- Valley View (Glenwood Springs, CO)
- …View Hospital is seeking a qualified individual to work as a full-time Billing Auditor in our Patient Financial Services department. This is a REMOTE position! The ... objectives of this position are to: coordinate Commercial billing, ensuring clean claims are sent out; demonstrate extensive methodology and knowledge to produce… more
- Solugenix (Los Angeles, CA)
- Financial Compliance Auditor III, Claims Los Angeles, CA (Remote) 3-Month Contract Job ID 25-09703 Solugenix is assisting a client, a health insurance company, ... in their search for a Financial Compliance Auditor III, Claims . This is a 3-month...Manager of Financial Compliance. These assignments may include claims data reporting in the Online Monitor Tool (OMT),… more
- Lucky Vitamin (Bloomingdale, IL)
- …OSHA ready. Partners with HR Business Partners to manage work compensation claims . Partners with recruiting on pre-employment functional testing to ensure new ... and safety policies and procedures (SPP). Reports ALL workplace incidents to a manager immediately. Communicates concerns to a manager , reports hazards, and… more
- Berkley (Manassas, VA)
- …doing business "Ridiculously Fast. Amazingly Easy." Responsibilities As an Accounting Manager , you will oversee the finance operations team, ensuring efficient ... Be a highly effective user of all financial systems, policy and claims systems, and corporate platforms and tools. Identify and coordinate the resolution… more
- 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
- Prime Therapeutics (Denver, CO)
- …It fuels our passion and drives every decision we make. **Job Posting Title** Pharmacy Claims Auditor - Remote **Job Description** The Pharmacy Claims ... Auditor is responsible for the selection and auditing of claims , educating Prime's network pharmacies and driving contract compliance, and supporting downstream … 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
- 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
- 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 Senior Auditor will be required to: Utilize analytical and...communicate flawlessly with Merchandising and Vendors to successfully resolve claims and recover all vendor funding dollars due AutoZone.… 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
- 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 (Seattle, WA)
- **Diagnosis Related Group Clinical Validation Auditor -RN** **Virtual:** This role enables associates to work virtually full-time, with the exception of required ... Friday 8AM -5PM (local time) The **Diagnosis Related Group Clinical Validation Auditor ** 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 (Grand Prairie, TX)
- **Clinical Provider Auditor II** **Supports the Payment Integrity line of business** **Hybrid 1:** This role requires associates to be in-office **1-2** days per ... 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
