- System One (Lakewood, NJ)
- …manufacturing environment, ideally with polymers. ISO 9001:2015 experience required; ISO Lead Auditor certification a plus. Knowledge of quality tools (eg, FMEA, ... essential to maintaining the Company's reputation for quality, supporting ISO certification , and driving ongoing improvement, and consistently in the Company's… more
- 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. ... requiring independent knowledge and its application in non-routine situations. Licensure/ Certification /Registration: ▪ Required: Certified professional coder, RHIA, RHIT, or… more
- Boar's Head Brand/Frank Brunckhorst Co., LLC (Sarasota, FL)
- …be able to attend a training course. + SQF or any other GFSI Scheme certification desired. + Auditor Certification preferred (ie American Society for Quality ... COAs, Allergen forms, Weight & Tare, any other product claims , etc.), as applicable. + Perform Food Safety &...- Certified HACCP Auditor , Certified Quality Auditor , Certified Supplier Quality… more
- Conduent (Los Angeles, CA)
- …a culture where individuality is noticed and valued every day. **Pharmacy Claims Auditor CPhT** **Do you have a CPhT certification ?** **Would you like to ... 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
- McKinstry (Seattle, WA)
- …preferred. + Lean Belt Certification preferred. + SO 9001:2015 Lead Auditor certification . + Working knowledge and understanding of the ISO 9001:2015 ... continuous improvement projects to reduce defects, rework, and warranty claims , using production quality data to identify and prioritize...Standard and its application. + ASQ Certification . + USACE CQM-C. + OSHA-10 or OSHA-30 … more
- Sedgwick (Nashville, TN)
- …(CPA), Certified Internal Auditor (CIA) or Certified Information Systems Auditor (CISA) certification strongly preferred. Great Plains knowledge a plus. ... for this or other roles.** **Sedgwick is the world's leading risk and claims administration partner, which helps clients thrive by navigating the unexpected. The… more
- System One (Lakewood, NJ)
- …manufacturing environment, ideally with polymers. + ISO 9001:2015 experience required; ISO Lead Auditor certification a plus. + Knowledge of quality tools (eg, ... essential to maintaining the Company's reputation for quality, supporting ISO certification , and driving ongoing improvement, and consistently in the Company's… 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
- 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
- Insight Global (South Jordan, UT)
- …valid claim identification and documentation (letter writing). Identifies potential claims outside of the concept where additional recoveries may be available. ... Job Description Insight Global is seeking a DRG Validation Auditor for one of our clients to sit 100%...for auditing inpatient medical records and generating high-quality recoverable claims for the benefit of our client and their… more
- Sharp HealthCare (San Diego, CA)
- …provides certificate; Other; Certified Health Care Compliance (CHC) - Compliance Certification Board **Hours** **:** **Shift Start Time:** Variable **Shift End ... *This is a remote position* **What You Will Do** The Compliance Coding Auditor is responsible for the administration of the Sharp HealthCare's (SHC's) compliance… more
- Humana (Oklahoma City, OK)
- …of our caring community and help us put health first** The Medical Coding Auditor reviews medical claims submitted against medical records provided, to ensure ... guidance where needed. Follows established guidelines/procedures. The Medical Coding Auditor confirms correct CPT coding assignments. Analyzes, enters, and… more
- Elevance Health (Hanover, MD)
- **Clinical Provider Auditor II** **Supports the Payment Integrity line of business** **Hybrid 1** : This role requires associates to be in-office **1-2** days per ... recover, eliminate and prevent unnecessary medical-expense spending. The **Clinical Provider Auditor II** is responsible for identifying issues and/or entities that… more
- Idaho Division of Human Resources (Boise, ID)
- Criminal Investigator or Investigative Auditor , OAG, Criminal Law Division Posting Begin Date: 2025/10/22 Category: Criminology Sub Category: Investigative Work ... Hourly Description State of Idaho Opportunity Criminal Investigator or Investigative Auditor , Criminal Law Division, Office of the Attorney General Closing Date:… more
- Rising Medical Solutions (Milwaukee, WI)
- …offices, providers, and case managers nationwide, RISING provides comprehensive medical claims solutions to our valued clients: insurance carriers, Fortune 1000 ... + Being the best, not the biggest The Role: The Specialty Medical Bill Auditor will maximize savings for clients by accurately analyzing and processing medical bills… more
- Highmark Health (Harrisburg, PA)
- …and ensures compliance with DRG/APC structure and regulatory requirements. Performs periodic claim form reviews to check code transfer accuracy from the abstracting ... as assigned. **QUALIFICATIONS:** Minimum + High school diploma / GED + Certification from American Academy of Professional Coders (AAPC) or American Health… 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
- Health Care Service Corporation (Richardson, TX)
- …medical, contractual, legislative, policy, and other information to validate claims submitted and billed. Conducting research; preparing documentation of findings ... may substitute for each year of college.** **Certified Coding Certification , or acquire within 24 months of hire** **3...within 24 months of hire** **3 years experience in claims processing operations and reporting systems, including 2 years… more
- Covenant Health Inc. (Knoxville, TN)
- …to ensure compliance. + Reviews information from third party payers relative to claims charging, coding, and billing in order to ensure compliance. + Performs ... to meet the standards for achievement of the below indicated license and/or certification as required by the issuing authority. Minimum Experience: Three (3) to five… more
