- WTW (Chicago, IL)
- **Description** As a Lead Auditor you will apply your audit, project management and client management skills to lead client audits. You will serve as the team leader ... will review discrepancy issues identified by field auditors, re-adjudicate claims , resolve open issues, and draft the final report....work in a "hybrid" style, with a mix of remote , in-person and in-office interactions dependent on the needs… more
- NTT DATA North America (Decatur, IL)
- …executed as part of an overall sourcing strategy. NTT DATA currently seeks a Claims Auditor to join our team for a remote position. 100% Remote , Client ... of Direct Hire Pay Rate $21-$22/hr **Position Summary:** The Claims Auditor position reports to the Chief...for specific roles. The starting hourly range for this remote role is ($21.00-$22/hourly). This range reflects the minimum… more
- NTT DATA North America (Decatur, IL)
- …currently seeks a Utilization Management Coordinator to join our team for a remote position. 100% Remote , Client provides equipment Temporary Role - Duration ... Summary:** The Utilization Management Coordinator reports to the Director of Claims . This position is responsible for coordinating the appeal activities and… more
- Amergis (Los Angeles, CA)
- Salary: $50 / Hour Must Haves: + Primary Responsibility: OP Claim Edits - Must have extensive experience in this area + Audit Hospital Based Same Day Surgery with ... Observation Cases (maybe some ED) + Educating Coders + Trauma I & Teaching Hospital Experience (REQUIRED) + 2+ years of recent Auditing Experience + 3+ years of Coding Experience + EPIC & 3M 360 (REQUIRED) + AHIMA or AAPC (REQUIRED) + FLU SHOT AND TB… 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 ... of PPCWNY's mission and the collaboration with Shared Services, the Billing Auditor evaluates Revenue Cycle outcomes to identify and recommend opportunities for… more
- ManpowerGroup (Vienna, VA)
- …organization. **Job Title:** Bank and Corporate Owned Life Insurance (BOLI/COLI) Auditor **Location: Remote ** **Pay Range:** $70.00/hour - $80.00/hour **What's ... 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
- Humana (Santa Fe, NM)
- …initiatives and develop educational materials. This is a full-time, remote /work-from-home position. **Description** The Inpatient Medical Coding Auditor ... is looking is an experienced and well-grounded medical coding auditor to quality review the inpatient hospital claims...**What Humana Offers** We are fortunate to offer a remote opportunity for this job. Our Fortune 100 Company… more
- Sedgwick (Annapolis, MD)
- …Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Attorney Auditor ** **This is a fully remote position, and candidates residing ... United States are encouraged to apply. As an Attorney Auditor at Sedgwick, you'll have the opportunity to take...other roles.** **Sedgwick is the world's leading risk and claims administration partner, which helps clients thrive by navigating… more
- McLaren Health Care (Shelby Township, MI)
- …and efficiency in physician documentation, code assignment, data collection, and claims processing. 3. Performs retrospective, random, and focused audits of coding ... cases to ensure correct coding, legal compliance, and complete charge capture. 4. Evaluates the proper assignment of procedure, modifier, and diagnosis codes to professional services to validate accuracy and compliance. 5. Reports quality results, tracking and… more
- BayCare Health System (Tampa, FL)
- …AM to 3:30 PM + **Days:** Monday - Friday The **Inpatient** **Coding Auditor ** is a full-time remote position. _Sign on bonuses available!_ **Responsibilities** ... the Tampa Bay area. **Position Details:** + **Location:** Fully Remote (must reside in the state of Florida, Georgia,...+ The Inpatient Coding Auditor performs inpatient encounter audits and evaluates compliance related… more
- Elevance Health (Miami, FL)
- **Provider Auditor ** _This position will work a hybrid model ( remote and office), 1 time per week. The Ideal candidate will live within 50 miles of one of our ... to recover, eliminate and prevent unnecessary medical-expense spending. The **Provider Auditor ** conducts on-site reviews of medical charts, medical notes, itemized… more
- Bon Secours Mercy Health (Cincinnati, OH)
- …cycle services performed for Bon Secours Mercy Health. *Please note this role is remote , but requires living in the continental US and working hours in alignment ... Assists in the review of Bon Secours Mercy Health coding, billing and claims processing policies and procedures for the development of compliance internal monitors… more
- Humana (Dover, DE)
- …cycle management (related to billing, coding, collections for Medicare and Medicaid claims ) + Experience with Auditing and monitoring of healthcare records + Must ... be moving forward to next round of interviews. Travel: While this is a remote position, occasional travel to Humana's offices for training or meetings may be… more
- Commonwealth Care Alliance (Boston, MA)
- 011250 CCA- Claims Hiring for One Year Term **Position Summary:** Working under the direction of the Sr. Director, TPA Management and Claims Compliance, ... Claims Coding Sr. Analyst will be responsible for developing prospective claims auditing and clinical coding and reimbursement edits and necessary coding… more
- Trinity Health (Albany, NY)
- …Risk Adjustment Coding Specialist -St. Peter's Health Partners - Full-time - Remote **POSITION PURPOSE:** The Risk Adjustment Coding Specialist works in a team ... diagnoses assigned in the EHR by the providers to claims being submitted for their services. Using billing system.... Identify coding discrepancies and work with risk adjustment auditor to communicate deficiencies to providers. **Core Values:** .… more
- Ventura County (Ventura, CA)
- …9/80 workweek) may be available for some positions. + Telework Schedule - A remote hybrid telework schedule may be available for some positions. + Vacation Accrual - ... on schedule; prepares quarterly status reports; calculates allocation to the Auditor -Controller for fund accounting purposes; maintains accounting records for audit… more
- Komatsu (Peoria, IL)
- …Date: Jun 13, 2025 Location: Peoria, IL, US, 61639 Req ID: 33212 Onsite or Remote : Onsite Position Join Komatsu and Be Part of Something Big! Job Overview This ... data and prioritize action plans for supplier improvement. + (Warranty Claims , Technical Service Information, Defect Notices, etcetera) + Monitor, develop, chart,… 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 such ... duty station to CONUS and OCONUS and may include remote or isolated sites. You must be able to...see what is allowed and what is required. Any claims you make in your resume or assessment questionnaire… more
- DoorDash (San Francisco, CA)
- …business by managing corporate insurance programs and mitigating risk across Actuarial, Claims Operations, and Risk Management & Mitigation. We operate at the ... cross-functionally to drive compliance and resilience. This role is remote -friendly within the US, with a preference for candidates...The Covey tool has been reviewed by an independent auditor . Results of the audit may be viewed here:… more
- Northrop Grumman (MD)
- …supplied material defect occurrences and verification of supplied material defect claims + Lead cross-functional teams in pursuit of performance improvements aligned ... require a high degree of ingenuity, creativity, and innovation **_This position is remote but ideal candidate will reside in East Coast time zone._** **Basic… more