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Certified Medical Audit Specialist

38454920 C67b 4c10 B780 83e020626416 9200876338950 2 · Roanoke, VA, US, Roanoke, VA · Active · $60,000 / year · ADP Workforce Now Recruiting

Job facts

FieldValue
Company38454920 C67b 4c10 B780 83e020626416 9200876338950 2
TitleCertified Medical Audit Specialist
Normalized title-
Department / team-
LocationRoanoke, VA, United States
Work model-
Employment typeFull Time
Salary$60,000 / year
Statusactive
ATS providerADP Workforce Now Recruiting
Posted / first seen2026-02-13 / 2026-05-31
Changed / last seen2026-06-06 / 2026-06-06

Related slices

PageWhat it containsOpen
Company jobsActive postings from 38454920 C67b 4c10 B780 83e020626416 9200876338950 2.Open
Company breakdownsRole, location, ATS, and work model facets for this company.Open
ATS provider jobsActive postings observed through ADP Workforce Now Recruiting.Open
Provider filtered searchThe same provider as a filtered job collection.Open
City jobsActive postings in Roanoke.Open
Lifecycle eventsOpen, update, close, and reopen events for this posting.Open
Original postingCanonical source or apply URL captured from the ATS.Open

Linked records

Company38454920 C67b 4c10 B780 83e020626416 9200876338950 2
Source1b5f9326-6b57-40c9-8e78-eacab2d5e6c7
ATS providerADP Workforce Now Recruiting

Description

About the Role: We are seeking a highly skilled Certified Medical Audit Specialist to join our team. In this role, you will be responsible for conducting comprehensive audits of medical records, billing practices, and documentation to ensure accuracy, compliance, and optimal reimbursement. The ideal candidate is detail-oriented, analytical, and knowledgeable about healthcare regulations and payer requirements. Key Responsibilities: Perform detailed audits of medical records and billing data to ensure compliance with federal, state, and payer regulations. Verify accuracy of coding, documentation, and claim submissions. Identify patterns of incorrect coding, documentation gaps, or billing inconsistencies. Prepare clear, comprehensive audit reports and present findings to leadership and providers. Collaborate with clinical and administrative staff to educate on audit outcomes and corrective actions. Stay current on regulatory changes, coding updates, and industry standards. Recommend process improvements to reduce audit risk and enhance documentation quality. Support internal compliance initiatives and participate in targeted or random audit projects. Qualifications: Certification Preferred: Certified Medical Audit Specialist (CMAS) or equivalent. Proven experience in medical auditing, clinical documentation review, or healthcare compliance. Strong understanding of CPT, ICD-10-CM, HCPCS, and payer billing guidelines. Excellent analytical, organizational, and communication skills. Ability to work independently, manage multiple audits, and meet deadlines with accuracy. Proficiency with EHR systems, audit software, and Microsoft Office Suite. Preferred Skills: Experience in auditing within specialty practices (e.g., primary care, behavioral health, urgent care). Additional certifications (e.g., CPC, CPMA, RHIT, CCS) are a plus. Knowledge of Medicare, Medicaid, and commercial payer rules. Benefits: 401(k) 401(k) matching Dental insurance Flexible schedule Health insurance Life insurance Paid time off Vision insurance

Full job record

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Board ID1b5f9326-6b57-40c9-8e78-eacab2d5e6c7
Provideradp_workforcenow
Provider Job Key583344
TitleCertified Medical Audit Specialist
Normalized Title—
Statusactive
Activeyes
Location TextRoanoke, VA, US, Roanoke, VA
Department—
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Employment Typefull_time
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CountryUnited States
RegionVA
CityRoanoke
Salary RawUp to 60000.00 (USD) Annually
Salary Min0
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Salary Periodyear
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Apply URLhttps://workforcenow.adp.com/mascsr/default/mdf/recruitment/recruitment.html?cid=38454920-c67b-4c10-b780-83e020626416&ccId=9200876338950_2&lang=en_US&type=JS&jobId=583344&jwId=9201205127479_1
First Seen At2026-05-31 18:23:11Z
Last Seen At2026-06-06 12:23:30Z
Last Checked At2026-06-06 12:23:30Z
Last Changed At2026-06-06 12:23:30Z
Inactive At—
Source Posted At2026-02-13 15:03:00Z
Source Updated At—
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The ideal candidate is detail-oriented, analytical, and knowledgeable about healthcare regulations and payer requirements.</p><p style='margin-top:0in;margin-right:0in;margin-bottom:8.0pt;margin-left:0in;line-height:115%;font-size:16px;font-family:\"Aptos\",sans-serif;'><strong>Key Responsibilities:</strong></p><ul style=\"margin-bottom:0in;margin-top:0in;\" type=\"disc\"><li style='margin-top:0in;margin-right:0in;margin-bottom:8.0pt;margin-left:0in;line-height:115%;font-size:16px;font-family:\"Aptos\",sans-serif;'>Perform detailed audits of medical records and billing data to ensure compliance with federal, state, and payer regulations.</li><li style='margin-top:0in;margin-right:0in;margin-bottom:8.0pt;margin-left:0in;line-height:115%;font-size:16px;font-family:\"Aptos\",sans-serif;'>Verify accuracy of coding, documentation, and claim submissions.</li><li style='margin-top:0in;margin-right:0in;margin-bottom:8.0pt;margin-left:0in;line-height:115%;font-size:16px;font-family:\"Aptos\",sans-serif;'>Identify patterns of incorrect coding, documentation gaps, or billing inconsistencies.</li><li style='margin-top:0in;margin-right:0in;margin-bottom:8.0pt;margin-left:0in;line-height:115%;font-size:16px;font-family:\"Aptos\",sans-serif;'>Prepare clear, comprehensive audit reports and present findings to leadership and providers.</li><li style='margin-top:0in;margin-right:0in;margin-bottom:8.0pt;margin-left:0in;line-height:115%;font-size:16px;font-family:\"Aptos\",sans-serif;'>Collaborate with clinical and administrative staff to educate on audit outcomes and corrective actions.</li><li style='margin-top:0in;margin-right:0in;margin-bottom:8.0pt;margin-left:0in;line-height:115%;font-size:16px;font-family:\"Aptos\",sans-serif;'>Stay current on regulatory changes, coding updates, and industry standards.</li><li 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