance covered 100%, with 90% coverage for your family. Flexible paid time off: plus 12+ company holidays, and 2 floating holidays to use at your discretion! 16-weeks of fully-paid parental leave and new parent support: free 1-year supply of formula, cozy feeding suites, and paid pumping time. Up to 6% 401(k) Match to help you plan for your future. Company equity for every employee: because when we succeed, we succeed together! Visit our site to learn more, and check out some recent press on ByHeart: Entrepreneur: The Illusion of the Shelf - The Driving Force Behind Infant Formula Shortages, and What Needs to Change Forbes: A Startup Wanted To Make A Better Baby Formula. It Took Five Long Years. Business Insider: ByHeart Announces Published Data in a Scholarly Journal on Benefits of The Novel High Quality Protein Blend in Their Groundbreaking Next-Generation Easy to Digest Infant Formula Axios: Infant formula maker ByHeart raises $95 million BabyCenter: 2024 Best formula for Breastfed Babies New Modern Mom: The Clean Formula Moms Are Loving *based on data from infants at approximately 4 months of age Role Description Reports To: Quality Assurance Manager Location: Reading, Pennsylvania Start Date: ASAP The Batch Auditor is responsible for managing Master Batch Records and coordination of product and ingredient Release. This role is a hands-on, highly interactive role in a fast paced, ever changing production environment. The individual must seek to drive continuous improvement of all aspects of the food safety and quality system. Role Responsibilities Preliminary review of laboratory analysis paperwork, laboratory records, production paperwork including but not limited to Master Batch records, sanitation records and pre-op records. Complete initial review of Master Batch Records for completeness and elevate any Event Reporting, discrepancies, or Out of Specification (OOS) to the Quality Operations Manager. Assist with managing incoming ingredients and packaging materials for compliance with specifications. Assist with physical release of materials per procedure. Ensure customer guidelines for in-house and external lab testing is followed. Coordinate external lab testing and review of results to ensure it meets internal, customer, or regulatory requirements. Perform analysis such as trending to identify continuous improvement and training opportunities. Organize and file Master batch records for the site, all related Contract manufacturing / packaging locations, ingredients, and customer related products. Assist with the release or Quality hold of bulk in process product physically and or in the ERP system. Assist in completing documentation including but not limited to: Investigation, Corrective Actions, Change controls, SOP's, and forms that meet Internal and Infant Formula Requirements. Follows all laboratory and plant GMP and safety procedures according to company guidelines. Performs all duties as assigned. Complies with all policies and procedures of ByHeart Skills & Qualifications To perform this job successfully, an individual must be able to perform each essential duty independently and satisfactorily. Performance will be evaluated on an annual basis. It is essential that responsibilities are performed correctly and accurately. Duties must be executed in a timely manner. Failure to complete tasks correctly and or on time may result in disciplinary action. The requirements listed below are representative of the knowledge, skill and/or ability required. Bachelor's degree required in Food Science, Biological Sciences, or related field. 2-5 years of experience in food processing or pharmaceutical environment (Dairy, spray drying, or Infant Formula preferred) Working knowledge of HACCP, Preventive Controls and SQF principles HACCP and PCQI certifications are a plus Familiarity with Laboratory testing and reporting preferred Ability to apply commonsense understanding to carry out instructions furnished in written, oral or diagram form Must be able to work independently - to organize tasks and manage the workload Ability to deal with problems involving several variables in standardized situations Must be able to do mathematical calculations Must be able to elicit and or delegate help as needed Effectively communicates critical information regarding job responsibilities After completion of training, must be able to perform all relevant procedures accurately, precisely, and efficiently Must be able to work on their feet for extended periods of time Hours as needed by the company The facility may be required to operate on all shifts and weekend/holiday hours due to the variable nature of our business Must be able to lift up to 50 pounds routinely and navigate stairs safely Use of computer systems including but not limited to ERP System (Deacom), Microsoft Word, Microsoft Excel, PowerPoint, and Doc Control System (Intelex) Handwriting must be clearly legible. We are an equal opportunity employer and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability status, protected veteran status, or any other characteristic protected by law.
    $37k-61k yearly est. 10h ago
  • Compliance Auditor IPPS/OPPS

    Main Line Health, Inc. 3.9company rating

    Auditor Job In Radnor, PA

    Could you be our next Compliance Auditor IPPS/OPPS with Main Line Health? Make an Impact! Compliance Auditor Inpatient Perspective Payment System/Outpatient Perspective Payment System (IPPS/OPPS) reviews inpatient hospital claims for proper reimbursement and handles provider disputes in a result-oriented and metrics-driven environment. The Inpatient Compliance Auditor contributes to overall cost reduction, by increasing the accuracy of provider contract payments in our payer systems, and by ensuring correct claims payment and appropriate diagnosis related group (DRG) assignments. Analyzes, enters, and manipulates database. Responds to or clarifies internal requests for medical information. Understands department, segment, and organizational strategy and operating objectives, including their linkages to related areas. Makes decisions regarding own work methods in conjunction with Audit Manager and requires minimal direction and receives guidance where needed. In accordance with current federal & state coding compliance regulations and guidelines, the Compliance Auditor IPPS/OPPS performs 2nd level reviews of previously coded inpatient accounts for MS-DRG validation purposes-including the accuracy and completeness of all ICD-10-CM and ICD-10-PCS code assigned by inpatient coders. Ensure appropriate MS-DRG & APR-DRG, including SOI & ROM scores. Performs 2nd level reviews of variables affecting MS-DRG and/or APR-DRG-such as-HACs, PSIs, Elixhauser Comorbidities, etc. Develop and Grow your Career! Invest in furthering your education through seeking certifications or advanced degrees by taking advantage of our Tuition Reimbursement! This position is eligible for up to $6,000 per year based upon your Full or Part Time status. Join the Team! Like our patients, the Main Line Health Family encompasses a wide range of backgrounds and abilities. Just as each of our patients requires a personalized care plan, each of our employees, physicians, and volunteers, bring distinctive talents to Main Line Health. Regardless of our unique design, we all share a purpose: providing superior service and care. Position-Specific Benefits: You are eligible for up to 200 hours of paid time off per year. We also offer a number of employee discounts to various activities, services, and vendors... And employee parking is always free! Position: Compliance Auditor IPPS/OPPS Shift: Day Shift, Monday - Friday Experience: * Minimum of 5 years' experience performing inpatient coding reviews and audits required. * Must possess and maintain one of the following active certifications for at least four years: Certified Coding Specialist (CCS) Registered Health Information Technician (RHIT) Registered Health Information Administrator (RHIA) Certified Inpatient Coder (CIC) * At least 5 years of work experience in MS-DRG and APR-DRG coding/auditing required. * Minimum of 3 years' experience in ICD-10-CM/PCS coding and auditing within a Level 1 Trauma hospital required. Education: Associate's degree in business/health administration with two years of experience within a coding environment or a Bachelor's degree in Healthcare Administration is required. Formal ICD-10-CM, ICD-10-PCS, CPT-4 training required. Additional Information * Requisition ID: 75030 * Employee Status: Regular * Benefit Eligibility: Full-Time Benefits * Schedule: Full-time * Shift: Day Job * Pay Range: $70,012.80 - $108,492.80 * Job Grade: 112
    $70k-108.5k yearly 60d+ ago
  • Multiple positions for Auditor(GAAP Exp) $13.25/hr

