- Memorial Healthcare System (Hollywood, FL)
- …Office applications and utilizing a computerized encoder and electronic medical record systems . Required Work Experience: For inpatient coding auditor , three (3) ... Works closely with inpatient and outpatient coding managers to analyze and resolve claim denials that are rejected by edits from the Revenue Cycle Department.… more
- SCAN (Long Beach, CA)
- …follow us on LinkedIn, Facebook, and Twitter. The Job The Senior Internal Auditor position reports directly to the Internal Audit Manager. The successful candidate ... as well as health plan specific processes including member enrollment, billing, and claim processing is a plus. Proven hands-on ability to perform basic to… more
- Optum (San Juan, PR)
- …(or facility) claims vs. medical records to determine if the claim is supported or unsupported Maintain standards for productivity and accuracy. Standards are ... . Positions in this function investigates Optum Waste and Error stopped claims by gathering information, researching state and federal guidelines, and following… more
- County of San Mateo, CA (San Mateo, CA)
- …that the work requires not only process knowledge, but also analytical and systems development skills in addition to a strong accounting theoretical knowledge. They ... are further distinguished from the Internal Auditor series in that the latter classes perform internal...unsecured, impounded, redeemed, and other taxes. Review and approve claims for referral of tax, grant, or other monies… 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 ... downstream claim corrections and eliminate potential waste. **Responsibilities** + Validate claim documentation and systems data to ensure claim was… more
- CHS (Clearwater, FL)
- **Overview** ** ** ** Claims and Call Auditor (Call Center QC) - Clearwater, FL** ** ** **Summary** The Claims & Call Auditor audits processed medical ... Current Procedural Terminology (CPT) and Healthcare Common Procedure Coding System (HCPCS) to determine proper category for benefit code...and lifting up to thirty (30) pounds. ** ** ** Claims and Call Auditor (Call Center QC)… more
- UCLA Health (Los Angeles, CA)
- …to the next level. You can do all this and more at UCLA Health. The Claims Quality Auditor will be responsible for the daily audit of all examiners assigned ... to the auditor . You will review claims (paid, pending,...+ Computer proficiency with Microsoft Office + Knowledge of claims adjudication systems + Flexibility and adaptability… more
- Insight Global (Los Angeles, CA)
- Job Description Insight Global is looking for a Sr. Financial Compliance Auditor for one of the largest health systems in the country. This person will be ... work independently and collaboratively In-depth knowledge of healthcare regulations and claims processing systems Reliable transportation for off-site audits… more
- Centers Plan for Healthy Living (Staten Island, NY)
- …including basic analysis of identified trends. + Analyzes audit results to recommend system or procedural changes to increase claim accuracy and/or identify ... Responsible for the auditing functions of Centers Plan for Healthy Living (CPHL) claims . Collaborates with other Health plan departments and Management to ensure … more
- UC Health (Cincinnati, OH)
- …to advance healing and reduce suffering. As the region's adult academic health system , we strive for innovation and provide world-class care for not only our ... an inclusive, equitable and diverse place of employment. The Charge Master Auditor is responsible for executing charge related audits. They assist in evaluating… more
- Commonwealth of Pennsylvania (PA)
- …risk. Levels of Performance Select the Level of Performance that best describes your claim . + A. I have experience performing system testing to ensure ... Auditor 1 Print (https://www.governmentjobs.com/careers/pabureau/jobs/newprint/5004985) Apply Auditor...attach a copy of your college transcripts for your claim to be accepted toward meeting the minimum requirements.… more
- Planned Parenthood of Central and Western NY (Rochester, NY)
- Billing Auditor for Shared Services Fully Remote * Rochester, Buffalo, or Syracuse, NY * Revenue Cycle Description Billing Auditor for Shared ServicesBuffalo, ... of PPCWNY's mission and the collaboration with Shared Services, the Billing Auditor evaluates Revenue Cycle outcomes to identify and recommend opportunities for… more
- Prime Therapeutics (San Diego, CA)
- …procedures and objectives + Leverage professional pharmacy technician knowledge to validate claim documentation and systems data while onsite to ensure ... passion and drives every decision we make. **Job Posting Title** Onsite Pharmacy Auditor (based in California) **Job Description** The Onsite Pharmacy Auditor … more
- Henry Ford Health System (Troy, MI)
- …SUMMARY: Reporting to the Manager, Revenue Integrity, the Revenue Integrity Auditor must have a comprehensive understanding of medical terminology, coding, charge ... entry, and healthcare revenue cycle processes. The Revenue Integrity (RI) Auditor provides support for timely, accurate and inclusive charge capture, coding, billing… more
- New York State Civil Service (Brooklyn, NY)
- NY HELP Yes Agency Taxation & Finance, State Title Auditor 1 (Tax)/ Auditor Trainee 1 (Tax)/ Auditor Trainee 2 (Tax) (NY HELPS) Occupational Category ... City Brooklyn State NY Zip Code 11201 Duties Description Auditor 1 (Tax) performs on-site field audits and examinations...and advocate disputed cases at BCMS conferences and Small Claims Hearings. May participate at hearings as a witness… more
- New York State Civil Service (Syracuse, NY)
- NY HELP Yes Agency Taxation & Finance, State Title Auditor 1 (Tax)/ Auditor Trainee 1 (Tax)/ Auditor Trainee 2 (Tax) (NY HELPS) Occupational Category ... authority;* Represent CID and advocate disputed cases at BCMS conferences and Small Claims Hearings; may participate at hearings as a witness for the Department to… 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...quality assurance environment preferred. + Broad knowledge of medical claims billing/payment systems provider billing guidelines, payer… 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 Inpatient Coding Auditor performs inpatient encounter audits and evaluates compliance related...related activities and services provided by the BayCare Health System HIM Coding Department. + Interacts directly with coders,… more
- Elevance Health (Indianapolis, IN)
- …with provider management team by presenting preliminary review results. + Verifies dollar amount on claim is correct in claims system and writes report of ... **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
- UPMC (Pittsburgh, PA)
- …coding/classification systems appropriate for inpatient /outpatient, DRG prospective payment system or office setting E/M codes. + Experience in an academic ... **Join UPMC Corporate Compliance as an Intermediate Compliance Auditor !** Are you passionate about ensuring accuracy and compliance in healthcare documentation and… more
