- Commonwealth of Pennsylvania (PA)
- …management for the greater good with our team! DESCRIPTION OF WORK This Field Auditor 3 position assists the compliance manager in developing fiscal compliance ... Field Auditor 3 (Local Government) - Allegheny County Support...attach a copy of your college transcripts for your claim to be accepted toward meeting the minimum requirements.… more
- Universal Health Services (Riverside, CA)
- …of management, formally, or informally, either verbally or in writing). 1. Audit the Claim Examiners' batches daily, to ensure all claims were adjudicated in ... 2. Daily track and report both financial and clerical claims processing errors in the auditor Access...Access database program, and report all findings to the Manager . 3. Assist the Claims Examiners and… more
- Hackensack Meridian Health (Hackensack, NJ)
- …as a leader of positive change. The **Diagnosis Related Group (DRG) Auditor ** is responsible for auditing clinical documentation that supports code assignment for ... includes compliance with the Conditions of Participation for CMS. The DRG auditor is responsible for ensuring coding accuracy, coding consistency and efficiency in… more
- Commonwealth of Pennsylvania (PA)
- CDL Field Auditor (Administrative Officer 1) (BDL) Print (https://www.governmentjobs.com/careers/pabureau/jobs/newprint/4480927) Apply CDL Field Auditor ... of Driver Licensing is currently seeking a CDL Field Auditor to perform field work, which involves carrying out...audits is then reported to the CDL Third-Party Compliance Manager for further review and action if necessary. Field… more
- Universal Health Services (Richmond, VA)
- …The Atlantic Region CBO is seeking a dynamic and talented Nurse Auditor Team Lead. The Nurse Auditor Team Lead is responsible ... for working in conjunction with the Appeals Manager to coordinate the operational activities of the... to coordinate the operational activities of the nurse auditor 's workflow in the Appeals department. Key Responsibilities include:… more
- Sharp HealthCare (San Diego, CA)
- …and employer business practices. **What You Will Do** The Compliance Coding Auditor is responsible for the administration of the Sharp HealthCare's (SHC's) ... Functions** + Coding ComplianceCompliance Coding and Billing AuditsThe Compliance Coding Auditor has the primary responsibility of performing all audits and chart… more
- Rising Medical Solutions (Milwaukee, WI)
- …offices, providers, and case managers nationwide, RISING provides comprehensive medical claims solutions to our valued clients: insurance carriers, Fortune 1000 ... + Being the best, not the biggest The Role: The Senior Medical Bill Auditor will maximize savings for clients by accurately analyzing and processing medical bills… more
- Highmark Health (Jefferson City, MO)
- …and ensures compliance with DRG/APC structure and regulatory requirements. Performs periodic claim form reviews to check code transfer accuracy from the abstracting ... and research related to special projects and providing coverage for coding manager (s). (10%) + Depending on location provides or arranges for education/training of… more
- Covenant Health Inc. (Knoxville, TN)
- Overview Inpatient Auditor and Educator Full Time, 80 Hours Per Pay Period, Day Shift Covenant Health Overview: Covenant Health is East Tennessee's top-performing ... initiative and independent judgment. Reports to the Corporate Coding Manager . Recruiter: Kathleen Rice || ###@covhlth.com || ###...+ Reviews information from third party payers relative to claims charging, coding, and billing in order to ensure… more
- Insight Global (South Jordan, UT)
- Job Description Insight Global is seeking a Post Payment Auditor to join their client's team in Mexico City. This person is responsible for auditing post payment ... They may also be responsible for reviewing and documenting claims identified by Senior Auditors. They will respond to...READING ENGLISH. They will report directly to a US-based manager . The job will be performed 100% on-site in… more
- Covenant Health Inc. (Knoxville, TN)
- …latitude for initiative and independent judgment. Reports to the Corporate Coding Manager or CFO of CMG as appropriate. Recruiter: Sarah Grey ||###@covhlth.com|| ### ... + Reviews information from third party payers relative to claims charging, coding, and billing in order to ensure...coding and documentation changes and updates. Works with CDI Manager on annual coding updates. + Serves as a… more
- Vail Resorts (Breckenridge, CO)
- …dependents + Critical Illness and Accident plans **Job Summary:** Our Night Auditor will be responsible for total guest satisfaction from pre-arrival contact, ... _Entry_ **Job Responsibilities:** + Work with the Front Desk Manager , Front Office Manager and Director of...taken care of. + Handling any guest comments or claims providing exceptional service and resolution. + Function as… more
- LA Care Health Plan (Los Angeles, CA)
- Manager , Claims Job Category: Claims Department: Claims Integrity Location: Los Angeles, CA, US, 90017 Los Angeles, CA, US, 90017 Position Type: Full ... net required to achieve that purpose. Job Summary The Manager , Claims directs the efforts of others...and trend the metrics associated with the examiner and auditor production and prepare and present written and verbal… more
- St. Luke's University Health Network (Allentown, PA)
- …The appeals process may include collaboration with the Claim Editing Manager , Physician, Specialty Coder, AR specialist or Auditor /Educator. Demonstrate the ... a patient's ability to pay for health care. The Claim and Denial Coding Analyst role is a Certified...role is a Certified Medical Coder who ensures clean claim submission and timely review and resolution of coding… more
- Zurich NA (Schaumburg, IL)
- …across Zurich. + Leading and developing a team of 3 or 4 direct reports (audit manager , senior auditor , auditor ). + Leading a portfolio of audits including ... with strategy and direction for our global audit activities on Underwriting, Claims and Distribution, and delivering on these activities. + Developing our P&C… more
- Crawford & Company (FL)
- … + Contractor + Commercial + Project engineer + Superintendent + Property manager + Building consultant + Auditor Responsibilities + Reviews network contractor ... the following is highly preferred: + Estimator + Project manager + Adjuster + Desk adjuster + Field adjuster...Good interpersonal skills. About Us Why Crawford? Because a claim is more than a number - it's a… more
- Louisiana Department of State Civil Service (Baton Rouge, LA)
- …Responsible for receiving and responding to Corporate Cost Control regarding unemployment claims . Acts as agency representatives when disputing claim . Submits ... throughout the state. Incumbent reports to a Human Resources Manager B and provides human resources support to LDAF...the preparation of an annual report to the Legislative Auditor regarding the payment of such premiums and to… more
- CVS Health (Scottsdale, AZ)
- …Sr. Analyst role. This is a client facing project management / auditor position that is responsible for coordinating, managing, tracking, reviewing, researching and ... of exceptions identified during the audit process, specifically related to pharmacy claims and manufacturer rebates. This includes having a working knowledge base… more
- Aveanna (Worcester, MA)
- Operations Manager ApplyRefer a FriendBack Job Details Requisition #: 195854 Location: Worcester, MA 01604 Category: Business Operations Position Details The ... Operations Manager is directly responsible for the administrative functions associated...Electronic documentation (EMR) utilization + Compliance tracking + Unemployment claim management + Worker compensation management + Travel between… more
- Iowa Department of Administrative Services (Des Moines, IA)
- …Security Law, Administrative Rules, and policies. + Explain decisions issued on claims by UISC and Administrative Law Judge's, Appeal Board, and the courts ... candidate will: + Investigate discrepancies with electronic billing. + Combined Wage Claim (CWC) billing from other state (Iowa transferred wage credits to other… more