- Mercy (Chesterfield, MO)
- Find your calling at Mercy! The Senior Compliance Auditor supports the Compliance Program across the Ministry, partnering with Legal, Human Resources and other ... Certified Documentation Improvement Practitioner (CDIP), * Certified Professional Medical Auditor (CPMA), * Registered Health Information Administrator (RHIA), *… more
- Boar's Head Brand/Frank Brunckhorst Co., LLC (Sarasota, FL)
- …a training course. + SQF or any other GFSI Scheme certification desired. + Auditor Certification preferred (ie American Society for Quality - Certified HACCP ... COAs, Allergen forms, Weight & Tare, any other product claims , etc.), as applicable. + Perform Food Safety &...Auditor , Certified Quality Auditor , Certified Supplier Quality… more
- MAPFRE Insurance (Webster, MA)
- …Certified Internal Auditor (CIA) designation or Certified Information Systems Auditor (CISA) designation preferred + 1-2 years of insurance industry ... Internal Auditor (Webster or Boston, MA) Date: Nov 22,...and continuous process improvement. We are looking for an Auditor to optimize and streamline our audit processes while… more
- Sedgwick (Indianapolis, IN)
- …college or university preferred . Major in accounting field strongly preferred . Certified Public Accountant (CPA), Certified Internal Auditor (CIA) or ... certified Information Systems Auditor (CISA) designation preferred . Experience: Four (4) years of related experience or equivalent combination of education and… more
- Kemper (Birmingham, AL)
- …is excited to be adding to our Claims Auditing Team. Our claims auditor position is responsible for reviewing claim files in an effort to: + Provide ... claims adjusting, claims auditing and/or claims supervision. + 5+ years auditing experience preferred...Claims auditing experience with a casualty company is preferred . + A clear understanding of current Claim… more
- LA Care Health Plan (Los Angeles, CA)
- Financial Compliance Auditor III Claims Job Category: Accounting/Finance Department: Financial Compliance Location: Los Angeles, CA, US, 90017 Position Type: ... to achieve that purpose. Job Summary The Financial Compliance Auditor III Claims is responsible for audits...This position is responsible for all aspects of assigned claim audits, including audit testing and completion of the… more
- Marshfield Clinic (Marshfield, WI)
- …come together to support the most exciting missions in the world!** **Job Title:** Claims Auditor (Remote - WI or MN) **Cost Center:** 682891379 SHP- Claims ... day shifts (United States of America) **Job Description:** **JOB SUMMARY** The Claims Auditor is responsible for performing payment, procedural accuracy,… more
- Robert Half Accountemps (Boston, MA)
- Description Job Title: Medical Claims Auditor - RN Auditor Location: Massachusetts - 90% Remote Job Type: 1 Year Contract - Potential for Perm Hire Hours: 40 ... 1, 2025 Job Description We are seeking a qualified Auditor with healthcare experience to support Program Integrity activities...perform onsite audits (1-4 times per month) + Evaluate claims and provider documentation for compliance and accuracy +… more
- Cedars-Sinai (Los Angeles, CA)
- …fuels innovation. **Req ID** : 13340 **Working Title** : Outpatient Surgical and Claims Edit Auditor **Department** : CSRC Coding Audit **Business Entity** : ... will I be doing in this role?** The Coding Auditor works under the general direction of the Coding...diploma or GED required. Degree in Health Information Management preferred . A minimum of 3 years of Coding Audit… more
- Centers Plan for Healthy Living (Staten Island, NY)
- …experience Preferred : Type of Experience Required: 2+ years of claim processing experience with a Medicaid/Medicare Health Plan. Preferred : Experience ... Responsible for the auditing functions of Centers Plan for Healthy Living (CPHL) claims . Collaborates with other Health plan departments and Management to ensure … more
- Molina Healthcare (Albany, NY)
- …skills. + Microsoft Office suite and applicable software programs proficiency. ** Preferred Qualifications** + Health care claims auditing/billing experience. To ... JOB DESCRIPTION Job Summary Provides support for claims audit activities including identification of incorrect coding, abuse and fraudulent billing practices, waste,… more
- Elevance Health (Roanoke, VA)
- …documentation purposes (eg, letter writing) on lower level auditors. + Identifies new claim types by identifying potential claims outside of the concept where ... **DRG Coding Auditor Principal** **_Virtual: _** _ _ This role...Principal** is responsible for auditing inpatient medical records on claims paid based on Diagnostic Relation Group (DRG) methodology,… more
- Commonwealth of Pennsylvania (PA)
- Auditor 4, Southwest Region Print (https://www.governmentjobs.com/careers/pabureau/jobs/newprint/5157058) Apply Auditor 4, Southwest Region Salary $77,379.00 - ... Permanent Full-time Job Number N-2025-37501 Department Department of the Auditor General Division AU Bur Mun Pnsn Aud Opening...You must be able to perform essential job functions. Preferred Qualifications (not required): + One or more of… more
- New York State Civil Service (Albany, NY)
- NY HELP No Agency Information Technology Services, Office of Title Auditor 1 - 10273 Occupational Category IT Engineering, Sciences Salary Grade 18 Bargaining Unit ... NY Zip Code 12210 Duties Description Under the general direction of an Information Systems Auditor 2, in the Office of Internal Audit, the Auditor 1 performs… more
- UPMC (Pittsburgh, PA)
- **Join UPMC Corporate Compliance as an Intermediate Compliance Auditor !** Are you passionate about ensuring accuracy and compliance in healthcare documentation and ... **UPMC Corporate Compliance** is seeking a dedicated and detail-oriented **Intermediate Compliance Auditor ** to join our team! This position will be based out of… more
- MD Anderson Cancer Center (Houston, TX)
- As a *Nurse Defense Auditor * in our *Hospital Billing & Collections* department, your expertise ensures accurate reimbursement and supports patient access to ... management, and utilization review to request reconsideration and/or appeal of claims requiring clinical intervention, ensuring comprehensive data is provided to… more
- Elevance Health (Washington, DC)
- **Diagnosis Related Group Clinical Validation Auditor -RN (CDI, MS-DRG, AP-DRG and APR-DRG)** **Virtual:** This role enables associates to work virtually full-time, ... required by law. The **Diagnosis Related Group Clinical Validation Auditor ** is responsible for auditing inpatient medical records to...Specializes in review of Diagnosis Related Group (DRG) paid claims . **How you will make an impact:** + Analyzes… more
- Texas Tech University Health Sciences Center - El Paso (El Paso, TX)
- **42910BR** **Extended Job Title:** Medical Coding Auditor **Org Level 1:** Texas Tech Unv Hlth Sci Ctr El Paso **Position Description:** Responsible for auditing ... compliance with healthcare laws and organizational policies. The Medical Coding Auditor collaborates with practice, providers, and other departmental leaders to… more
- State of Colorado (Denver, CO)
- Auditor - Hybrid Print (https://www.governmentjobs.com/careers/colorado/jobs/newprint/5152479) Apply Auditor - Hybrid Salary $5,833.33 - $6,333.33 Monthly ... knowledge of Colorado RUUPA and communicate statutory intent clearly. + Support claims processing by reviewing business claims , determining eligibility, 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 Inpatient Coding Auditor performs inpatient encounter audits and evaluates compliance related...Performs special audits for specific issues within facility Inpatient claims . + Acts as the Liaison for coding issues… more