    360 It Professionals 3.6company rating

    Auditor Job In Wilmington, DE

    360 IT Professionals is a Software Development Company based in Fremont, California that offers complete technology services in Mobile development, Web development, Cloud computing and IT staffing. Merging Information Technology skills in all its services and operations, the company caters to its globally positioned clients by providing dynamic feasible IT solutions. 360 IT Professionals work along with its clients to deliver high-performance results, based exclusively on the one of a kind requirement. Qualifications · Perform audits of evidentiary documentation provided by claimants such as invoices, sales journals, general ledgers, bank statements and inventory entries to determine compliance with tax laws and regulations. Assess and explain requirements to claimants. · Attention to detail to ensure compliance with all applicable laws, rules, regulations and policies, as well as to ensure quality of work submitted. · Application of GAAP principals in the analysis of taxpayer records. · Computer skills to create, manipulate and enhance digital files and information within a variety of standardized computer operating systems. · Customer relations and customer service, internal and external to the agency. Additional Information In person interview is acceptable
    $50k-71k yearly est. 60d+ ago
  • Senior Auditor - Technology

    Resolution Life Group 4.0company rating

    Auditor Job In West Chester, PA

    As part of the application process, a candidate account is required to log in and view application(s). Please be sure to check email regularly for information regarding our employment process. Seeking a highly skilled Technology Sr. Auditor with expertise responsible for directing the daily progress of assigned Technology audits in Resolution Life and providing guidance to the assigned Auditors. The candidate will be responsible for evaluating technology related risk and controls, designing audit procedures to ensure controls are effective and in compliance with relevant regulations. This role requires understanding of IT auditing principles and practices. Position Description: Technical Perform the planning for audits by: Preparing process flows/narratives of processes within the areas being audited to ensure proper identification of risks, assessment of key technology controls, and the development of appropriate testing strategies Identifying opportunities to enhance the audit process by utilizing Computer Assisted Auditing Tools (CAATs) Ensure accurate and complete testing of technology key controls is performed in accordance with established standards and protocols through: Reviewing the audit program, assignment of staff to audits, and testing performed. Ensuring that CAATs reports are developed and utilized, where applicable Reviewing potential technology audit issues and approving conclusions Reviewing and/or preparing draft audit reports, depending on complexity of the audit Perform continuous monitoring and business surveillance activities as well as assist with special projects as assigned by the Audit Manager or Audit Functional Leader Client Develop relationships with clients within the technology area. Respond timely to requests from management on critical questions and issues. Where applicable, provide consultation to assist the client with implementation of new systems and processes, and the related new/improved controls. Monitor the client's progress/resolution efforts of high-risk issues in the technology area and follow up with management to ensure that unresolved control matters are being addressed. Discuss audit recommendations and reports with management. Demonstrates ability to lead an audit or workstream. Proactively identifies risks and issues as they arise. Overall Lead the fieldwork of technology audits to ensure that accurate and complete testing of key controls is performed in compliance with established protocols and auditing standards. Create and lead change by identifying pragmatic improvement opportunities. Lead with passion and clarity by effectively supervising and supporting Audit staff, leading, and collaborating with peers to achieve team objectives. Gain exposure to the Chief Audit Executive and the Executive Leadership Team. Skills / Knowledge / Abilities: 6+ years of experience in technology auditing, including experience supervising audits is preferred. Experience and knowledge of financial services/insurance industry. Bachelor's degree with emphasis in IT, Accounting, Finance, or Business, is required. Advanced degree (MBA) and/or professional certification (CIA, CISA, CISSP, etc.) is preferred. Ability to manage groups of professionals to accomplish team objectives. Builds effective and collaborative peer-level relationships. Demonstrates strong analytical and critical thinking skills. Proactively identifies and resolves issues as they arise. Strong written and verbal communication skills Demonstrates continuous learning and sharing of best practices within the team. Ability to work independently and effectively to contribute to team objectives. Good knowledge of IT regulations and standard such as COBIT, ISO 27001, internal controls, and IIA standards Good knowledge and understanding of Accounting/Financial Risk, IT Risk, and Compliance Risk Proficiency in use of audit software (ServiceNow) is a plus. Experience with data analytics and audit automation tool is a plus. Location: West Chester, PA preferred (generally 1-2 days/week in the office, may be more); Open to Atlanta, GA Resolution Life US is committed to disclosing a reasonable estimate of the base salary for our job roles. These estimates consider a wide range of factors in making base salary decisions, including but not limited to skill sets; experience and training; licensure and certifications; and other business and organizational needs. In addition to salary, Resolution Life US offers a comprehensive benefits package, including our health & wellness program, incentive and recognition programs, and 401k contribution ( all benefits are subject to eligibility requirements ). The salary range reflects figures based on the primary location, which is listed first. The range for the role may differ based on the location. West Chester, PA - $92,000 - $110,000 Atlanta, GA: $83,000 - $100,000 Critical Skills At Resolution Life, we have identified the following critical skills which are key to success in our culture: Customer Focused: Passionate drive to delight our customers and offer unique solutions that deliver on their expectations. Critical Thinking: Thoughtful process of analyzing data and problem solving data to reach a well-reasoned solution. Team Mentality: Partnering effectively to drive our culture and execute on our common goals. Business Acumen: Appreciation and understanding of the financial services industry in order to make sound business decisions. Learning Agility: Openness to new ways of thinking and acquiring new skills to retain a competitive advantage.
    $92k-110k yearly 16h ago
  • Audit Supervisor

