- International (Lisle, IL)
- Position Overview International is seeking a detail-oriented and motivated Staff Internal Auditor to support the execution of financial, operational, compliance, ... and professional standards. + Draft preliminary audit findings and support management in developing actionable, value-added recommendations. + Collaborate with… 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...perform onsite audits (1-4 times per month) + Evaluate claims and provider documentation for compliance and accuracy +… 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 ... timely and accurate feedback on claim quality as measured by compliance with company and...and impacting bottom-line results + Maximize value to the claims department through planned partner relationships designed to foster… 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: ... County's vulnerable and low-income communities and residents and to support the safety net required to achieve that purpose....to achieve that purpose. Job Summary The Financial Compliance Auditor III Claims is responsible for audits… more
- Marshfield Clinic (Marshfield, WI)
- …together to support the most exciting missions in the world!** **Job Title:** Claims Auditor (Remote - WI or MN) **Cost Center:** 682891379 SHP- Claims ... (United States of America) **Job Description:** **JOB SUMMARY** The Claims Auditor is responsible for performing payment,... has working knowledge of the overall aspects of claim processing, both in and outside of Security Health… more
- Centers Plan for Healthy Living (Staten Island, NY)
- …teams to match the unique strengths of each individual, tiered roles to support the advancement, and with opportunities for cross-training and education, CPHL is the ... 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)
- JOB DESCRIPTION Job Summary Provides support for claims audit activities including identification of incorrect coding, abuse and fraudulent billing practices, ... waste, overpayments, and claims processing errors. **Essential Job Duties** + Audits the...errors. **Essential Job Duties** + Audits the adjudication of claims using standard principles, and state-specific regulations to identify… more
- City of New York (New York, NY)
- …of Medicaid Providers. Utilize standard audit procedures examine records and documents that support claims submitted to Medicaid for reimbursement for goods or ... Job Description APPLICANTS MUST BE PERMANENT IN THE MANAGEMENT AUDITOR CIVIL SERVICE TITLE OR BE PERMANENT IN A COMPARABLE TITLE ELIGIBLE FOR 6.1.9 TITLE CHANGE. IF… more
- MAPFRE Insurance (Webster, MA)
- …adherence to regulatory requirements, and recommending improvements that drive change. The auditor will also use data analytics to support audit procedures, ... Internal Auditor (Webster or Boston, MA) Date: Nov 22,...IIA standards, ensuring organized and well documented works that support audit conclusions + Contribute to audit planning, kickoff,… more
- The County of Los Angeles (Los Angeles, CA)
- LAW ENFORCEMENT AUDITOR Print (https://www.governmentjobs.com/careers/lacounty/jobs/newprint/4668332) Apply LAW ENFORCEMENT AUDITOR Salary $109,807.68 - ... audit process. Interviews department personnel and gathers evidence to support and ensure audit results are appropriate and sufficient....No 10 In the execution of the Law Enforcement Auditor duties, you will have to make site visits… more
- AutoZone, Inc. (Memphis, TN)
- **Job Description** The Associate Auditor , Audit Recovery, will be required to: + Utilize analytical and forensic email review skills to audit Merchandising ... funding/negotiations). 3rd Party vendors to recover less than 20% behind Associate Auditor .\ + Negotiate and communicate flawlessly with Merchandising and Vendors to… 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
- 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
- Boar's Head Brand/Frank Brunckhorst Co., LLC (Sarasota, FL)
- Hiring Company: Delicatessen Services Co., LLC Overview:Supervise and support with the development and rollout of Tracegains and other QMSs. Responsible for ... maintaining accurate data, providing analytical reports, and providing advanced support to QMS users. Support the BH...COAs, Allergen forms, Weight & Tare, any other product claims , etc.), as applicable. + Perform Food Safety &… more
- State of Colorado (Denver, CO)
- …strong knowledge of Colorado RUUPA and communicate statutory intent clearly. + Support claims processing by reviewing business claims , determining ... Auditor - Hybrid Print (https://www.governmentjobs.com/careers/colorado/jobs/newprint/5152479) Apply Auditor - Hybrid Salary $5,833.33 - $6,333.33 Monthly… more
- FlexStaff (Chappaqua, NY)
- **Req Number** 172252 Surgical Anesthesia Compliance AuditorCompliance Auditor MUST HAVE CPC CERTIFICATON This is a HYBRID position- MUST be in the office located in ... Chappaqua, NY 3 days a week. Surgical Anesthesia Compliance Auditor - Hybrid position- Chappaqua, NY- $100K-$115K Are you passionate about healthcare compliance 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
- Jack Henry & Associates (Birmingham, AL)
- IT Internal Auditor (Early-career level) General information Press space or enter keys to toggle section visibility JobID 16512 Position Level Individual Contributor ... love to meet you. We are seeking an IT auditor to assist with our controls testing. This individual...location. This position is ineligible for immigration sponsorship and support . Please do not apply if at any time… more
- Ontario ARC (Canandaigua, NY)
- …USA | Hourly | 21.60-23.00 per hour | Full Time The Arc Ontario Internal Auditor - Programs Salary: $21.60 - $23.00 Position Overview: We're looking for an Internal ... Auditor to join our team and help ensure our...and run efficiently. In this role, you'll audit billing claims , review Individual Service Plans, conduct site visits, and… more
- Zurich NA (Schaumburg, IL)
- Senior Auditor 129340 **Let's grow together!** **About Zurich Cover-More** Zurich Cover-More is one of the world's largest travel insurance and assistance providers ... acquired Travel Guard business and evolve our global audit landscape. As a Senior Auditor , you will play a hands-on role across all stages of the audit… more