- Solugenix (Los Angeles, CA)
- Financial Compliance Auditor III, Claims Los Angeles, CA ( Remote /Hybrid) 3-Month Contract (Possibility of conversion to a permanent position) Job ID 25-09703 ... out of Los Angeles, CA ( Remote /Hybrid). The Financial Compliance Auditor III Claims is responsible for various tasks within the Financial Compliance Unit,… more
- CareFirst (Baltimore, MD)
- …of BlueCard-related transactions in a specific area of operations (ie, claims , customer service) within the organization. Incumbent conducts a variety of ... audit activities which may include, but not be limited to, process audits where there is a technology component, and operational audits involving internal and/or external process and procedures. In addition, the incumbent is responsible for ensuring QA testing… more
- WTW (Chicago, IL)
- **Description** As a Lead Auditor you will apply your audit, project management and client management skills to lead client audits. You will serve as the team leader ... will review discrepancy issues identified by field auditors, re-adjudicate claims , resolve open issues, and draft the final report....work in a "hybrid" style, with a mix of remote , in-person and in-office interactions dependent on the needs… more
- NTT DATA North America (Decatur, IL)
- …executed as part of an overall sourcing strategy. NTT DATA currently seeks a Claims Auditor to join our team for a remote position. 100% Remote , Client ... of Direct Hire Pay Rate $21-$22/hr **Position Summary:** The Claims Auditor position reports to the Chief...for specific roles. The starting hourly range for this remote role is ($21.00-$22/hourly). This range reflects the minimum… more
- NTT DATA North America (Decatur, IL)
- …currently seeks a Utilization Management Coordinator to join our team for a remote position. 100% Remote , Client provides equipment Temporary Role - Duration ... Summary:** The Utilization Management Coordinator reports to the Director of Claims . This position is responsible for coordinating the appeal activities and… more
- Amergis (Los Angeles, CA)
- Salary: $50 / Hour Must Haves: + Primary Responsibility: OP Claim Edits - Must have extensive experience in this area + Audit Hospital Based Same Day Surgery with ... Observation Cases (maybe some ED) + Educating Coders + Trauma I & Teaching Hospital Experience (REQUIRED) + 2+ years of recent Auditing Experience + 3+ years of Coding Experience + EPIC & 3M 360 (REQUIRED) + AHIMA or AAPC (REQUIRED) + FLU SHOT AND TB… more
- ManpowerGroup (Vienna, VA)
- …organization. **Job Title:** Bank and Corporate Owned Life Insurance (BOLI/COLI) Auditor **Location: Remote ** **Pay Range:** $70.00/hour - $80.00/hour **What's ... seeking a Bank and Corporate Owned Life Insurance (BOLI/COLI) Auditor to join their team. As a Bank and...policies. + Conduct thorough audits of life and death claims to verify accuracy, completeness, and compliance with company… more
- CareFirst (Baltimore, MD)
- …of BlueCard-related transactions in a specific area of operations (ie, claims , customer service) within the organization. Incumbent conducts a variety of ... audit activities which may include, but not be limited to, process audits where there is a technology component, and operational audits involving internal and/or external process and procedures. In addition, the incumbent is responsible for ensuring QA testing… more
- McLaren Health Care (Shelby Township, MI)
- …and efficiency in physician documentation, code assignment, data collection, and claims processing. 3. Performs retrospective, random, and focused audits of coding ... cases to ensure correct coding, legal compliance, and complete charge capture. 4. Evaluates the proper assignment of procedure, modifier, and diagnosis codes to professional services to validate accuracy and compliance. 5. Reports quality results, tracking and… more
- Sedgwick (Annapolis, MD)
- …Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Attorney Auditor ** **This is a fully remote position, and candidates residing ... United States are encouraged to apply. As an Attorney Auditor at Sedgwick, you'll have the opportunity to take...other roles.** **Sedgwick is the world's leading risk and claims administration partner, which helps clients thrive by navigating… more
- BayCare Health System (Tampa, FL)
- …AM to 3:30 PM + **Days:** Monday - Friday The **Inpatient** **Coding Auditor ** is a full-time remote position. _Sign on bonuses available!_ **Responsibilities** ... the Tampa Bay area. **Position Details:** + **Location:** Fully Remote (must reside in the state of Florida, Georgia,...+ The Inpatient Coding Auditor performs inpatient encounter audits and evaluates compliance related… more
- Commonwealth Care Alliance (Boston, MA)
- 011250 CCA- Claims Hiring for One Year Term **_This position is available to remote employees residing in Massachusetts. Applicants residing in other states will ... Summary:** Working under the direction of the Sr. Director, TPA Management and Claims Compliance, Healthcare Medical Claims Coding Sr. Analyst will be… more
- Trinity Health (Albany, NY)
- …Risk Adjustment Coding Specialist -St. Peter's Health Partners - Full-time - Remote **POSITION PURPOSE:** The Risk Adjustment Coding Specialist works in a team ... diagnoses assigned in the EHR by the providers to claims being submitted for their services. Using billing system.... Identify coding discrepancies and work with risk adjustment auditor to communicate deficiencies to providers. **Core Values:** .… more
- Ventura County (Ventura, CA)
- …9/80 workweek) may be available for some positions. + Telework Schedule - A remote hybrid telework schedule may be available for some positions. + Vacation Accrual - ... on schedule; prepares quarterly status reports; calculates allocation to the Auditor -Controller for fund accounting purposes; maintains accounting records for audit… more
- US Pacific Fleet (CA)
- …You will be required to obtain and maintain a current ISO 9000:2008 Internal Auditor certification. + You will be required to wear personal protective equipment such ... duty station to CONUS and OCONUS and may include remote or isolated sites. You must be able to...see what is allowed and what is required. Any claims you make in your resume or assessment questionnaire… more
- DoorDash (San Francisco, CA)
- …us continuously improve how we manage litigation at scale. This is a remote position based in the San Francisco Bay Area, with occasional in-office expectations ... requirements + Collaborate closely with outside counsel, in-house attorneys, claims professionals, and safety teams to move cases forward...Notice to Applicants for Jobs Located in NYC or Remote Jobs Associated With Office in NYC Only We… more
- DoorDash (San Francisco, CA)
- …business by managing corporate insurance programs and mitigating risk across Actuarial, Claims Operations, and Risk Management & Mitigation. We operate at the ... cross-functionally to drive compliance and resilience. This role is remote -friendly within the US, with a preference for candidates...The Covey tool has been reviewed by an independent auditor . Results of the audit may be viewed here:… more
- Duke Energy (Indianapolis, IN)
- …work, and competitive pay and benefits. This position serves as the Locates Auditor and assists with the direct oversight of locate functions including billing, ... and external/internal customer questions regarding locates activity. Assist the Claims Department with interpretation and supporting documentation for underground… more
- DoorDash (Tempe, AZ)
- …of DoorDash operations through adjudication of background checks and insurance claims , investigation of safety incidents, and implementation of quality measures for ... Notice to Applicants for Jobs Located in NYC or Remote Jobs Associated With Office in NYC Only We...The Covey tool has been reviewed by an independent auditor . Results of the audit may be viewed here:… more
- DoorDash (New York, NY)
- …to connect messaging to downstream metrics, from comprehension to NPS to claims behavior. + Brings strong cross-functional leadership and a track record of ... Notice to Applicants for Jobs Located in NYC or Remote Jobs Associated With Office in NYC Only We...The Covey tool has been reviewed by an independent auditor . Results of the audit may be viewed here:… more
