- UCLA Health (Los Angeles, CA)
- …with: * High school diploma, GED or equivalent * Minimum five years of medical claims payment experience in an HMO environment * Experience with CPT-4, ... do all this and more at UCLA Health. The Claims Quality Auditor will be responsible for...medical terminology * Experience in benefit determination and claims adjudication * Ability to accurately key 6,000-8,000 keystrokes… more
- Nevada County (Nevada City, CA)
- Senior Accountant- Auditor -Limited-Term Print (https://www.governmentjobs.com/careers/mynevadacounty/jobs/newprint/4426196) Apply Senior Accountant- Auditor ... Nevada City, CA Job Type Full Time Job Number 2024-0059 Department Auditor -Controller Opening Date 03/13/2024 Closing Date Continuous + Description + Benefits +… more
- Elevance Health (Louisville, KY)
- …check, or ask you for payment as part of consideration for employment. **Pharmacy Internal Auditor ** + Job Family: QLT > Analysis + Type: Full time + Date Posted:Mar ... + MA, NEWTON 55 CHAPEL ST + VA, NORFOLK **Description** **Pharmacy Internal Auditor ** **Location:** This position will work a hybrid model (remote and office). Ideal… more
- Rush University Medical Center (Chicago, IL)
- …and organizational skills. **Preferred Job Qualifications:** * Certified Professional Medical Auditor (CPMA) and/or Surgical Coding certifications * ... **Job Description** **Location:** Chicago, IL **Hospital:** RUSH University Medical Center **Department:** PB Revenue Integrity **Work Type:** Full Time (Total FTE… more
- Elevance Health (Columbus, OH)
- …Payment Integrity, is determined to recover, eliminate and prevent unnecessary medical -expense spending. The **Clinical Provider Auditor II** is responsible ... payment as part of consideration for employment. **Clinical Provider Auditor II** + Job Family: FRD > Audit +...prevention and control. + Reviews and conducts analysis of claims and medical records prior to payment… more
- Providence (CA)
- …empower them._** **Providence Health Plan is calling a Senior Pre-Payment External Auditor , Finance who will:** + Support the compliance related activities of the ... billing and coding practices + Detailed tracking of prepay audit operations (ie. live claims queue, SIU claims workflow, claims review history) and audit… more
- Universal Health Services (Richmond, VA)
- …The Atlantic Region CBO is seeking a dynamic and talented Senior Nurse Auditor . The primary responsibility of the Senior Nurse Auditor is guiding ... to claim denials by third party payers. + Analyze medical records to confirm medical necessity as...to third party payers to obtain reimbursement for denied claims . + Make decisions to downgrade inpatient claims… 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
- Oak Orchard Health (Brockport, NY)
- …Personal Days, Floating Holidays, and Company paid holidays! The Healthcare Compliance Auditor is responsible for investigating medical service providers and ... 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… more
- Cedars-Sinai (CA)
- …Senior Physician Compliance Auditor is responsible for reviewing and auditing claims , medical records, and charges to ensure compliance with applicable ... inquiries and issues. In addition, the Senior Physician Compliance Auditor will also work closely with senior leadership on...1 year of experience coding charts on an academic medical center required. **Req ID** : 1604 **Working Title**… 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) ... Functions** + Coding ComplianceCompliance Coding and Billing AuditsThe Compliance Coding Auditor has the primary responsibility of performing all audits and chart… more
- Hawaii Pacific Health (Honolulu, HI)
- …Specialist-Professional (CCS-P) or Certified Professional Coder (CPC). Two (2) years medical claims auditing, Current Procedural Terminology (CPT) and ... a not-for-profit health care network with over 70 locations statewide including medical centers, clinics, physicians and other caregivers serving Hawai'i and the… more
- The County of Los Angeles (Los Angeles, CA)
- CONTRACT PROGRAM AUDITOR Print (https://www.governmentjobs.com/careers/lacounty/jobs/newprint/4122689) Apply CONTRACT PROGRAM AUDITOR Salary $77,181.84 - ... hospitals are training sites for physicians completing their Graduate Medical Education in nearly every medical specialty...to view correspondence. Los Angeles County will not consider claims of not viewing or receiving notifications to be… 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 ... 85 outpatient and specialty services (http://www.covenanthealth.com/services/) , and Covenant Medical Group (http://www.covenantmedicalgroup.org/) , our area's fastest-growing physician practice… more
- Highmark Health (Jefferson City, MO)
- …(Outpatient): Certified Professional Coder (CPC), Certified Outpatient Coder (COC), Certified Professional Medical Auditor (CPMA) + 5 years with hospital or ... related internal, concurrent, prospective and retrospective coding audit activities. Reviews medical records to determine data quality and accuracy of coding,… more
- Trinity Health (Newtown, PA)
- …Trinity Health Mid-Atlantic is looking for an experienced Revenue Integrity Nurse Auditor to join our team! Hybrid Schedule: Full-time, Monday-Friday (4 days remote, ... objective of appropriately maximizing reimbursement based upon services delivered and ensuring claims are paid/settled in the most timely manner: + Ensures tracking… more
- Covenant Health Inc. (Knoxville, TN)
- …are acceptable-RHIT/RHIA/AAPC, CPC, or CPMA. Apply/Share Job Title CODING AUDITOR -EDU-CLINIC ID 3977770 Facility Covenant Medical Management Department ... time, 80 hours per pay period, Day shift Covenant Medical Group is Covenant Health's employed and managed ...+ Reviews information from third party payers relative to claims charging, coding, and billing in order to ensure… more
- National Vision (Duluth, GA)
- …and career growth is a reality. National Vision is hiring a Managed Care QA Auditor to join our growing team! The role is responsible for providing ongoing feedback ... Skills + Learning management systems is preferred. + Working knowledge of medical terminology. + Experience with revenue cycle management is preferred +… more
- InGenesis (Albany, NY)
- …In this role, you will be working in the NYS Dept. of Health's Division of Medical and Dental Directors Call Center. Apply today and we'll reach out to answer any ... caregivers and advocacy groups related to prior approval of medical services such as durable medical equipment,...change request forms according to defined procedure . Supporting claims processing when other duties are finished . Maintaining… more
- Lineage Logistics (North Charleston, SC)
- …the plant to determine and ensure meet company standards + Report damages and claims to inventory control + Arrange stock parts in a specific order for assembly ... and local law. Benefits Lineage provides safe, stable, reliable work environments, medical , dental, and basic life and disability insurance benefits, 401k retirement… more