- Washington Metropolitan Area Transit Authority (Washington, DC)
- …all types and complexities. The incumbent reports to the Supervisory Auditor /Audit Manager with minimum supervision. **ESSENTIAL** **FUNCTIONS** + Participates ... timely audit reports involving complex audit issues for review with Supervisory Auditor /Audit Manager . + Leads and participates in conferences with Contracting… more
- CHS (Clearwater, FL)
- **Overview** ** ** ** Claims and Call Auditor (Call Center QC) - Clearwater, FL** ** ** **Summary** The Claims & Call Auditor audits processed medical ... claims and calls and provides feedback to their Manager . + Maintains up-to-date working knowledge on regulatory requirements...and lifting up to thirty (30) pounds. ** ** ** Claims and Call Auditor (Call Center QC)… more
- Commonwealth of Pennsylvania (PA)
- …OF WORK As a Field Auditor 3, you will be assisting the Compliance Manager in developing fiscal compliance work programs to be used for the review of provider ... Field Auditor 3 (Local Government) - Allegheny Co Support...attach a copy of your college transcripts for your claim to be accepted toward meeting the minimum requirements.… more
- Prime Therapeutics (San Diego, CA)
- …passion and drives every decision we make. **Job Posting Title** Onsite Pharmacy Auditor (based in California) **Job Description** The Onsite Pharmacy Auditor ... pharmacy audits and is responsible for the selection and auditing of claims , educating Prime's network pharmacies and driving contract compliance, and supporting… more
- AutoZone, Inc. (Memphis, TN)
- …the team, providing insight to VF team members on best practices and unique claim . Responsible for drafting own correspondence for Manager review. Assist direct ... The Sr. Auditor Recovery Auditor will be required...communicate flawlessly with Merchandising and Vendors to successfully resolve claims and recover all vendor funding dollars due AutoZone.… more
- Elevance Health (Grand Prairie, TX)
- …claim identification, and documentation purposes (eg, letter writing). + Identifies new claim types by identifying potential claims outside of the concept ... **DRG CODING AUDITOR ** **_Virtual_** **_: _** _ _ __ _This...auditing inpatient medical records and generating high quality recoverable claims for the benefit of the company, for all… more
- Elevance Health (Miami, FL)
- …using medical charts, medical notes, and provider contracts. + Verifies dollar amount on claim is correct in claims system and writes report of the findings ... **Provider Auditor ** _This position will work a hybrid model...itemized bills and providers contracts to ensure that a claim is paid in accordance with the contract, provider… more
- Elevance Health (Indianapolis, IN)
- …provider management team by presenting preliminary review results. + Verifies dollar amount on claim is correct in claims system and writes report of the ... **Provider Auditor ** **Location** : Indianapolis, IN **Field:** This field-based...itemized bills and providers contracts to ensure that a claim is paid in accordance with the contract, provider… more
- The County of Los Angeles (Los Angeles, CA)
- LAW ENFORCEMENT AUDITOR Print (https://www.governmentjobs.com/careers/lacounty/jobs/newprint/4668332) Apply LAW ENFORCEMENT AUDITOR Salary $109,807.68 - ... law enforcement operations. This classification acts as a project manager and is distinguished by its role in providing...No 10 In the execution of the Law Enforcement Auditor duties, you will have to make site visits… more
- General Motors (Washington, DC)
- **Job Description** The individual Dealer Auditor reviews the administration of General Motors policies and procedures as provided in the Dealer Sales and Service ... This review may include dealership practices relative to warranty claims and policy claims . These claims...must comply with specific rules and policies. The Dealer Auditor completes audits onsite at a dealership location and… more
- Henry Ford Health System (Troy, MI)
- GENERAL SUMMARY: Reporting to the Manager , Revenue Integrity, the Revenue Integrity Auditor must have a comprehensive understanding of medical terminology, ... charge entry, and healthcare revenue cycle processes. The Revenue Integrity (RI) Auditor provides support for timely, accurate and inclusive charge capture, coding,… more
- Elevance Health (Denver, CO)
- **Diagnosis Related Group Clinical Validation Auditor -RN** **Virtual:** This role enables associates to work virtually full-time, with the exception of required ... granted as required by law. The **Diagnosis Related Group Clinical Validation Auditor -RN** is responsible for auditing inpatient medical records to ensure clinical… more
- Boar's Head Brand/Frank Brunckhorst Co., LLC (Sarasota, FL)
- …Boars Head Brand. Complete special projects as assigned by the Sr. QA Manager . Job Description: Essential Duties and Responsibilities + Provide advanced super user ... COAs, Allergen forms, Weight & Tare, any other product claims , etc.), as applicable. + Perform Food Safety &...able to attend a training course. + Serve Safe Manager Certification or be able to attend a training… more
- Elevance Health (Mason, OH)
- **Clinical Provider Auditor II** **Supports the Payment Integrity line of business** _Location:_ **Virtual:** This role enables associates to work virtually ... recover, eliminate and prevent unnecessary medical-expense spending. The **Clinical Provider Auditor II** is responsible for identifying issues and/or entities that… more
- Sharp HealthCare (San Diego, CA)
- …and employer business practices. **What You Will Do** The Compliance Coding Auditor is responsible for the administration of the Sharp HealthCare's (SHC's) ... Functions** + Coding ComplianceCompliance Coding and Billing AuditsThe Compliance Coding Auditor has the primary responsibility of performing all audits and chart… more
- Highmark Health (Harrisburg, PA)
- …and ensures compliance with DRG/APC structure and regulatory requirements. Performs periodic claim form reviews to check code transfer accuracy from the abstracting ... and research related to special projects and providing coverage for coding manager (s). (10%) + Depending on location provides or arranges for education/training of… more
- Covenant Health Inc. (Knoxville, TN)
- Overview Inpatient Coding Auditor and Educator, Centralized Coding Full-Time, 80 Hours per pay period, Day Shift Covenant Health Overview: Covenant Health is East ... initiative and independent judgment. Reports to the Corporate Coding Manager or CFO of CMG as appropriate. Recruiter: Susanna...+ Reviews information from third party payers relative to claims charging, coding, and billing in order to ensure… more
- Boar's Head Brand/Frank Brunckhorst Co., LLC (Brooklyn, NY)
- …you will assist with special projects as directed by the Senior QA Manager . Job Description: Essential Duties and Responsibilities + Conduct Food Safety and Product ... product specifications, allergen forms, weight and tare information, and other product claims , as applicable. + Maintain accurate supplier information in the QMS… more
- City and County of San Francisco (San Francisco, CA)
- …effective operations within the Commission. Auditors also play a key role in reviewing claims for public financing to ensure that City funds are only distributed to ... and in accordance with program requirements. This position reports to the Audit Manager and is responsible for leading audits and other projects. As with all… more
- City of New York (New York, NY)
- …30-30 Thomson Ave, LIC, Queens 11101 As the City's primary capital construction project manager , we build many of the civic facilities New Yorkers use every day. We ... 4500 payment requests annually. DDC seeks a Capital Payment Auditor to review and process these payment requisitions. To...(in FMS3); and adjust payment voucher(s) due to liens, claims and assignments. The candidate will use the DDC… more