- 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...Solugenix means more than just business-it means having a dedicated ally focused on your success in today's fast-evolving… more
- St. Luke's University Health Network (Allentown, PA)
- …Luke's are our most valuable asset! Individually and together, our employees are dedicated to satisfying the mission of our organization which is an unwavering ... The RN Clinical Review Appeals Specialist retrospectively reviews patient medical records, claims data and coding of all diagnosis and procedure codes to assure… more
- Conduent (Alexandria, VA)
- …where individuality is noticed and valued every day. **Pharmacist - Claims Auditor /Reviewer (Part-Time)** **Conduent Payment Integrity Solutions** **Are you ... Through our dedicated associates, Conduent delivers mission-critical services and solutions...behalf of major healthcare payers. As a **Pharmacist - Claims Auditor /Reviewer** , you'll apply your clinical… more
- UPMC (Pittsburgh, PA)
- …can make a significant impact? **UPMC Corporate Compliance ** is seeking a dedicated and detail-oriented **Intermediate Compliance Auditor ** to join our ... **Join UPMC Corporate Compliance as an Intermediate Compliance Auditor !** Are you passionate about ensuring...and HCPCS codes to ensure consistency and efficiency in claims processing, data collection, and quality reporting. . **Regulatory… more
- UPMC (Pittsburgh, PA)
- …ensuring compliance in healthcare? **UPMC Corporate Finance** is looking for a dedicated and meticulous ** Compliance Auditor , Associate** to join our ... **Join UPMC Corporate Finance as a Compliance Auditor , Associate!** Are you detail-oriented...DRG assignment appropriateness to ensure consistency and efficiency in claims processing, data collection, and quality reporting. + **Post-Audit… more
- Humana (Montgomery, AL)
- …Coding Quality Team is looking is an experienced and well-grounded medical coding auditor to quality review the inpatient hospital claims for proper ... this role, you will conduct quality reviews of coding processes within the Claims Cost Management organization, including offshore and vendor partners, with a focus… more
- Elevance Health (Grand Prairie, TX)
- …associated with fraud and abuse. **How you will make an impact:** + Examines claims for compliance with relevant billing and processing guidelines and identifies ... **Clinical Provider Auditor II** **Supports the Payment Integrity line of...prevention and control. + Reviews and conducts analysis of claims and medical records prior to payment and uses… more
- The County of Los Angeles (Los Angeles, CA)
- …health protection, water conservation, cultural activities and many more. We are dedicated professionals committed to preserving the dignity and integrity of the ... easements, licenses, joint developments, and property management, all in compliance with applicable laws (eg, California Environmental Quality Act), rules… more
