Junior Billing Compliance Auditor

Junior Billing Compliance Auditor
Remote (Mexico, Colombia or Peru) | Full-time | U.S. Eastern Time hours

About the role
A U.S. healthcare organization focused on mental health and social services is hiring a Junior Billing Compliance Auditor to join its Corporate Compliance team. You’ll work alongside the team’s billing auditors, reviewing health records and billing for the organization’s programs to make sure services are properly documented and billed according to state and federal regulations.

What you’ll do

• Conduct recurring audits of health records and billing, checking whether the documentation supports what was billed and follows the applicable regulations.

• Document audit findings clearly and prepare audit deliverables, such as claims review summaries, corrective action plan reports and claim reversal spreadsheets.

• Research and interpret healthcare regulations and keep track of regulatory updates.

• Support fraud, waste and abuse investigations, including document review, evidence gathering and staff interviews.

• Help prepare compliance trainings and materials.

• Manage several audits at the same time, keeping work organized and on schedule.

What we’re looking for

• Bachelor’s degree.

• Around 1 to 5 years of experience in compliance, auditing, quality assurance, investigations or any role reviewing documents against rules or regulations.

• Professional English, with the ability to write clear reports and communicate with U.S. teams.

• Strong attention to detail and the ability to support findings with evidence.

• Organized, comfortable handling sensitive conversations, and quick to learn new rules and systems.

Nice to have

• Experience in healthcare, especially billing, claims, medical records or utilization review.

• Auditing experience, such as Big Four, internal audit or internal controls.

• Experience supporting investigations.

• Familiarity with U.S. healthcare regulations (Medicaid, CMS, HIPAA) or with an EHR system.

• A degree in health, public health or public administration.

Details

• 100% remote, full-time, 35 hours per week, Monday to Friday, 9:00 AM to 5:00 PM U.S. Eastern Time.

• Long-term role through an Employer of Record, with local benefits, holidays and PTO.

• The organization’s EHR system will be taught on the job, so no prior experience with it is needed.