Auditor

• Support audits assessing risks and controls over AI and agentic capabilities embedded in business processes
• Evaluate how company and customer data is used by AI tools and connected platforms
• Assist Senior Auditors and Audit Managers/Senior Managers with planning and general team functions
• Assist with planning, fieldwork, and reporting throughout the audit life cycle
• Develop understanding of Salesforce’s business model, processes, systems, and controls, and influence positive change
• Apply project management best practices, including project plans, charters, and task management
• Build relationships with process owners to understand and document operations and the internal control environment
• Develop and execute audit testing procedures evaluating the design and operating effectiveness of internal controls
• Use AI and generative-AI tooling to accelerate audit planning, testing, and documentation while applying human review and AI governance controls
• Identify opportunities to automate repetitive audit test procedures and improve testing efficiency through data analytics and AI
• Prepare audit work papers documenting test steps, results, and recommendations
• Deliver audit and project tasks within deadlines and according to global audit methodologies
• Manage issue follow-up and closure for open Management Action Plans
• Stay abreast of internal and external best practices and introduce them to the company
• Demonstrate Salesforce’s values and highest ethical standards

Technology Auditor – Internal Audit

• Operate as a contract team member for ABS Group Consulting
• Receive additional training and support the American Petroleum Institute (API)
• Perform Quality Management Systems (QMS) audits of manufacturing and oil and natural gas service organizations
• Perform technical audits against product specifications, performance criteria, management systems, and contract requirements
• Travel to and from audit locations and work at assigned operational-area locations
• Perform audits and related technically oriented services in varied environmental and worksite conditions

API Auditor

• Oversee delivery of IT and AI audit engagements against budgets, timelines, and quality expectations
• Guide staff auditors on workload management
• Lead audit planning and scoping, identifying technology risks and critical controls
• Develop detailed audit programs with specific procedures and testing approaches
• Conduct complex testing in high-risk IT and AI environments
• Assess cloud platforms and emerging technologies underpinning AI systems
• Evaluate cloud-native controls, third-party service provider risks, and infrastructure configurations
• Identify, analyze, and document audit findings, root causes, impacts, and systemic implications
• Draft audit issues and compile test exceptions for audit reports
• Serve as primary point of contact for technology and AI audit clients
• Communicate IT and AI risks and control strengths and concerns to peers, supervisors, and clients
• Partner with Data Analytics to leverage advanced analytics and identify patterns and anomalies
• Coach and mentor staff auditors on IT, AI, and cybersecurity concepts
• Maintain current expertise in IT, AI governance, cybersecurity, and regulatory frameworks
• Manage relationships across technology and business functions

Senior IT Auditor

• Perform itemized bill review, chart review, and coding validation
• Verify billed services and procedures were performed, covered, ordered, documented, and reimbursed according to policies and provider contracts
• Evaluate coding, charging, and reimbursement for inpatient hospital and outpatient facility services
• Use proprietary auditing systems to document audit findings and rationale
• Review appeals and redeterminations using approved clinical and coding guidelines
• Analyze appeal documentation and document appeal determinations
• Prepare case files and case summaries for hearings
• Participate in virtual and on-site hearings
• Achieve productivity and quality standards
• Cross-train to review multiple claim types
• Assist management with training, monitoring, mentoring, feedback, and education for new Coding Auditors
• Maintain current coding guideline knowledge and complete required CEUs
• Attend training and scheduled meetings

Lead Coding Auditor, Itemized Bill Review and Appeals

• Conduct detailed reviews of medical records, claims, and supporting documentation to determine the accuracy and appropriateness of assigned ICD-10-CM, CPT, HCPCS Level II, and modifiers
• Apply contract-specific review methodologies to identify coding discrepancies, billing errors, reimbursement inaccuracies, and compliance concerns
• Evaluate documentation to ensure coding assignments are supported and compliant with applicable regulatory and payer requirements
• Accurately document audit findings, rationale, and recommendations using proprietary audit and case management systems
• Provide comprehensive coding and reimbursement determinations supported by clinical documentation, coding guidelines, payment methodologies, and regulatory requirements
• Perform ongoing quality assurance audits of coding and clinical review staff
• Interpret and apply official coding guidelines, CMS regulations, NCCI edits, OPPS requirements, EAPG methodologies, APC payment policies, and ASC reimbursement guidelines
• Assess auditor and reviewer performance against quality benchmarks and productivity standards
• Identify process improvement opportunities and recommend corrective actions
• Participate in inter-rater reliability activities and quality calibration sessions
• Assist in developing quality monitoring processes, audit tools, and review protocols
• Serve as a subject matter expert on outpatient coding, reimbursement methodologies, and payment integrity principles
• Achieve productivity and quality performance standards established by management

Lead Associate, Outpatient Coding Quality Auditor

• Perform comprehensive audits within skilled home health, hospice, and behavioral health agencies
• Ensure compliance with Medicare and Medicaid regulations
• Audit ICD-10 coding, OASIS, Value Based Purchasing (VBP), Care Compare, and clinical documentation
• Support quality outcomes and keep healthcare teams operational
• Report to the Manager of Quality Assurance

Auditor jobs in Texas

Technology Auditor – Internal Audit

API Auditor

Senior IT Auditor

Lead Coding Auditor, Itemized Bill Review and Appeals

Lead Associate, Outpatient Coding Quality Auditor

Clinical Quality Auditor