    Herbein & Company 3.6company rating

    Auditor Job In Reading, PA

    Herbein + Company, Inc. is a leading regional certified public accounting firm that is 200+ employees strong and growing. We pride ourselves on our client service, ideas and proactive advice and solutions. As a regional firm, we strive to be a collaborator that satisfies both an economic need and develops long-term relationships with our clients. We have an opening for an Audit Supervisor to join our firm's audit group in one of the following offices: Reading, PA; Spring House, PA; or Pittsburgh, PA. Responsibilities include, but are not limited to: Supervise multiple engagements independently (audit planning, fieldwork, and wrap up) Assist managers on all aspects of audit engagements Assist with some review of work papers and the completed reports to ascertain that both meet the firm's standards Anticipate problems before submission for final partner review Evaluate internal controls Handle complex audit engagements Development and develop audit documents, work papers, and preparation of client documents Proactively interact with clients to gather information, resolve audit-related problems, make recommendations, etc Help others develop professionally through coaching Requirements: Bachelor's Degree in accounting or related finance degree CPA, or working towards certification 5-7 years of current or recent audit experience in public accounting Personable, ambitious and looking for a career path opportunity Successful at fostering strong relations built on trust and credibility Ability to manage multiple projects/task on a timely basis while monitoring time spent Adept at meeting challenging client requirements and deadlines Excellent verbal, written and interpersonal communication skills Detail focused and driven to achieve high standards Must be able to work overtime to meet client needs beyond regularly scheduled work day (evenings and weekends) A Valid Driver's License is required Must be able to travel by car for day and overnight trips - estimated at 40% of the time Highlights of Our Rewards Programs: Competitive Salary Immediate eligibility for medical, dental, vision, and disability insurances 401(k) participation (we have profit sharing contributions too) 16 weeks of Parental Leave which includes 4 weeks paid for new Mothers and Fathers Generous vacation and sick time policies Career Path Development Opportunities Direct client contacts and continuous opportunities for practice development Learning and Development programs that include 100% reimbursement / payment for CPE Financial assistance for attaining CPA license 100% reimbursement for civic dues Valuing our Employees: Genuine concern for employees' work / life management Flexible work schedules Summer Hours Program - all offices close at noon on Fridays late April through Labor Day Firm sponsored and paid events to spend time having fun and enjoying our co-workers Programs to provide employee recognition for service and work well done Herbein + Company, Inc. won Inavero's Best of Accounting™ Award for providing superior service to their clients. The Best of Accounting Award winners have proven to be industry leaders in service quality based completely on the ratings given to them by their clients. When asked if they are likely to recommend Herbein + Company, Inc., over 88% of those surveyed said they would, as compared to the industry average of 43%. Herbein + Company is an equal opportunity employer. All applicants will be considered for employment without attention to race, color, religion, sex, sexual orientation, gender identity, gender expression, national origin, veteran or disability status.
    $77k-107k yearly est. 7d ago
  • Auditor

    Delaware Park Casino & Racing 4.3company rating

    Auditor Job In Wilmington, DE

    JOB RESPONSIBILITIES Audits activities of various departments for compliance with plans, policies, and procedures as prescribed by management. Prepares and submits reports on the results of work performed. Cooperates with outside auditors in any undertaking which may expedite their work. Submits a finished product consistent with the requirements of the department relative to work standards and due professional care. Manages time and assignments to meet established deadlines. Daily reviews of work and audit program to ensure professional standards and the objectives of the audit are met. Promotes outstanding customer relations. Promotes honesty and trust amongst the team. Performs all other duties as assigned. JOB REQUIREMENTS No prior experience is required. Must be able to successfully complete the background check and licensing process, required by the Delaware Lottery during employment. Bachelor's Degree preferred Proficiency in Microsoft Office products. Excellent verbal and written communication skills are required. A valid driver's license is required. Must be able to lift twenty (20) lbs. repeatedly without difficulty. Must be able to stand, sit, and walk for extended periods. Must be able to work a flexible schedule based on the business needs.
    $43k-58k yearly est. 60d+ ago
  • Auditor- Internal Audit

    Adapthealth

    Auditor Job In Conshohocken, PA

    The Auditor- Internal Audit will be responsible for executing internal audit activities within the Company, as designated by their manager. Reporting directly to the Vice President, Internal Audit, the successful candidate will ensure that the Company's internal controls, risk management processes, and governance practices are effective and aligned with industry standards and regulations. Essential Functions and Job Responsibilities: More specific responsibilities include: * Execute risk-based audit plans to address significant business and operational risks for assigned areas of responsibility. * Execute the annual SOX scope for assigned process areas. This will include attending walk throughs to document the design of processes and controls, performing control testing, documenting exceptions identified during walk throughs and testing, and documenting reviews of SOC reports. * Accumulate, organize, and conclude on all audit evidence obtained. Provide recommendations to business unit management of the audited entity to enable them to improve the level of management and internal controls of their operations and initiate changes. * Deliver objective evaluation of the findings, conclusions, and recommendations. * Assist with the audit report, make necessary edits, and prepare a draft for review by the Vice President, Internal Audit. * Assist the Vice President, Internal Audit with various projects and tasks as needed. Requirements Competency, Skills and Abilities: Technical * A bachelor's degree in accounting, finance, or related business field. CPA or CIA preferred. * Minimum of 1 years of experience. Big 4 Public Accounting experience preferred. Public company experience required. * Strong knowledge and experience with US GAAP, SOX, and SEC reporting. * Excellent computer skills with advanced proficiency in Excel, Access, Word, and Power Point. * Excellent written and presentation skills coupled with strong interpersonal skills. Personality * Adept at multi-tasking; one who thrives in an environment of rapid change. * Analytical, with attention to detail and accuracy. * Highly motivated, enthusiastic, curious, and dynamic professional. * Articulate. Open communicator, inquisitive, and not afraid to challenge. * Demonstrates sense of urgency and ability to work independently and under tight deadlines. * Understands business implications of decisions. * Strong drive, dedication, and work ethic. * Unwavering commitment to ethics, objectivity, and independence in conducting audit activities. Education and Experience Requirements: * A bachelor's degree in accounting, finance, or related business field. CPA or CIA preferred. * Minimum of 1 year of experience. Big 4 Public Accounting experience preferred. Public company experience required. * Strong knowledge and experience with US GAAP, SOX, and SEC reporting. * Experience developing and maintaining policies, procedures, accounting systems, and internal controls. * Excellent computer skills with advanced proficiency in Excel, Access, Word, and Power Point. * Excellent written and presentation skills coupled with strong interpersonal and demonstrated ability to lead strong and effective teams. Physical Demands and Work Environment: AdaptHealth is a dynamic organization currently experiencing growth and change. This will results in the need for the ideal candidate to be flexible with this changing environment
    $56k-78k yearly est. 26d ago
  • Internal Auditor

