- Boar's Head Brand/Frank Brunckhorst Co., LLC (Sarasota, FL)
- …be able to attend a training course. + SQF or any other GFSI Scheme certification desired. + Auditor Certification preferred (ie American Society for Quality ... COAs, Allergen forms, Weight & Tare, any other product claims , etc.), as applicable. + Perform Food Safety &...- Certified HACCP Auditor , Certified Quality Auditor , Certified Supplier Quality… more
- Boar's Head Brand/Frank Brunckhorst Co., LLC (Brooklyn, NY)
- …Registrations + Valid Driver's License with acceptable motorist history required. + Auditor Certification required (ie American Society for Quality - Certified ... allergen forms, weight and tare information, and other product claims , as applicable. + Maintain accurate supplier information in...Food Safety & Quality Auditor , Certified Supplier Quality Professional and/or able to obtain… more
- Conduent (Dallas, TX)
- …a culture where individuality is noticed and valued every day. **Pharmacy Claims Auditor CPhT** **Do you have a CPhT certification ?** **Would you like to ... behalf of our healthcare payer clients. As a Pharmacy Claims Auditor CPhT, you will examine a...claim data. This is to ensure billed pharmacy claims are being accurately submitted. You will also be… more
- Sedgwick (Fayetteville, NC)
- …a Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Claims Compliance Auditor | Dedicated Client | Liability & Auto experience ... Workers Compensation a plus.** **No Licensing required** **PRIMARY PURPOSE** **:** To monitor claims colleague technical activities at a claim file level by… 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 ... above to see if any are required. If you claim membership, license, certification , or credentials, you...see what is allowed and what is required. Any claims you make in your resume or assessment questionnaire… more
- Commonwealth of Pennsylvania (PA)
- Auditor 1 Print (https://www.governmentjobs.com/careers/pabureau/jobs/newprint/4964738) Apply Auditor 1 Salary $50,836.00 - $77,321.00 Annually Location *Home ... of Audits, Liquor Control Board Operations is seeking an Auditor 1 to join our team of professionals. This...attach a copy of your college transcripts for your claim to be accepted toward meeting the minimum requirements.… more
- Elevance Health (Norfolk, VA)
- …documentation purposes (eg, letter writing) on lower level auditors. + Identifies new claim types by identifying potential claims outside of the concept where ... **DRG Coding Auditor Principal** _Virtual: This role enables associates to...Principal is responsible for auditing inpatient medical records on claims paid based on Diagnostic Relation Group (DRG) methodology,… more
- Rush University Medical Center (Chicago, IL)
- …each case. **Summary:** As a key role in the Revenue Integrity team, the Auditor & Educator is responsible for conducting reviews of EMR documentation of patient ... feedback and focused educational programs on the results of auditing, review claim denials pertaining to coding, and implement corrective action plans. Exemplifies… more
- Elevance Health (St. Louis, MO)
- …claim identification, and documentation purposes (eg, letter writing). + Identifies new claim types by identifying potential claims outside of the concept ... **DRG CODING AUDITOR ** **Location** : _This position will work virtually._...auditing inpatient medical records and generating high quality recoverable claims for the benefit of the company, for all… more
- Mohawk Valley Health System (Utica, NY)
- Coding Auditor & Educator - Full Time - Department: MEDICAL GROUP ADMINISTRATION Job Summary The Medical Group Coding Auditor and Educator is responsible for ... on coding best practices, documentation requirements, and payer-specific guidelines. The Auditor will apply expertise in coding principles, identify areas for… more
- ManpowerGroup (Vienna, VA)
- …of life insurance products + In-depth knowledge of life insurance products, claims processes, and regulatory compliance requirements. + Certification in ... 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
- Mohawk Valley Health System (Utica, NY)
- …+ Work with billing, compliance and revenue cycle teams to ensure proper claims submission and resolve coding-related claim rejections and denials. + Keep ... Supervisor Coding Auditor & Educator - Full Time - Days...with the ability to educate and train diverse audiences. Licensure/ Certification Requirements REQUIRED: + CPC (Certified Professional Coder), or… 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
- Humana (Jefferson City, MO)
- …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
- Covenant Health Inc. (Knoxville, TN)
- Overview Revenue Integrity Auditor Full Time, 80 Hours Per Pay Period, Day Shift In person training with work from home option, at Manager's discretion, after ... to ensure compliance. + Reviews information from third party payers relative to claims charging, coding, and billing in order to ensure compliance. + Performs… more
- Elevance Health (Hanover, MD)
- **Clinical Provider Auditor II** **Supports the Payment Integrity line of business** _Location:_ This field-based role enables associates to primarily operate in the ... recover, eliminate and prevent unnecessary medical-expense spending. The **Clinical Provider Auditor II** is responsible for identifying issues and/or entities that… more
- Robert Half Management Resources (Raleigh, NC)
- Description We are looking for an experienced Medical Coding Auditor to join our team on a contract basis in a fully remote capacity. In this role, you will be ... service center setting. * Certified Coder (CPC) or Certified Coding Specialist (CCS) certification is required. (ONE OF THESE ACTIVE LICENESES IS A MUST) * Strong… more
- Highmark Health (Oklahoma City, OK)
- …and ensures compliance with DRG/APC structure and regulatory requirements. Performs periodic claim form reviews to check code transfer accuracy from the abstracting ... as assigned. **QUALIFICATIONS:** Minimum + High school diploma / GED + Certification from American Academy of Professional Coders (AAPC) or American Health… more
- Northrop Grumman (CA)
- …+ Training in Geometric Dimensioning and Tolerancing (ANSI Y14.5M) + ASQ Lead Auditor , CQE, CQM Certification Salary Range: $81,300.00 - $121,900.00 The above ... supplied material defect occurrences and verification of supplied material defect claims + Lead on-site supplier engagements, including performance reviews and QMS… more
- McLaren Health Care (Indianapolis, IN)
- We are looking for a Special Investigative Unit Auditor to join us in leading our organization forward. McLaren Integrated HMO Group (MIG), a division of McLaren ... function. **Preferred:** + Bachelor's Degree in business, health care or related field. + Certification such as RHIT, RHIA, AHFI, CFE, CPMA or CPC. + Two (2) years'… more