- 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 ... supervision. + 5+ years auditing experience preferred. + Claims auditing experience with a casualty company … 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** : ... Los Angeles. We also were awarded the Advisory Board Company 's Workplace of the Year. This award recognizes hospitals...will I be doing in this role?** The Coding Auditor works under the general direction of the Coding… more
- Elevance Health (Roanoke, VA)
- …methodology, including case rate and per diem, generating highly complex audit findings recoverable claims for the benefit of the Company , for all lines of ... **DRG Coding Auditor Principal** **_Virtual: _** _ _ This role...letter writing) on lower level auditors. + Identifies new claim types by identifying potential claims outside… more
- MAPFRE Insurance (Webster, MA)
- Internal Auditor (Webster or Boston, MA) Date: Nov 22, 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
- 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
- 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...Be a part of a rapidly growing, industry-leading global company known for its excellence and customer service. +… 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
- 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
- Sedgwick (Indianapolis, IN)
- …to Work(R) Fortune Best Workplaces in Financial Services & Insurance Internal Auditor **PRIMARY PURPOSE OF THE ROLE:** To perform internal audit procedures under ... identifying risks. + Develops and modifies internal audit programs to include all company functions. + Communicates with company management as needed during… more
- Aramco Services Company (Houston, TX)
- OVERVIEW: This position serves as the in-charge auditor on large, complex and sensitive internal auditing assignments. Audits are directed at reviewing internal ... of fraud, waste or abuse committed by employees or contractors against the Company . Reviews and researches evidence/documents to analyze the overall fact pattern of … more
- Highmark Health (Harrisburg, PA)
- ** Company :** Allegheny Health Network **Job Description :** **_*This role will cover Inpatient Auditors and will require Inpatient (AHIMA) credentials._** **GENERAL ... and ensures compliance with DRG/APC structure and regulatory requirements. Performs periodic claim form reviews to check code transfer accuracy from the abstracting… more
- Insight Global (Houston, TX)
- Job Description A large hospital system in Houston, TX is seeking a Hospital Auditor to join their Profee team. The Hospitalist Auditor is responsible for ... and identifies opportunities for improvement. In addition to auditing, the auditor will provide targeted education to hospitalist providers to enhance documentation… 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 ... COAs, Allergen forms, Weight & Tare, any other product claims , etc.), as applicable. + Perform Food Safety &...SQF or any other GFSI Scheme certification desired. + Auditor Certification preferred (ie American Society for Quality -… more
- Covenant Health Inc. (Knoxville, TN)
- Overview Revenue Integrity Auditor Full Time, 80 Hours Per Pay Period, Day Shift Covenant Health Overview: Covenant Health is the region's top-performing healthcare ... Suzie McGuinn || ###@covhlth.com Responsibilities Integrity + Identifies and evaluates company risk areas and provides auditing procedures related to documentation… 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 ... visibility At Jack Henry, we're more than a technology company ; we're a force for good in financial services....love to meet you. We are seeking an IT auditor to assist with our controls testing. This individual… more
- International (Lisle, IL)
- …the 15,000-person-strong company we are today, few companies can lay claim to a history like International. Based in Lisle, Illinois, International Motors, LLC* ... Overview International is seeking a detail-oriented and motivated Staff Internal Auditor to support the execution of financial, operational, compliance, and… more
- Blue Cross Blue Shield of Massachusetts (Boston, MA)
- …member of the Audit and Risk Management (ARM) team, the Senior Internal Auditor will lead and execute a variety of financial, operational, and risk-based audits ... environment. This position offers significant exposure to diverse areas of the company and direct interaction with key stakeholders. Further, this role will be… more
- Covenant Health Inc. (Knoxville, TN)
- …Recruiter: Brittany Smithson ||###@covhlth.com Responsibilities + Identifies and evaluates company risk areas and provides coding education developing criteria, and ... to ensure compliance. + Reviews information from third party payers relative to claims charging, coding, and billing in order to ensure compliance. + Performs… more
- Lineage Logistics (Henderson, CO)
- …Weigh or count items for distribution within the plant to determine and ensure meet company standards + Report damages and claims to inventory control + Arrange ... fill customer orders to be shipped while following all regulatory and company safety standards, policies, and procedures. Job Description **KEY DUTIES AND… more