    Robert Half 4.5company rating

    Auditor Job In Wilmington, DE

    Thriving financial services organization is looking to staff an Internal Auditor who can evaluate the effectiveness of internal controls, risk management processes, and governance practices with the organization. This role conducts independent assessments to ensure compliance with regulatory requirements in addition to the following: assisting with control testing, preparing audit documentation, reviewing financial data and analytics, assisting with risk management, developing internal auditing plans, and identifying areas of improvement and recommending corrective action. The ideal Internal Auditor for this role must have the ability to drive performance, build strong relationships, and provide insight on internal controls and financial accuracy. Responsibilities · Conduct risk assessments · Ensure governance and compliance are controlled and met · Performing full audits · Control Management · Analyze and evaluate accounting documents · Develop processes and plans to increase revenue Requirements The ideal Internal Auditor will have a Bachelors degree in Accounting/Finance/Economics. Other requirements for the Internal Auditor role include and are not limited to: · 3+ years internal or external audit experience · CPA preferred · Advanced Microsoft Office skills · Excellent analytical skills · Light travel required For more information on this Internal Auditor position and other full-time accounting and finance opportunities, please contact us at 302.985.5183 and reference JO#00800-0012921078. Robert Half is the world's first and largest specialized talent solutions firm that connects highly qualified job seekers to opportunities at great companies. We offer contract, temporary and permanent placement solutions for finance and accounting, technology, marketing and creative, legal, and administrative and customer support roles. Robert Half works to put you in the best position to succeed. We provide access to top jobs, competitive compensation and benefits, and free online training. Stay on top of every opportunity - whenever you choose - even on the go. Download the Robert Half app (https://www.roberthalf.com/us/en/mobile-app) and get 1-tap apply, notifications of AI-matched jobs, and much more. All applicants applying for U.S. job openings must be legally authorized to work in the United States. Benefits are available to contract/temporary professionals, including medical, vision, dental, and life and disability insurance. Hired contract/temporary professionals are also eligible to enroll in our company 401(k) plan. Visit roberthalf.gobenefits.net for more information. © 2025 Robert Half. An Equal Opportunity Employer. M/F/Disability/Veterans. By clicking "Apply Now," you're agreeing to Robert Half's Terms of Use (https://www.roberthalf.com/us/en/terms) .
    $51k-73k yearly est. 60d+ ago
  • Senior Auditor (Hybrid)

    The Bancorp 4.3company rating

    Auditor Job In Wilmington, DE

    Work Arrangement: ***After the initial training period, this is a hybrid role, working onsite in either our Wilmington, DE or Sioux Falls, SD office.*** Conducts financial, operational, compliance, and information security audits for assigned processes, departments, or divisions throughout the organization. Responsibilities Essential Functions Plans, leads, and performs audits; analyzes the results of audit work; prepares and reviews work papers to support conclusions; develops recommendations, summarizes audit results, conducts entrance and exit meetings, drafts audit reports, and resolves outstanding issues. Determines purpose, scope, and approach based on review of key processes and controls, evaluation of previous audits and findings, and interviews with clients to identify gaps and opportunities to explore through the assessment/audit, while minimizing risk to the company. Researches issues and makes recommendations to improve process and procedures to minimize exposure to risk and fraud. Develops strong relationships with business unit management to ensure that company risks are openly discussed and addressed with a focus on problem solving for the ultimate benefit of the organization. Tracks findings to ensure management adequately addresses identified risks and controls weaknesses. Responds to client questions and concerns, educating and explaining the risks of the current practices. Performs other duties as assigned. Qualifications Education/Experience Requirements Undergraduate degree in a business-related field or an equivalent combination of training and experience. 3 years of auditing experience. Preferred Qualifications Professional certification preferred or working towards certifications. Examples include CPA - Certified Public Accountant, CISA- Certified Information Security Auditor CIA - Certified Internal Auditor, and/or CRMA - Certified in Risk Management Assurance. Strong working knowledge of audit practices and procedures. Demonstrate strong problem identification, analysis and problem solving, report writing and editing, and project management skills. Excellent verbal, written, and interpersonal communication skills. A team player, able to work effectively in a team fostered, multi-tasking environment. Understanding of the International Standards for the Professional Practices of Internal Auditing of the Institute of Internal Auditors. Background & EEO Statement This job will be open and accepting applications for a minimum of five days from the date it was posted. This information reflects the base salary pay range for this job based on current national market data. Ranges may vary based on the job's location. We offer competitive pay that varies based on individual experience, qualifications and other relevant factors. We encourage you to apply to positions that you are interested in and for which you believe you are qualified. To learn more, you are welcome to discuss with us as you move through the selection process. Working at The Bancorp Bank, N.A. and Benefits Information: click here Diversity & Background Screening Diversity & Inclusion at The Bancorp Bank: click here The Bancorp Bank, N.A. is an EQUAL OPPORTUNITY EMPLOYER and will not discriminate on the basis of race, color, religion, gender, gender identity, sexual orientation, pregnancy, citizenship, national origin, age, disability, genetic information, veteran status or other protected category with respect to recruitment, hiring, training, promotion, and other terms and conditions of employment. Employment with The Bancorp Bank, N.A. includes successfully passing a background check including credit, criminal, education, employment, OFAC, and social media background history. #LI-Hybrid #LI-PJ1 #LI-Hybrid #LI-PJ1
    $61k-78k yearly est. 4d ago
  • Auditor II, Philadelphia Region

