- First National Bank of Omaha (Omaha, NE)
- …**_Job Requirements_** + Bachelor's degree in Business or related degree. + 2+ years of compliance audit or compliance management experience with a bank or ... business needs. **Summary of the Job:** The Internal Auditor II - Compliance is responsible for the...the direction of the Senior Auditor or Supervisor: + Audit Planning - Analyze business functions and compliance… more
- Highmark Health (Lincoln, NE)
- …OVERVIEW:** Performs all related internal, concurrent, prospective and retrospective coding audit activities. Reviews medical records to determine data quality and ... coding, billing and documentation related to DRGs, APCs, CPTs and HCPCS Level II code and modifier assignments, ICD diagnosis and procedure coding, DRG/APC structure… more
- Molina Healthcare (Kearney, NE)
- …claims for overpayments; researching claim payment guidelines, billing guidelines, audit results, and federal regulations to determine overpayment accuracy and ... provider compliance . Interacts with health plans and vendors regarding recovery...+ 1-3 years' experience in claims adjudication, Claims Examiner II , or other relevant work experience + Minimum of… more