Auditor

• Conduct routine and impartial audits/investigations from start to closure into fraud, waste, and abuse allegations
• Collect and analyze data and information to assess allegation validity
• Review documentation and interview witnesses, claimants, and other stakeholders
• Identify opportunities to proactively target fraud, waste, and abuse
• Address customer inquiries and concerns and escalate matters as needed
• Compile organized records and document all findings
• Prepare recommendations for management and comprehensive reports for legal or audit/investigative purposes
• Communicate findings, updates, and expectations to customers, claimants, and stakeholders
• Coordinate with internal teams to ensure proper processing in compliance with legal and regulatory standards
• Assist with training and supporting other auditors/investigators
• Plan and arrange own work while working with a manager to prioritize projects

Field Auditor/Investigator II

• Conduct routine and impartial audits/investigations from start to closure into fraud, waste, and abuse allegations
• Collect data and information for USDA SNAP Retailer investigations
• Review documentation and analyze data to assess allegation validity
• Identify opportunities to proactively target fraud, waste, and abuse
• Provide accurate recommendations to management for resolution and closure
• Document and input findings and prepare comprehensive reports for legal or audit/investigative purposes
• Address customer inquiries and concerns and escalate audits/investigations as needed
• Compile detailed, organized records while ensuring legal and regulatory compliance
• Conduct interviews with witnesses, claimants, and other stakeholders
• Communicate with internal teams to ensure proper processing of audits/investigations
• Communicate findings to customers, claimants, and stakeholders, managing expectations and providing updates
• Assist with training and supporting other auditors/investigators
• Plan and arrange own work while working with the manager to prioritize projects

• Conduct routine and impartial audits/investigations from start to closure into fraud, waste, and abuse allegations
• Collect data and information for USDA SNAP Retailer investigations
• Address customer inquiries and concerns and escalate audits/investigations as needed
• Compile detailed and organized records of audit/investigation findings
• Create and implement strategies to identify and prevent fraudulent activities
• Interview witnesses, claimants, and other stakeholders
• Communicate with internal teams to ensure proper processing of audits/investigations
• Communicate findings to customers, claimants, and stakeholders, managing expectations and providing updates
• Provide training and support to other auditors/investigators
• Plan and arrange own work while working with the manager to prioritize projects
• Prepare comprehensive reports for legal or audit/investigative purposes
• Provide accurate recommendations to management for resolution and closure

• 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

• Conduct coding audits of submitted outpatient facility and professional claims
• Review billing accuracy and compliance with third-party carrier billing and coding procedures
• Coordinate with revenue cycle teams to investigate rejected or denied claims
• Assist with claim corrections and appeals through inter-departmental collaboration
• Use Microsoft Office Suite to produce correspondence, charts, spreadsheets, and related information
• Maintain knowledge of medical coding and healthcare market changes
• Gather and analyze claims and medical records information to assess documentation findings and outcomes
• Draft payer appeals using nationally sourced coding guidelines
• Communicate coding expertise and audit outcomes internally and externally
• Perform other duties as required

Coding Denials Auditor

• Lead complex revenue integrity initiatives
• Serve as an internal consultant
• Drive enterprise-wide performance improvement efforts
• Analyze professional billing workflows
• Monitor performance metrics
• Assist departments and providers with revenue cycle education and issue resolution
• Support departments, clinics, and providers with education on professional billing, charging, coding, registration, referral, and authorization workflows
• Identify and analyze charging, coding, documentation, and billing trends impacting professional revenue
• Provide targeted education and recommendations to providers and departments
• Develop and present performance metrics and trend analyses to operational leaders
• Run and review standard reports and dashboards to identify improvement opportunities
• Support development and delivery of revenue cycle education and training programs
• Perform other duties as assigned

Revenue Integrity Liaison, Auditor – Educator

• Perform outpatient coding audit activities under indirect supervision
• Audit outpatient work types for accurate diagnoses, CPT, HCPCS, CCI edits, and modifier assignment
• Apply ICD-10-CM, CPT, HCPCS, CPT Assistant, Coding Clinic, CMS, and NCCI guidelines
• Participate in client system education to audit accounts against clinical documentation, coding/CDI guidelines, and regulatory standards
• Maintain documentation, spreadsheets, account examples, and claim examples of root-cause issues
• Research governmental, payer-specific, hospital-specific, regulatory, and literature requirements
• Make recommendations to clients regarding coding and billing requirements
• Assist with executive summary reports, education, and client coding companion training
• Meet productivity standards and coding certification requirements
• Attend coding conferences, workshops, and in-house sessions for coding and regulatory updates
• Provide organized, efficient customer service
• Travel to and work onsite at client, temporary, or corporate office locations as business needs require

Outpatient Coding Auditor

• Travel daily throughout a defined territory in a company-provided vehicle
• Conduct entry-level commercial energy audits for small and mid-sized facilities
• Meet with commercial and industrial business owners and operators
• Install energy efficiency measures
• Conduct pre- and post-installation verifications and technical data gathering
• Engage directly with customers and contractors to explain program offerings, encourage participation, and address basic questions
• Document inspections, installations, and customer interactions according to program requirements
• Perform on-site installations involving physical labor and basic tools
• Identify, troubleshoot, and escalate basic technical or installation issues
• Work in the field servicing customers Monday–Friday, 8AM–5PM Central Time, with schedule variations based on customer and site requirements

Commercial Energy Auditor

• Perform audit projects and consulting engagements following established methodology and within budgeted timeframes
• Independently prepare audit workpapers following Institute of Internal Audit and departmental standards
• Participate in audit planning, fieldwork, and reporting phases of engagements
• Identify audit issues and root causes
• Recommend improvements
• Ensure management develops and implements corrective action plans
• Communicate audit and consulting project results to management through written reports and oral presentations
• Evaluate the efficiency and effectiveness of Humana's operational processes
• Execute audit plans
• Prepare reports for management on risk audit results

Internal Auditor

• Verify merchandise and cash in Company stores by conducting physical counts using a handheld computer
• Notify store managers of incorrect prices and remove out-of-code merchandise
• Count and record cash, checks, food stamps, register contents, TACC tubes, and safe contents
• Verify money orders, lottery ticket inventory, and bank deposits
• Verify gasoline inventory by checking tanks and testing for water
• Conduct surveys to verify compliance with operational and financial procedures
• Follow safety procedures, rules, and regulations
• Work independently with little supervision
• Perform multiple tasks in a fast-paced environment
• Contribute to team efforts by completing related tasks

Auditor jobs in United States

Field Auditor/Investigator II

Field Auditor/Investigator II

Field Auditor/Investigator II

Technology Auditor – Internal Audit

Coding Denials Auditor

Revenue Integrity Liaison, Auditor – Educator

Outpatient Coding Auditor

Commercial Energy Auditor

Internal Auditor

Inventory Auditor