    FM 3.9company rating

    Auditor Job In Malvern, PA

    FM Approvals is an international leader in third-party testing and certification services. We test property loss prevention products and services-for use in commercial and industrial facilities-to verify they meet rigorous loss prevention standards of quality, technical integrity and performance. How? By employing a worldwide certification process that's backed by scientific research and testing, and over a century of experience. The FM APPROVED mark is recognized and respected worldwide. Our certification instills confidence and commands respect in your marketplace. **Summary:** Mid-level auditor position within the Auditing and Quality Assurance department of FM Approvals. The role of the Quality Auditor II will be to independently schedule and conduct at customer location conformity assessment audits at predetermined frequencies. Audits include various manufacturers responsible for making products that carry the FM Approvals' certification mark. FM Approved products cover a wide range of electrical, fire protection, and building materials equipment. Incumbent is expected to have a solid base of auditing experience and demonstrated proficiency in conducting FM Approvals conformity assessment audits independently. The work assigned to candidates will be well defined and implemented with limited supervision. The complexity and size of audit assignments will vary significantly but will be limited to non QSR FM Approvals audits. Decisions regarding the scope of work performed may be delegated to an individual in this position with oversight by supervisors or managers. **Schedule & Location:** This is a full-time position based out of the Malvern, PA office supporting regional customer locations within the Mid-Atlantic states (Delaware, Maryland, New Jersey, New York, Pennsylvania, Virginia, West Virginia, and District of Columbia). The role requires approximately 70% travel and 30% of travel may require overnight flexibility. - Effectively perform audits and evaluate audit/test results, weighing the relevancy, accuracy, and perspective of conclusions against the accumulated audit/test evidence acquired during audits - Consistently document relevant facts and information which support the work performed and conclusions drawn so other reviewers can follow the auditor's logic and methodology - Accurately report on a wide variety of witness testing against defined criteria and do so such that the work is competently and efficiently performed in accordance with professional and FM Approvals standards - Communicate audit results effectively, both verbally and in writing, such that they are persuasive, placed in the appropriate context, and well understood by the recipient **Required Education:** - Bachelor's Degree in Engineering or Science field **Highly Preferred Education:** - Hold an ASQ, RABQSA / Exemplar Global or equivalent Lead Auditor Certification **Required Work Experience:** - 5+ years of manufacturing process experience - 5+ years of related quality assurance and quality auditing experience - Tenured audit experience with demonstrated proficiency performing FM Approvals conformity assessment audits **Highly Preferred Work Experience:** - Process control experience is preferred - ISO 9001, 17020, 17025 and/or 17065 experience **Required Skills:** - Possess a working knowledge of FM Approvals, its business processes, policies and procedures, governance practices, and regulatory obligations - Demonstrate proficiency in applying audit principles, skills, and techniques of varying degrees of complexity - Demonstrate effective time management skills by completing assignments within allocated time budgets and calendar schedules while handling multiple tasks - Complete tasks independently, seeking guidance from senior auditors or management as needed - Solid familiarity with concepts related to Approval/Certification/Quality Control Programs - Excellent interpersonal, oral, and written communication skills - Possess critical thinking, analytical and problem-solving skills - Microsoft Office Suite computer literacy - Ability to use and understand various measurement tools (pressure gauges, calipers, voltmeters, etc.) - Ability to read, interpret and understand critical dimensions within engineering technical drawings - Ability to take direction and work with minimal supervision - Must be self-motivated with excellent organizational skills - Ability to obtain and assess objective evidence throughout the audit while acting impartially - Observe, document, and evaluate audit observations while effectively managing customer interactions during the audit process The hiring range for this position is $72,160-$103,700 annually. The final salary offer will vary based on individual education, skills, and experience. The position is eligible to participate in FM's comprehensive Total Rewards program that includes an incentive plan, generous health and well-being programs, a 401(k) and pension plan, career development opportunities, tuition reimbursement, flexible work, time off allowances and much more. FM is an Equal Opportunity Employer and is committed to attracting, developing, and retaining a diverse workforce.
    $72.2k-103.7k yearly 6d ago
  • Audit & Reimbursement II- Appeals

    Carebridge 3.8company rating

    Auditor Job In Wilmington, DE

    Audit & Reimbursement II-Appeals . National Government Services is a proud member of Elevance Health's family of brands. We administer government contracts for Medicare and partner with the Centers for Medicare and Medicaid Services to transform federal health programs. The Audit and Reimbursement II will support our Medicare Administrative Contract (MAC) with the federal government (The Centers for Medicare and Medicaid Services (CMS) division of the Department of Health and Human Services). Under guided supervision, the Audit and Reimbursement II will gain experience on the Medicare cost report and Medicare Part A Reimbursement. They will receive training to participate in contractual workload, along with opportunities to participate on special projects. This position provides a valuable opportunity to gain experience in auditing and financial analysis within a growing healthcare industry. This position allows for educational opportunities leading to certifications and promotes a well-balanced lifestyle that includes professional networking opportunities. How you will make an impact: * Analyze and interprets data and makes recommendations for change based on their judgment and experience. * Prepare detailed work papers and present findings in accordance with Government Auditing Standards (GAS) and CMS requirements. * Gain experience with applicable Federal Laws, regulations, policies and audit procedures. * Respond timely and accurately to customer inquiries. * Ability to multi- task while independently and effectively prioritizing work using time management, initiative, project management and problem-solving skills. * Perform cost report desk reviews. * Analyze and interpret data per a provider's trial balance, financial statements, financial documents, or other related healthcare records. * Perform cost report reopenings. * Under guided supervision, participate in completing appeals related work: * Position papers * Jurisdictional Reviews * Maintaining accurate records by updating all logs, case files, tracking systems * Participate in all team meetings, staff meetings, and training sessions Minimum Requirements: * Requires a BA/BS degree in Finance/Accounting/Business. * This position is part of our NGS (National Government Services) division which, per CMS TDL 190275, requires foreign national applicants meet the residency requirement of living in the United States at least three of the past five years. Preferred Skills, Capabilities, and Experiences: * Degree in Accounting preferred. * Knowledge of CMS program regulations and cost report format preferred. * Knowledge of CMS computer systems and Microsoft Office Word and Excel strongly preferred. * MBA, CPA or CIA preferred. * Must obtain Continuing Education Training requirements (where required). * A valid driver's license and the ability to travel may be required. If this job is assigned to any Government Business Division entity, the applicant and incumbent fall under a `sensitive position' work designation and may be subject to additional requirements beyond those associates outside Government Business Divisions. Requirements include but are not limited to more stringent and frequent background checks and/or government clearances, segregation of duties principles, role specific training, monitoring of daily job functions, and sensitive data handling instructions. Associates in these jobs must follow the specific policies, procedures, guidelines, etc. as stated by the Government Business Division in which they are employed. For candidates working in person or remotely in the below location(s), the salary* range for this specific position is $53,580 to $84,600 Locations: Maryland, Minnesota, Nevada and New York In addition to your salary, Elevance Health offers benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). The salary offered for this specific position is based on a number of legitimate, non-discriminatory factors set by the Company. The Company is fully committed to ensuring equal pay opportunities for equal work regardless of gender, race, or any other category protected by federal, state, and local pay equity laws. * The salary range is the range Elevance Health in good faith believes is the range of possible compensation for this role at the time of this posting. This range may be modified in the future and actual compensation may vary from posting based on geographic location, work experience, education and/or skill level. Even within the range, the actual compensation will vary depending on the above factors as well as market/business considerations. No amount is considered to be wages or compensation until such amount is earned, vested, and determinable under the terms and conditions of the applicable policies and plans. The amount and availability of any bonus, commission, benefits, or any other form of compensation and benefits that are allocable to a particular employee remains in the Company's sole discretion unless and until paid and may be modified at the Company's sole discretion, consistent with the law. Please be advised that Elevance Health only accepts resumes for compensation from agencies that have a signed agreement with Elevance Health. Any unsolicited resumes, including those submitted to hiring managers, are deemed to be the property of Elevance Health. Who We Are Elevance Health is a health company dedicated to improving lives and communities - and making healthcare simpler. We are a Fortune 25 company with a longstanding history in the healthcare industry, looking for leaders at all levels of the organization who are passionate about making an impact on our members and the communities we serve. How We Work At Elevance Health, we are creating a culture that is designed to advance our strategy but will also lead to personal and professional growth for our associates. Our values and behaviors are the root of our culture. They are how we achieve our strategy, power our business outcomes and drive our shared success - for our consumers, our associates, our communities and our business. We offer a range of market-competitive total rewards that include merit increases, paid holidays, Paid Time Off, and incentive bonus programs (unless covered by a collective bargaining agreement), medical, dental, vision, short and long term disability benefits, 401(k) +match, stock purchase plan, life insurance, wellness programs and financial education resources, to name a few. Elevance Health operates in a Hybrid Workforce Strategy. Unless specified as primarily virtual by the hiring manager, associates are required to work at an Elevance Health location at least once per week, and potentially several times per week. Specific requirements and expectations for time onsite will be discussed as part of the hiring process. Candidates must reside within 50 miles or 1-hour commute each way of a relevant Elevance Health location. The health of our associates and communities is a top priority for Elevance Health. We require all new candidates in certain patient/member-facing roles to become vaccinated against COVID-19 and Influenza. If you are not vaccinated, your offer will be rescinded unless you provide an acceptable explanation. Elevance Health will also follow all relevant federal, state and local laws. Elevance Health is an Equal Employment Opportunity employer and all qualified applicants will receive consideration for employment without regard to age, citizenship status, color, creed, disability, ethnicity, genetic information, gender (including gender identity and gender expression), marital status, national origin, race, religion, sex, sexual orientation, veteran status or any other status or condition protected by applicable federal, state, or local laws. Applicants who require accommodation to participate in the job application process may contact ******************************************** for assistance. Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state, and local laws, including, but not limited to, the Los Angeles County Fair Chance Ordinance and the California Fair Chance Act.
    $53.6k-84.6k yearly 6d ago
  • Audit & Reimbursement II- Appeals

