- UCLA Health (Los Angeles, CA)
- …career to the next level. You can do all this and more at UCLA Health. The Claims Quality Auditor will be responsible for the daily audit of all examiners ... assigned to the auditor . You will review claims (paid, pending,...maintain statistical data consistent + Maintain departmental production and quality standards _Note: This posted position is 1 of… more
- HCA Healthcare (Campbell, CA)
- …with purpose and integrity. We care like family! Jump-start your career as a(an) Claims Auditor today with HCA Healthcare. **Benefits** HCA Healthcare, offers a ... vary by location._** Come join our team as a(an) Claims Auditor . We care for our community!...and system enhancements to improve systemic examiner and system quality /performance. **What you will need:** . Subject Matter Expert… more
- Universal Health Services (Riverside, CA)
- …guidelines and requirements. 2. Daily track and report both financial and clerical claims processing errors in the auditor Access database program, and report ... for you to thrive and continue your professional development. Quality Healthcare is our passion, improving lives is our...and receive care. SUMMARY: Responsible for auditing and training claims staff on all Managed Care claims … more
- Providence (Anaheim, CA)
- **Description** The Claims Auditor performs various audits of claims payments and denials to ensure accuracy based on the DOFR, internal policies and ... best people, we must empower them. **Required Qualifications:** + 3 years Claims processing experience in a managed care environment. **Preferred Qualifications:** +… more
- Centers Plan for Healthy Living (Staten Island, NY)
- Claims Auditor 75 Vanderbilt Ave, Staten...keep up to date with departmental changes in conducting quality reviews. + Ensure the consistent use of current ... Responsible for the auditing functions of Centers Plan for Healthy Living (CPHL) claims . Collaborates with other Health plan departments and Management to ensure … more
- UPMC (Pittsburgh, PA)
- **UPMC Health Plan is looking for an Intermediate Clinical Auditor /Analyst to join the Quality Assurance team!** The Intermediate Clinical Auditor /Analyst is ... will involve working in collaboration with appropriate Health Plan departments including Quality Improvement, Claims , and Medical Directors as needed to… more
- National Nuclear Security Administration (Pittsburgh, PA)
- …the HR Consultant listed on this vacancy announcement. Responsibilities As an Auditor , NQ-02, you will: Provide audit services for the Naval Reactors program, ... review, evaluation and determination of administrative action. As an Auditor , NQ-03, in addition to the duties listed above...in accounting or auditing courses of appropriate type and quality . This can include up to 6 hours of… more
- State of Georgia (Fulton County, GA)
- Investigative Auditor - Medicaid Fraud Georgia - Fulton - Atlanta (https://careers.georgia.gov/jobs/52416/other-jobs-matching/location-only) Hot ... Attorney General Department of Law Medicaid Fraud - Investigative Auditor *To move forward in the recruiting process ALL...of Georgia by providing legal representation of the highest quality to the agencies, officers and employees of state… more
- Peace Corps (Washington, DC)
- …Audit Unit and reports to the Assistant Inspector General for Audit. The Auditor is responsible for conducting performance and financial audits and reviews of Peace ... Act of 1978, as amended, (IG Act). Responsibilities The Auditor performs the following major duties: Serves as an...and the location of employment in your resume. Qualification claims will be subject to verification. Specialized Experience: This… more
- City of New York (New York, NY)
- …but in service of them all. It's an opportunity to provide impactful support, quality customer service, and help protect the future of New York City for generations ... Local Law 2 mandate. Responsibilities for the Internal Staff Auditor will include but may not be limited to:...to: - Conduct and perform reviews/audits and analyze reimbursement claims submitted by NPS participating schools for completeness and… more
- Hackensack Meridian Health (Hackensack, NJ)
- …ensuring coding accuracy, coding consistency and efficiency in filing of inpatient claims . Collaborates with the Clinical Documentation Quality Liaison to assist ... as a leader of positive change. The **Diagnosis Related Group (DRG) Auditor ** is responsible for auditing clinical documentation that supports code assignment for… more
- Tennessee Comptroller of the Treasury (Nashville, TN)
- Auditor : Financial/TennCare This role focuses on examining, analyzing, and reviewing records, financial statements, claims data, and cost reports for providers ... The Comptroller of the Treasury is recruiting for a full-time Auditor : Financial/TennCare position in the Division of State Audit's Tenncare/Medicaid Section.… more
- State of Montana (Helena, MT)
- …people love working for DLI:DLI Employee Testimonials *BENEFITS:* Being able to enjoy the quality of life in the beautiful state of Montana is one of the benefits ... biking, fishing, boating, hunting, skiing and snowmobiling. Montana boasts a high- quality education system and a variety of entertainment including fairs, rodeos,… 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) ... audit program. The position provides oversight and maintenance of a high- quality , effective, best practices coding, billing, and reimbursement audit compliance… more
- Oak Orchard Health (Brockport, NY)
- Healthcare Compliance Auditor Brockport, NY (http://maps.google.com/maps?q=300+West+Avenue+Brockport+NY+USA+14420) * Compliance & Risk Description Do you want to be ... a leading, patient-centered organization where professionals come together to improve access to quality health care for all? At Oak Orchard Health, you can grow your… more
- Hawaii Pacific Health (Honolulu, HI)
- …experience and training, as well as internal peer equity. **Position** Coding Auditor - Compliance **Category** Quality **Employment Type** Employee **Location** ... and other caregivers serving Hawai'i and the Pacific Region with high quality , compassionate care. Its four medical centers - Kapi'olani, Pali Momi, Straub… more
- State of Minnesota (St. Paul, MN)
- **Working Title: Lead Investigator ( Auditor ) - Medicaid Fraud** **Job Class: Legal Assistant 8 (LA8)** **Agency: Attorney General's Office** + **Job ID** : 76705 + ... essential services, and working to improve the well-being and quality of life for all Minnesotans. The State of...Attorney General is currently seeking a Lead Investigator - Auditor in the Medicaid Fraud Division of the Office.… more
- WTW (Houston, TX)
- 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 and primary ... will review discrepancy issues identified by field auditors, re-adjudicate claims , resolve open issues, and draft the final report....activities in an accurate and timely fashion + Write quality value-added draft report in a timely manner +… more
- Elevance Health (Indianapolis, IN)
- …The LTSS Provider Auditor is a part of the LTSS PR team, supporting quality in service delivery. The LTSS Provider Auditor is responsible for quality ... volume of provider + Schedules review with provider, analyzes data to select claims to be reviewed, conducts review using medical charts, medical notes, itemized… more
- Hackensack Meridian Health (Hackensack, NJ)
- …a leader of positive change. The **Ambulatory Payment Classification (APC) Auditor ** performs all related internal, concurrent, prospective and retrospective coding ... Hackensack Meridian Health (HMH) network. Reviews medical records to determine data quality and accuracy of coding, billing and documentation related to APC's, ICD… more