- 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
- 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
- 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
- Iowa Department of Administrative Services (State Of Iowa, IA)
- Employer Auditor Print (https://www.governmentjobs.com/careers/iowa/jobs/newprint/4495252) Apply Employer Auditor Salary $50,252.80 - $76,336.00 Annually ... Development is seeking applicants for the position of Employer Auditor . This position will be domiciled at one of...if fraud or misreporting has occurred. Reviews findings of Quality Control for assigned area and prepares records and… more
- Federal Retirement Thrift Investment Board (Washington, DC)
- …is looking for a highly qualified and motivated individual to serve as an Auditor . This Job Opportunity Announcement (JOA) may be used to fill other Auditor ... and participates in entrance conferences and walkthrough meetings. Coordinates external auditor request for documentation and interviews with Agency Offices. Obtains… 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
- 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
- ManpowerGroup (Rancho Cucamonga, CA)
- …of the Provider Claims Resolution & Recovery Supervisor, the Provider Recovery Auditor is responsible for the audit and recovery of claims overpayments ... **Title: Auditor - Provider Recovery** **Location:** **Rancho Cucamonga, CA...and third-party liability. **Responsibilities:** **Qualification:** + Four (4) years claims processing experience including Medicare and Med-Cal + Two… more
- Healthfirst (NY)
- The Clinical Auditor performs audit functions for Healthfirst clinical teams (eg Care Management, Reassessment/Clinical Eligibility, Utilization Management, etc.) ... to determine operational efficiency, adherence to regulatory requirements, and achievement of quality standards. The audits may include but are not limited to… 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 (Roseville, MN)
- **Working Title** : **Security Auditor ** **Job Class: Auditor Intermediate** **Agency: Minnesota State Lottery** + **Job ID:** 76544 + **Location:** Roseville + ... essential services, and working to improve the well-being and quality of life for all Minnesotans. The State of...well-organized person to join our team as a Security Auditor ! This position is responsible for auditing and evaluating… more
- Rush University Medical Center (Chicago, IL)
- …on bonus! **Summary:** As a key role in the Revenue Integrity team, the Auditor & Educator is responsible for conducting reviews of EMR documentation of patient ... individually or in collaboration with other departments. 13. Track coding quality and documentation improvements to measure ROI, organizational growth and support… 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
- 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
- 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
- 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 ... coders. Serves as a resource to coders, CDI staff, Quality and Case Managers, Decision Support and physician office...+ Reviews information from third party payers relative to claims charging, coding, and billing in order to ensure… more