    Elevance Health

    Auditor Job In Wilmington, DE

    Audit & Reimbursement II-Appeals . National Government Services is a proud member of Elevance Health's family of brands. We administer government contracts for Medicare and partner with the Centers for Medicare and Medicaid Services to transform federal health programs. The Audit and Reimbursement II will support our Medicare Administrative Contract (MAC) with the federal government (The Centers for Medicare and Medicaid Services (CMS) division of the Department of Health and Human Services). Under guided supervision, the Audit and Reimbursement II will gain experience on the Medicare cost report and Medicare Part A Reimbursement. They will receive training to participate in contractual workload, along with opportunities to participate on special projects. This position provides a valuable opportunity to gain experience in auditing and financial analysis within a growing healthcare industry. This position allows for educational opportunities leading to certifications and promotes a well-balanced lifestyle that includes professional networking opportunities. How you will make an impact: * Analyze and interprets data and makes recommendations for change based on their judgment and experience. * Prepare detailed work papers and present findings in accordance with Government Auditing Standards (GAS) and CMS requirements. * Gain experience with applicable Federal Laws, regulations, policies and audit procedures. * Respond timely and accurately to customer inquiries. * Ability to multi- task while independently and effectively prioritizing work using time management, initiative, project management and problem-solving skills. * Perform cost report desk reviews. * Analyze and interpret data per a provider's trial balance, financial statements, financial documents, or other related healthcare records. * Perform cost report reopenings. * Under guided supervision, participate in completing appeals related work: * Position papers * Jurisdictional Reviews * Maintaining accurate records by updating all logs, case files, tracking systems * Participate in all team meetings, staff meetings, and training sessions Minimum Requirements: * Requires a BA/BS degree in Finance/Accounting/Business. * This position is part of our NGS (National Government Services) division which, per CMS TDL 190275, requires foreign national applicants meet the residency requirement of living in the United States at least three of the past five years. Preferred Skills, Capabilities, and Experiences: * Degree in Accounting preferred. * Knowledge of CMS program regulations and cost report format preferred. * Knowledge of CMS computer systems and Microsoft Office Word and Excel strongly preferred. * MBA, CPA or CIA preferred. * Must obtain Continuing Education Training requirements (where required). * A valid driver's license and the ability to travel may be required. If this job is assigned to any Government Business Division entity, the applicant and incumbent fall under a `sensitive position' work designation and may be subject to additional requirements beyond those associates outside Government Business Divisions. Requirements include but are not limited to more stringent and frequent background checks and/or government clearances, segregation of duties principles, role specific training, monitoring of daily job functions, and sensitive data handling instructions. Associates in these jobs must follow the specific policies, procedures, guidelines, etc. as stated by the Government Business Division in which they are employed. For candidates working in person or remotely in the below location(s), the salary* range for this specific position is $53,580 to $84,600 Locations: Maryland, Minnesota, Nevada and New York In addition to your salary, Elevance Health offers benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). The salary offered for this specific position is based on a number of legitimate, non-discriminatory factors set by the Company. The Company is fully committed to ensuring equal pay opportunities for equal work regardless of gender, race, or any other category protected by federal, state, and local pay equity laws. * The salary range is the range Elevance Health in good faith believes is the range of possible compensation for this role at the time of this posting. This range may be modified in the future and actual compensation may vary from posting based on geographic location, work experience, education and/or skill level. Even within the range, the actual compensation will vary depending on the above factors as well as market/business considerations. No amount is considered to be wages or compensation until such amount is earned, vested, and determinable under the terms and conditions of the applicable policies and plans. The amount and availability of any bonus, commission, benefits, or any other form of compensation and benefits that are allocable to a particular employee remains in the Company's sole discretion unless and until paid and may be modified at the Company's sole discretion, consistent with the law. Job Level: Non-Management Exempt Workshift: 1st Shift (United States of America) Job Family: AFA > Audit, Comp & Risk Please be advised that Elevance Health only accepts resumes for compensation from agencies that have a signed agreement with Elevance Health. Any unsolicited resumes, including those submitted to hiring managers, are deemed to be the property of Elevance Health. Who We Are Elevance Health is a health company dedicated to improving lives and communities - and making healthcare simpler. We are a Fortune 25 company with a longstanding history in the healthcare industry, looking for leaders at all levels of the organization who are passionate about making an impact on our members and the communities we serve. How We Work At Elevance Health, we are creating a culture that is designed to advance our strategy but will also lead to personal and professional growth for our associates. Our values and behaviors are the root of our culture. They are how we achieve our strategy, power our business outcomes and drive our shared success - for our consumers, our associates, our communities and our business. We offer a range of market-competitive total rewards that include merit increases, paid holidays, Paid Time Off, and incentive bonus programs (unless covered by a collective bargaining agreement), medical, dental, vision, short and long term disability benefits, 401(k) +match, stock purchase plan, life insurance, wellness programs and financial education resources, to name a few. Elevance Health operates in a Hybrid Workforce Strategy. Unless specified as primarily virtual by the hiring manager, associates are required to work at an Elevance Health location at least once per week, and potentially several times per week. Specific requirements and expectations for time onsite will be discussed as part of the hiring process. Candidates must reside within 50 miles or 1-hour commute each way of a relevant Elevance Health location. The health of our associates and communities is a top priority for Elevance Health. We require all new candidates in certain patient/member-facing roles to become vaccinated against COVID-19 and Influenza. If you are not vaccinated, your offer will be rescinded unless you provide an acceptable explanation. Elevance Health will also follow all relevant federal, state and local laws. Elevance Health is an Equal Employment Opportunity employer, and all qualified applicants will receive consideration for employment without regard to age, citizenship status, color, creed, disability, ethnicity, genetic information, gender (including gender identity and gender expression), marital status, national origin, race, religion, sex, sexual orientation, veteran status or any other status or condition protected by applicable federal, state, or local laws. Applicants who require accommodation to participate in the job application process may contact ******************************************** for assistance. Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state, and local laws, including, but not limited to, the Los Angeles County Fair Chance Ordinance and the California Fair Chance Act.
    $53.6k-84.6k yearly 6d ago
  • Auditor

