- UPMC (Pittsburgh, PA)
- …Inpatient Coder (CIC) + Certified Evaluation & Management Coder (CEMC) + Certified Professional Medical Auditor (CPMA) + Certified Professional Coder ... **Join UPMC Corporate Compliance as an Intermediate Compliance Auditor !** Are you passionate about ensuring accuracy and compliance in healthcare documentation and… more
- UPMC (Pittsburgh, PA)
- …Inpatient Coder (CIC) + Certified Evaluation & Management Coder (CEMC) + Certified Professional Medical Auditor (CPMA) + Certified Professional Coder ... **Join UPMC Corporate Finance as a Compliance Auditor , Associate!** Are you detail-oriented and passionate about ensuring compliance in healthcare? **UPMC Corporate… more
- Sedgwick (Indianapolis, IN)
- …Major in accounting field strongly preferred. Certified Public Accountant (CPA), Certified Internal Auditor (CIA) or certified Information Systems ... achieve. Newsweek Recognizes Sedgwick as America's Greatest Workplaces National Top Companies Certified as a Great Place to Work(R) Fortune Best Workplaces in… more
- MAPFRE Insurance (Webster, MA)
- …+ Bachelor's Degree required. Certified Public Accountant (CPA) designation, Certified Internal Auditor (CIA) designation or Certified Information ... Internal Auditor (Webster or Boston, MA) Date: Aug 24,...designation preferred + 1-2 years of insurance industry knowledge ( Claims , Underwriting, Insurance Operations, etc.)An understanding of internal audit… more
- City of New York (New York, NY)
- …or 2. A valid Certified Public Accountant License or a certificate as a Certified Internal Auditor and four years of full-time experience as indicated in "1" ... Job Description Only permanent Administrative Management Auditor and Incumbent employees are eligible to apply....with vendor contract and/or financial auditing, and auditing of claims for payment to assess their validity on a… more
- dsm-firmenich (Princeton, NJ)
- …B2C company required + Proven expertise in the field of internal audit; CIA ( Certified Internal Auditor ), CPA ( Certified Public Accountant), CFE ( ... a company where sustainability is much more than a claim and is core to our strategy and purpose....Certified Fraud Examiner) and/or CISA ( Certified Information Systems Auditor ) a strong plus… more
- Army National Guard Units (WI)
- …preferred. Certificates in the following desired but not required for the position: Certified Public Accountant, Certified Internal Auditor or Certified ... Level 2: THIS IS A FINANCIAL MANAGEMENT Level 2 Certified position designated as such in accordance with the...provide transcripts or other documentation to support your Educational claims . To receive credit for Education, you must provide… more
- Commonwealth of Pennsylvania (PA)
- Auditor 1 Print (https://www.governmentjobs.com/careers/pabureau/jobs/newprint/5057089) Apply Auditor 1 Salary $51,971.00 - $79,062.00 Annually Location *Home ... Audits, Liquor Control Board Operations is looking for an Auditor 1 to become part of a culture that...attach a copy of your college transcripts for your claim to be accepted toward meeting the minimum requirements.… more
- LA Care Health Plan (Los Angeles, CA)
- …any of the following Licenses/ Certifications: Certified Public Accountant (CPA) Certified Internal Auditor (CIA) Certified Management Accountant (CMA) ... data by delegates on a monthly basis to assign the annual claim processing and financial solvency audits, adherence to regulatory requirements. Manages complex… more
- City of New York (New York, NY)
- …license issued by the New York State Education Department; or (C) a valid Certified Internal Auditor certificate issued by the Institute of Internal Auditors ... independently audited financial statements. - Conducting reviews of monthly claims for reimbursement submitted by CBOs, as part of...a Certified Public Accountant license; or a Certified Internal Auditor certificate, as described in… more
- Elevance Health (Richmond, VA)
- …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
- 3M (Monroe, NC)
- …American Society for Quality-ASQ certification(s): Certified Quality Engineer (CQE), Certified Quality Auditor (CQA), Certified Manager of ... qualification, measurement system analysis, supplier management, regulatory compliance, and claim substantiation. The hire will also collaborate with manufacturing… more
- Sedgwick (Des Moines, IA)
- …achieve. Newsweek Recognizes Sedgwick as America's Greatest Workplaces National Top Companies Certified as a Great Place to Work(R) Fortune Best Workplaces in ... Financial Services & Insurance Independent Adjuster Auditor As an Independent Adjuster Auditor at...members to jointly meet production objectives/goals. **QUALIFICATIONS** + On-site claims adjusting experience and/or experience as a Claims… more
- Sedgwick (Annapolis, MD)
- …achieve. Newsweek Recognizes Sedgwick as America's Greatest Workplaces National Top Companies Certified as a Great Place to Work(R) Fortune Best Workplaces in ... Financial Services & Insurance Attorney Auditor ** **This is a fully remote position, and...other roles.** **Sedgwick is the world's leading risk and claims administration partner, which helps clients thrive by navigating… more
- HUB International (Chicago, IL)
- …success in mergers and acquisitions. **ABOUT THE ROLE** **Summary:** The PBM Auditor is responsible for conducting comprehensive audits of Pharmacy Benefit Managers ... (PBMs) to ensure contractual compliance, accurate claims processing, and proper financial management. This role involves in-depth data analysis, contract… more
- Elevance Health (Seattle, WA)
- **Diagnosis Related Group Clinical Validation Auditor -RN (CDI, MS-DRG, AP-DRG and APR-DRG)** **Virtual:** This role enables associates to work virtually full-time, ... granted as required by law. The **Diagnosis Related Group Clinical Validation Auditor -RN** is responsible for auditing inpatient medical records to ensure clinical… more
- Alphabroder (Middleboro, MA)
- …+ Process customer returns by sorting/inspecting/identifying product and updating items/quantities on claims in IRMS. Determine if claim is complete. Close/post ... update customer returns in FDM4. Determine if a new claim must be entered or if it is necessary...transfers). + Putaway product that has been processed through claims . + Adhere to established safety regulations and company… more
- FlexStaff (Chappaqua, NY)
- **Req Number** 165727 FlexStaff Compliance Auditor - Hybrid position- Chappaqua, NY- $105K *THIS IS A HYBRID POSITION- YOU MUST RESIDE LOCALLY* Are you passionate ... a meaningful impact? FlexStaff is seeking a detail-oriented and experienced Compliance Auditor to join our client's dynamic team! This hybrid position offers the… more
- Aramco Services Company (Houston, TX)
- OVERVIEW: This position serves as the in-charge auditor on large, complex and sensitive internal auditing assignments. Audits are directed at reviewing internal ... researches evidence/documents to analyze the overall fact pattern of claim and synthesize data into a professional report with...work of several assistants, including some who will be certified public accountants. Must possess good work habits, a… more
- Commonwealth Care Alliance (Boston, MA)
- … Professional Coder (CPC) + Certified Inpatient Coder (CIC) + Certified Professional Medical Auditor (CPMA) **Desired Education (nice to have):** + ... all of the required certification OR willing to get certified within 1 year of employment - + ...claims management, coding rules and guidelines, and evaluating/analyzing claim outcome results for accurate industry standard coding logic… more