- Boar's Head Brand/Frank Brunckhorst Co., LLC (Sarasota, FL)
- …a training course. + SQF or any other GFSI Scheme certification desired. + Auditor Certification preferred (ie American Society for Quality - Certified HACCP ... COAs, Allergen forms, Weight & Tare, any other product claims , etc.), as applicable. + Perform Food Safety &...Auditor , Certified Quality Auditor , Certified Supplier Quality… more
- Sedgwick (Fayetteville, NC)
- …as a Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Claims Compliance Auditor | Dedicated Client | Liability & Auto experience ... preferred | Remote **Experience** **Five (5) years ...plus.** **No Licensing required** **PRIMARY PURPOSE** **:** To monitor claims colleague technical activities at a claim … more
- Interstate Van Lines (Springfield, VA)
- … preferred + Previous experience serving as independent monitor or compliance auditor preferred + Prior employment with Department of Defense or other ... Independent Compliance Auditing serves as Interstate Group Holdings' Independent Compliance Auditor (ICA) under both the Administrative Compliance Agreement with the… more
- Monroe One Boces (Fairport, NY)
- Internal Claims Auditor JobID: 2168 + Position...class. DUTIES: 1. Verify and audit appropriateness of all claims for payments. 2. Examine all claim ... Type: Support Staff/ Internal Claims Auditor + Date Posted: 6/4/2025 +...they are disbursed. 11. Approve and certify that each claim listed on the warrant was audited and payment… more
- LA Care Health Plan (Los Angeles, CA)
- Financial Compliance Auditor III Claims Job Category: Accounting/Finance Department: Financial Compliance Location: Los Angeles, CA, US, 90017 Position Type: ... to achieve that purpose. Job Summary The Financial Compliance Auditor III Claims is responsible for various...This position is responsible for all aspects of assigned claim audits, including audit testing and completion of the… more
- CHS (Clearwater, FL)
- **Overview** ** ** ** Claims and Call Auditor (Call Center QC) - Clearwater, FL** ** ** **Summary** The Claims & Call Auditor audits processed medical ... work independently **Qualifications** **Qualifications:** + Prior auditing experience is preferred + Knowledge of medical terminology + Knowledge of...and lifting up to thirty (30) pounds. ** ** ** Claims and Call Auditor (Call Center QC)… more
- Komatsu (Peoria, IL)
- …+ Prior experience 5 years minimum. + An ASQC certification as a Quality Engineer ( Preferred ), Quality Auditor ( Preferred ), and other ASQ certifications are ... and prioritize action plans for supplier improvement. + (Warranty Claims , Technical Service Information, Defect Notices, etcetera) + Monitor,...preferred . + Preferred ISO internal auditor , with a minimum… more
- Centers Plan for Healthy Living (Staten Island, NY)
- …experience Preferred : Type of Experience Required: 2+ years of claim processing experience with a Medicaid/Medicare Health Plan. Preferred : Experience ... Responsible for the auditing functions of Centers Plan for Healthy Living (CPHL) claims . Collaborates with other Health plan departments and Management to ensure … more
- Planned Parenthood of Central and Western NY (Rochester, NY)
- Billing Auditor for Shared Services Fully Remote * Rochester, Buffalo, or Syracuse, NY * Revenue Cycle Description Billing Auditor for Shared ServicesBuffalo, ... of PPCWNY's mission and the collaboration with Shared Services, the Billing Auditor evaluates Revenue Cycle outcomes to identify and recommend opportunities for… 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
- New York State Civil Service (Albany, NY)
- …medical claims , Access, Pandas, Anaconda, SQL, and/or Python is preferred . Additional Comments #TeamCivilService is growing and is looking for motivated, ... NY HELP Yes Agency Civil Service, Department of Title Internal Auditor 1, or Trainee 1 / Trainee 2 Occupational Category Other Professional Careers Salary Grade NS… more
- Rush University Medical Center (Chicago, IL)
- …model to other coding staff. * Strong communication and organizational skills. ** Preferred Job Qualifications:** * Certified Professional Medical Auditor (CPMA) ... a key role in the Revenue Integrity team, the Auditor & Educator is responsible for conducting reviews of...focused educational programs on the results of auditing, review claim denials pertaining to coding, and implement corrective action… 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._...Audit setting or hospital coding or quality assurance environment preferred . + Broad knowledge of medical claims … 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
- 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...through AAPC, AHIMA, or another nationally recognized credentialing body. PREFERRED : + Certified Coding Specialist - Physician-based (CCS-P), 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
- UPMC (Pittsburgh, PA)
- **Join UPMC Corporate Compliance as an Intermediate Compliance Auditor !** Are you passionate about ensuring accuracy and compliance in healthcare documentation and ... **UPMC Corporate Compliance** is seeking a dedicated and detail-oriented **Intermediate Compliance Auditor ** to join our team! This position will be based out of… more
- Sherman Associates, Inc. (Minneapolis, MN)
- …neighborhood. This is a Sherman Associates owned Marriott franchised location. The Night Auditor is a key member of the Guest Services team responsible for the ... assisting with all aspects of guest services. The Night Auditor is responsible for ensuring to provide the highest...all Retail transactions for the guest + Issues luggage claims and check guest luggage when requested + Manages… more
- Sherman Associates, Inc. (Duluth, MN)
- …This is a Sherman Associates owned Marriott International, Inc franchised location. The Night Auditor is a key member of the Guest Services team responsible for the ... assisting with all aspects of guest services. The Night Auditor is responsible for ensuring to provide the highest...all Retail transactions for the guest + Issues luggage claims and check guest luggage when requested + Manages… more
- Addiction Recovery Care (Lexington, KY)
- …provision of care, proper documentation of services, and the billing and coding of claims . The Compliance Auditor assists the VP of Compliance and other ... of everything we do! We are hiring a Compliance Auditor for our growing team! The Compliance Auditor...field + Experience in a behavioral health inpatient/outpatient environment preferred + Ongoing education in behavioral health preferred… more