    360 It Professionals 3.6company rating

    Auditor Job In Wilmington, DE

    This is Sushil Singh from 360 IT Professionals Inc. We are based in Fremont, California that offers complete technology services in IT staffing, Mobile development, Web development and Cloud computing . 360 IT Professionals work along with its clients to deliver high-performance results, based exclusively on the one of a kind requirement. Job Description Essential functions of the position include: Perform audits of evidentiary documentation provided by claimants such as invoices, sales journals, general ledgers, bank statements and inventory entries to determine compliance with tax laws and regulations. Assess and explain requirements to claimants. Information gathering through investigative interviews and documentation acquisition. Attention to detail to ensure compliance with all applicable laws, rules, regulations and policies, as well as to ensure quality of work submitted. Technical skills to interpret laws, rules, regulations and policies. Application of GAAP principals in the analysis of taxpayer records. Verbal communication skills to communicate effectively and reliably. Computer skills to create, manipulate and enhance digital files and information within a variety of standardized computer operating systems. Readiness and willingness to learn new computer programs and corresponding enhancements to existing programs already in use. Customer relations and customer service, internal and external to the agency. Additional Information If interested, Kindly share your resume to sushil@360itpro,com or call me on 510-254-3300 Ext. 138
    $50k-71k yearly est. 60d+ ago
  • Audit Supervisor

    Herbein & Company 3.6company rating

    Auditor Job In Reading, PA

    Herbein + Company, Inc. is a leading regional certified public accounting firm that is 200+ employees strong and growing. We pride ourselves on our client service, ideas and proactive advice and solutions. As a regional firm, we strive to be a collaborator that satisfies both an economic need and develops long-term relationships with our clients. We have an opening for an Audit Supervisor to join our firm's audit group in one of the following offices: Reading, PA; Spring House, PA; or Pittsburgh, PA. Responsibilities include, but are not limited to: Supervise multiple engagements independently (audit planning, fieldwork, and wrap up) Assist managers on all aspects of audit engagements Assist with some review of work papers and the completed reports to ascertain that both meet the firm's standards Anticipate problems before submission for final partner review Evaluate internal controls Handle complex audit engagements Development and develop audit documents, work papers, and preparation of client documents Proactively interact with clients to gather information, resolve audit-related problems, make recommendations, etc Help others develop professionally through coaching Requirements: Bachelor's Degree in accounting or related finance degree CPA, or working towards certification 5-7 years of current or recent audit experience in public accounting Personable, ambitious and looking for a career path opportunity Successful at fostering strong relations built on trust and credibility Ability to manage multiple projects/task on a timely basis while monitoring time spent Adept at meeting challenging client requirements and deadlines Excellent verbal, written and interpersonal communication skills Detail focused and driven to achieve high standards Must be able to work overtime to meet client needs beyond regularly scheduled work day (evenings and weekends) A Valid Driver's License is required Must be able to travel by car for day and overnight trips - estimated at 40% of the time Highlights of Our Rewards Programs: Competitive Salary Immediate eligibility for medical, dental, vision, and disability insurances 401(k) participation (we have profit sharing contributions too) 16 weeks of Parental Leave which includes 4 weeks paid for new Mothers and Fathers Generous vacation and sick time policies Career Path Development Opportunities Direct client contacts and continuous opportunities for practice development Learning and Development programs that include 100% reimbursement / payment for CPE Financial assistance for attaining CPA license 100% reimbursement for civic dues Valuing our Employees: Genuine concern for employees' work / life management Flexible work schedules Summer Hours Program - all offices close at noon on Fridays late April through Labor Day Firm sponsored and paid events to spend time having fun and enjoying our co-workers Programs to provide employee recognition for service and work well done Herbein + Company, Inc. won Inavero's Best of Accounting™ Award for providing superior service to their clients. The Best of Accounting Award winners have proven to be industry leaders in service quality based completely on the ratings given to them by their clients. When asked if they are likely to recommend Herbein + Company, Inc., over 88% of those surveyed said they would, as compared to the industry average of 43%. Herbein + Company is an equal opportunity employer. All applicants will be considered for employment without attention to race, color, religion, sex, sexual orientation, gender identity, gender expression, national origin, veteran or disability status.
    $77k-107k yearly est. 60d+ ago
  • Auditor- Internal Audit

    Adapthealth LLC

    Auditor Job In Conshohocken, PA

    Requirements Competency, Skills and Abilities: Technical · A bachelor's degree in accounting, finance, or related business field. CPA or CIA preferred. · Minimum of 1 years of experience. Big 4 Public Accounting experience preferred. Public company experience required. · Strong knowledge and experience with US GAAP, SOX, and SEC reporting. · Excellent computer skills with advanced proficiency in Excel, Access, Word, and Power Point. · Excellent written and presentation skills coupled with strong interpersonal skills. Personality · Adept at multi-tasking; one who thrives in an environment of rapid change. · Analytical, with attention to detail and accuracy. · Highly motivated, enthusiastic, curious, and dynamic professional. · Articulate. Open communicator, inquisitive, and not afraid to challenge. · Demonstrates sense of urgency and ability to work independently and under tight deadlines. · Understands business implications of decisions. · Strong drive, dedication, and work ethic. · Unwavering commitment to ethics, objectivity, and independence in conducting audit activities. Education and Experience Requirements: · A bachelor's degree in accounting, finance, or related business field. CPA or CIA preferred. · Minimum of 1 year of experience. Big 4 Public Accounting experience preferred. Public company experience required. · Strong knowledge and experience with US GAAP, SOX, and SEC reporting. · Experience developing and maintaining policies, procedures, accounting systems, and internal controls. · Excellent computer skills with advanced proficiency in Excel, Access, Word, and Power Point. · Excellent written and presentation skills coupled with strong interpersonal and demonstrated ability to lead strong and effective teams. Physical Demands and Work Environment: AdaptHealth is a dynamic organization currently experiencing growth and change. This will results in the need for the ideal candidate to be flexible with this changing environment
    $56k-78k yearly est. 7d ago
  • Internal Auditor

