- Boar's Head Brand/Frank Brunckhorst Co., LLC (Sarasota, FL)
- …desired. + Auditor Certification preferred (ie American Society for Quality - Certified HACCP Auditor , Certified Quality Auditor , Certified ... CAPAs, Nutritional Documents, COAs, Allergen forms, Weight & Tare, any other product claims , etc.), as applicable. + Perform Food Safety & Product Quality audits at… more
- Boar's Head Brand/Frank Brunckhorst Co., LLC (Brooklyn, NY)
- …required. + Auditor Certification required (ie American Society for Quality - Certified Food Safety & Quality Auditor , Certified Supplier Quality ... product specifications, allergen forms, weight and tare information, and other product claims , as applicable. + Maintain accurate supplier information in the QMS… more
- Army National Guard Units (Camp Douglas, WI)
- …of business law; A certificate as Certified Public Accountant or a Certified Internal Auditor , obtained through written examination; or Completion of the ... provide transcripts or other documentation to support your Educational claims . To receive credit for Education, you must provide...include one of the following: A certificate as a Certified Internal Auditor or a Certified… more
- 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
- Atlantic Health System (Morristown, NJ)
- …+ Follows up with providers as needed until documentation improves + Assists with claim denial reports to ensure optimal reimbursement + Serves as a resource to the ... office staff, providers, and billing department + Provides clarification on coding and compliance policies + CPC Certification + Minimum 6 months experience in similar role highly preferred + High School Diploma, College a plus + Work Experience in the… more
- LA Care Health Plan (Los Angeles, CA)
- … Certified Public Accountant (CPA) Certified Management Accountant (CMA) Certified Internal Auditor (CIA) Certified Fraud Examiner (CFE) Additional ... Senior Health Plan Auditor Job Category: Accounting/Finance Department: Financial Compliance Location:...and corrective action plans monitoring of financial solvency and claims processing compliance for specialty health plans and vendors.… 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
- 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 ... standard audit procedures examine records and documents that support claims submitted to Medicaid for reimbursement for goods or...a Certified Public Accountant license; or a Certified Internal Auditor certificate, as described in… more
- Army National Guard Units (Camp Douglas, WI)
- …of business law; A certificate as Certified Public Accountant or a Certified Internal Auditor , obtained through written examination; or Completion of the ... of business law; A certificate as Certified Public Accountant or a Certified Internal Auditor , obtained through written examination; or Completion of the… 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
- 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 ... medical coding and auditing, preferably in an ambulatory service center setting. * Certified Coder (CPC) or Certified Coding Specialist (CCS) certification is… more
- Planned Parenthood of Central and Western NY (Rochester, NY)
- …of education and experience + Certified Professional/Medical Coder or Certified Professional Medical Auditor desired Experience- + Minimum three years ... Billing Auditor for Shared Services Fully Remote * Rochester,...70% Auditing and Corrective Action + Evaluates charge capture, claims scrubbing and sliding fee discount practices to ensure… 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 ... - Physician-based (CCS-P), or additional specialty certifications (eg, CPMA ( Certified Professional Medical Auditor ) Disclaimer Qualified applicants will… more
- Rush University Medical Center (Chicago, IL)
- …* Strong communication and organizational skills. **Preferred Job Qualifications:** * Certified Professional Medical Auditor (CPMA) and/or Surgical Coding ... a key role in the Revenue Integrity team, the Auditor & Educator is responsible for conducting reviews of...and/or reduce denials. 3. Reviews charge information submitted by certified coders, claim forms, and insurance correspondence… more
- Highmark Health (Oklahoma City, OK)
- … Certified Professional Coder (CPC), Certified Outpatient Coder (COC), Certified Professional Medical Auditor (CPMA) + 5 years with hospital or ... and ensures compliance with DRG/APC structure and regulatory requirements. Performs periodic claim form reviews to check code transfer accuracy from the abstracting… more
- City of New York (New York, NY)
- …relating to cost allocation. The Finance Office is recruiting for one (1) Management Auditor II to function as an Administrative Claims Preparer who will: - ... submitted to State Agencies by using the NYS Automated Claim System (ACS). Claims for Federal and...New York State Education Department; or (C) a valid Certified Internal Auditor certificate issued by the… more
- The City of Rochester, MN (Rochester, MN)
- …systems, preferably JD Edwards. Certifications Certified Public Accountant (CPA), Certified Internal Auditor (CIA), or Certified Management Accountant ... equipment cost allocations, maintain fixed assets schedules and review claim vouchers. + Prepare and/or adjust various accounting journal...(CFE) + Certified Financial Planner (CFP) + Certified Internal Auditor (CIA) + Enrolled Agent… 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 ... plus.** **No Licensing required** **PRIMARY PURPOSE** **:** To monitor claims colleague technical activities at a claim ...monitor claims colleague technical activities at a claim file level by conducting audit with a focus… more
- Commonwealth of Pennsylvania (PA)
- Field Auditor 2 (Local Government) - Allegheny County Support Administration Print (https://www.governmentjobs.com/careers/pabureau/jobs/newprint/4928466) Apply ... Field Auditor 2 (Local Government) - Allegheny County Support Administration...attach a copy of your college transcripts for your claim to be accepted toward meeting the minimum requirements.… more
- Commonwealth of Pennsylvania (PA)
- Field Auditor 3 (Local Government) - Allegheny Co Support Admin Print (https://www.governmentjobs.com/careers/pabureau/jobs/newprint/4962984) Apply Field ... Auditor 3 (Local Government) - Allegheny Co Support Admin...federal regulations and policies + Supervising accurate and complete Certified Audit reviews + Training Compliance Officers on regulations… more