- LE Cox Medical Centers (Lake Spring, MO)
- …and analyzes medical records to ensure billing accuracies. Reviews coding on healthcare claims in order to reimburse from the health plan to the billing provider. ... The Coder CHP aids in coordinating and resolving coding issues with all internal CHP departments and Providers. Oversees the coding training throughout Cox HealthPlans.Education: ▪ Required: High school or Equivalent Preferred; College course-work in Health… more
- Premera Blue Cross (Mountlake Terrace, WA)
- …serve through our Healthsource blog: https://healthsource.premera.com/ . As a **Payment Integrity Auditor I** , you will support the overall objectives of the ... Integrity office. This role is responsible for conducting pre-payment and post-payment claim audits to identify improper payments due to billing errors, coding… more
- County of Santa Barbara (Santa Barbara, CA)
- …County departments and divisions. The Accountant series is distinguished from the Accountant- Auditor class series in that the work of the Accountant series is ... in scope to the finances of a department or division. Further, the Accountant- Auditor class series is found only in the Auditor -Controller's Office. Accountant… more
- County of Santa Barbara (Santa Barbara, CA)
- …with County Administrator staff regarding budgets for major programs and the Auditor -Controller staff to assure full cost recovery and proper reporting; participates ... a flexibly staffed series. This class series is found in the Auditor -Controller's office and financially complex departments. This series is distinguished from the… more
- Elevance Health (St. Louis, MO)
- ** Claims Auditor I, II and Senior**...and post payment and adjudication audits of high dollar claims for limited lines of business, claim ... an accommodation is granted as required by law._ The ** Claims Auditor I** is responsible for pre...an impact :** + Performs audits of high dollar claims . + Ensures claim payment accuracy by… 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
- Conduent (Los Angeles, CA)
- …be part of a culture where individuality is noticed and valued every day. **Pharmacy Claims Auditor CPhT** **Do you have a CPhT certification?** **Would you like ... behalf of our healthcare payer clients. As a Pharmacy Claims Auditor CPhT, you will examine a...claim data. This is to ensure billed pharmacy claims are being accurately submitted. You will also be… more
- Conduent (Warren, MI)
- …part of a culture where individuality is noticed and valued every day. **Supplier Claims Auditor ** **Hybrid | Warren, MI** **Part-Time | Hours Assigned as ... 4:00 PM EST** **About the Role:** As a Supplier Claims Auditor , you'll play a vital role..., you'll play a vital role in the Supplier Claim Activity (SCA) group by reviewing and auditing supplier… more
- UCLA Health (Los Angeles, CA)
- …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, and denied) for accuracy, appropriate application of benefits, authorization for services, contract… more
- Centers Plan for Healthy Living (Staten Island, NY)
- …Responsible for the auditing functions of Centers Plan for Healthy Living (CPHL) claims . Collaborates with other Health plan departments and Management to ensure ... claims are processed in accordance with Federal, State and...results to recommend system or procedural changes to increase claim accuracy and/or identify opportunities for workflow enhancements. +… more
- Commonwealth of Pennsylvania (PA)
- Auditor 1, Southeast Region Print (https://www.governmentjobs.com/careers/pabureau/jobs/newprint/5121668) Apply Auditor 1, Southeast Region Salary $51,971.00 - ... Permanent Full-time Job Number N-2025-35727 Department Department of the Auditor General Division AU Bur Mun Pnsn Aud Opening...attach a copy of your college transcripts for your claim to be accepted toward meeting the minimum requirements.… more
- New York State Civil Service (Syracuse, NY)
- NY HELP Yes Agency Taxation & Finance, State Title Auditor 1 (Tax)/ Auditor Trainee 1 (Tax)/ Auditor Trainee 2 (Tax) (NY HELPS) Occupational Category ... City Syracuse State NY Zip Code 13202 Duties Description Auditor 1 (Tax) performs on-site field audits and examinations...and advocate disputed cases at BCMS conferences and Small Claims Hearings. May participate at hearings as a witness… more
- Elevance Health (Hanover, MD)
- …claim identification, and documentation purposes (eg, letter writing). + Identifies new claim types by identifying potential claims outside of the concept ... **DRG CODING AUDITOR ** **_Virtual_** **_: _** _ _ __ This...auditing inpatient medical records and generating high quality recoverable claims for the benefit of the company, for all… more
- The County of Los Angeles (Los Angeles, CA)
- SENIOR CONTRACT PROGRAM AUDITOR Print (https://www.governmentjobs.com/careers/lacounty/jobs/newprint/5040931) Apply SENIOR CONTRACT PROGRAM AUDITOR Salary ... individuals to fill the position of Senior Contract Program Auditor . To view classification standards for the position,Click here...steps to view correspondence, and we will not consider claims of missing notices to be a valid reason… 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 - ... No 10 In the execution of the Law Enforcement Auditor duties, you will have to make site visits...to view correspondence. Los Angeles County will not consider claims of not viewing or receiving notifications to be… more
- MAPFRE Insurance (Webster, MA)
- Internal Auditor (Webster or Boston, MA) Date: Oct 21, 2025 Location: Webster or Boston, MA, US Company: MAPFRE **Who We Are** A dynamic, forward-thinking ... risk mitigation, and continuous process improvement. We are looking for an Auditor to optimize and streamline our audit processes while driving innovation and… more
- State of Massachusetts (Boston, MA)
- …General of the Commonwealth, who is appointed by the Governor, Attorney General and Auditor . MGL c. 12A, | 2. The OIG is organized into three bureaus: Specialty ... enforcement state and federal prosecutors. AOI may be investigating claims of public corruption or other wrongdoing in a...appropriate agency if it falls outside our jurisdiction. *Senior Auditor : Position Overview** * The Senior Auditor … more
- Sedgwick (Buffalo, NY)
- …Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Attorney Auditor ** **This is a fully remote position, and candidates residing in any ... United States are encouraged to apply. As an Attorney Auditor at Sedgwick, you'll have the opportunity to take...other roles.** **Sedgwick is the world's leading risk and claims administration partner, which helps clients thrive by navigating… more
- City of New York (New York, NY)
- …daily claims reports and the monthly reports which detail claim associated fees to ensure compliance with contractual obligations, regulatory requirements, and ... requirements, and internal policies related to the payment of daily healthcare claims and monthly administrative fees. 2. Claims Data Validation: Verify the… 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
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