    Byheart 3.2company rating

    Auditor Job In Reading, PA

    ByHeart is an infant nutrition company built from the ground up to deliver real innovation on behalf of babies and parents. Our mission is simple: make the best formula in the world. That's why we studied the latest breast milk science, worked directly with suppliers we know and trust, set uncompromising quality standards, developed our own small batch blending process, built our own manufacturing facilities, and conducted a groundbreaking clinical trial. Our goal is to create a future where all parents feel amazing about feeding their baby-no matter how they do it. When we launched our Whole Nutrition Infant Formula in March 2022, we were the first new U.S infant formula manufacturer in 15 years. Since then, we've been leading the way in a lot of ways. We're… The only U.S.-made infant formula to use organic, grass-fed whole milk The first and only U.S. infant formula company to add the two most abundant proteins found in breast milk-alpha-lac and lactoferrin-to our ingredients list The first infant formula company to receive Clean Label Project's Purity Award (and we test for 700 contaminants vs the required 400) We ran the largest clinical trial by a new infant formula brand in 25 years-clinically proving our benefits vs a leading infant formula like: Less spit up Softer poops Easier digestion More efficient weight gain Enhanced nutrient absorption Longer stretches between nighttime feeds* ByHeart has rapidly emerged as a leader in infant nutrition, fortifying the domestic supply chain by owning end-to-end manufacturing in 3 US facilities and ranking in the top 10% of the U.S. infant formula category within just one year. Strategic partnerships with retailers like Walmart and Whole Foods have expanded access to their premium, science-backed formula, now available in over 70% of U.S. stores. With >$400M in funding, we're shifting the industry forward-and this is just the beginning. Help us build a future where all parents can feel amazing about feeding, by joining our growing team of >300 people that stretches across the country. We're proud to offer competitive, family-first benefits, including but not limited to: Health insurance for the whole family: medical, dental, & vision insurance covered 100%, with 90% coverage for your family. Flexible paid time off: plus 12+ company holidays, and 2 floating holidays to use at your discretion! 16-weeks of fully-paid parental leave and new parent support: free 1-year supply of formula, cozy feeding suites, and paid pumping time. Up to 6% 401(k) Match to help you plan for your future. Company equity for every employee: because when we succeed, we succeed together! Visit our site to learn more, and check out some recent press on ByHeart: Entrepreneur: The Illusion of the Shelf - The Driving Force Behind Infant Formula Shortages, and What Needs to Change Forbes: A Startup Wanted To Make A Better Baby Formula. It Took Five Long Years. Business Insider: ByHeart Announces Published Data in a Scholarly Journal on Benefits of The Novel High Quality Protein Blend in Their Groundbreaking Next-Generation Easy to Digest Infant Formula Axios: Infant formula maker ByHeart raises $95 million BabyCenter: 2024 Best formula for Breastfed Babies New Modern Mom: The Clean Formula Moms Are Loving *based on data from infants at approximately 4 months of age Role Description Reports To: Regulatory Compliance Manager Location: ByHeart Facility (Reading, PA) Start Date: ASAP The Quality Internal Auditor is responsible for ensuring the company is adhering to all GMPs, FDA Regulations and Guidelines, state, federal, and local laws applicable to the business. Role Responsibilities Responsible for ensuring quality systems, processes, and good manufacturing practices related activities are within compliance. Executes a systematic approach to conducting audits, presenting the findings, and recommending changes to procedures or practices that are not in compliance. Providing technical assistance to implement a plan to address such changes, as needed. Assist with inspection readiness activities for third party and regulatory audits. Provides support during third party and regulatory audits. Assist with the development of programs, workflows, and standard operating procedures for the Internal Audit program. Management of cloud-based audit management system. Schedules and conducts internal audits. Assist in managing and maintaining the Supplier qualification program, including TraceGains systems, associated documentation, approved supplier list, and risk assessments. Assists in preparing and reviewing audit reports. Analyze potential risks within the facility in order to avoid compliance issues. Responsible for reviewing progress toward closure of audit findings and reporting the progress to appropriate management weekly and monthly. Performs follow-up on all supplied information in order to perform verification checks on proposed corrective actions and CAPAs. Ensures timely completion of commitments from regulatory agency inspections and partner audits related to audit programs. Assists in completing department related Change Controls, CAPAs and Deviations, as needed. Reviews and evaluates Internal responses to determine acceptability of the response and any applicable CAPA plans. Performs follow up activity to ensure effective CAPA implementation that resolves and documents issues pertaining to the internal, third party and regulatory audits. Assist in additional Quality Assurance and Regulatory Compliance jobs as needed. Skills & Qualifications Bachelor's degree in related professional technical or life sciences degree. Substitution of experience may be accepted. 3-5 years of related experience, must include knowledge of an FDA regulated environment. Extensive experience in conducting internal audits. Experience in dealing with regulatory authorities desired. Strong knowledge of all applicable Good Manufacturing Practice regulations and guidelines. Ability to reason logically, analyze and evaluate data and information, and draw appropriate conclusions. Understanding of the company operations and practices. Demonstrated technical writing skills with the ability to write clearly and concisely conveying the information precisely to the findings and recommendations required. Advanced level of written and oral communication skills with the ability to obtain, clarify, or give factual information, interpret instructions, and record data. Ability to build and maintain effective business partner relationships with varied levels of staff. Active listening skills demonstrating the ability to give full attention to what others are saying, understanding the points being made, and asking the appropriate questions during the audit process. Demonstrated analytical and interpretive skills with the ability to examine processes, identify assumptions, and gather details accurately. Ability to understand levels of potential risks and how to address those risks. Strong attention to detail. Ability to study/review complicated things and explain them. You will be eligible for a discretionary performance based annual cash bonus and to participate in our company's equity program, plus our robust medical, dental, vision, retirement, and other benefits. We are an equal opportunity employer and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability status, protected veteran status, or any other characteristic protected by law.
    $59k-81k yearly est. 10h ago

Learn More About Auditor Jobs

How much does an Auditor earn in Caln, PA?

The average auditor in Caln, PA earns between $37,000 and $91,000 annually. This compares to the national average auditor range of $35,000 to $84,000.

Average Auditor Salary In Caln, PA

$58,000
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