- County of Santa Barbara (Santa Barbara, CA)
- …and pass the required selection steps your name will be sent to the hiring manager (s) of the vacancy location(s) where you have expressed that you are willing to ... County departments and divisions. The Accountant series is distinguished from the Accountant- Auditor class series in that the work of the Accountant series is… more
- Commonwealth of Pennsylvania (PA)
- …(CFE) + Certified Government Auditing Professional (CGAP) + Certified Government Financial Manager (CGFM) + Certified Internal Auditor (CIA) + Certified ... (CFE) + Certified Government Audit Professional (CGAP) + Certified Government Financial Manager (CGFM) + Certified Internal Auditor (CIA) + Certified Information… 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
- 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)
- LAW ENFORCEMENT AUDITOR Print (https://www.governmentjobs.com/careers/lacounty/jobs/newprint/4668332) Apply LAW ENFORCEMENT AUDITOR Salary $109,807.68 - ... law enforcement operations. This classification acts as a project manager and is distinguished by its role in providing...No 10 In the execution of the Law Enforcement Auditor duties, you will have to make site visits… 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
- Elevance Health (Las Vegas, NV)
- **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, ... granted as required by law. The **Diagnosis Related Group Clinical Validation Auditor -RN** is responsible for auditing inpatient medical records to ensure clinical… more
- Boar's Head Brand/Frank Brunckhorst Co., LLC (Sarasota, FL)
- …Boars Head Brand. Complete special projects as assigned by the Sr. QA Manager . Job Description: Essential Duties and Responsibilities + Provide advanced super user ... COAs, Allergen forms, Weight & Tare, any other product claims , etc.), as applicable. + Perform Food Safety &...able to attend a training course. + Serve Safe Manager Certification or be able to attend a training… 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
- Sharp HealthCare (San Diego, CA)
- …*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 ... Functions** + Coding ComplianceCompliance Coding and Billing AuditsThe Compliance Coding Auditor has the primary responsibility of performing all audits and chart… 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 ... and research related to special projects and providing coverage for coding manager (s). (10%) + Depending on location provides or arranges for education/training of… 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
- Trane Technologies (Grand Rapids, MI)
- …possible for a sustainable world. Position Description As a Trane quality braze auditor , your main duties are to inspect connections, braze joints, brazing processes ... who accepts this role will begin as a braze auditor and will participate in training to become a...system. . Assist with containment actions from customer warranty claims . . Write report with evidence for each unit… 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 ... and governance processes. SCOPE: Under the general direction of the Audit Manager , the incumbent will operate independently and is responsible for planning and… more
- Covenant Health Inc. (Knoxville, TN)
- …for initiative and independent judgment. Reports to the Corporate Coding Manager or CFO of CMG as appropriate. Recruiter: Brittany Smithson ||###@covhlth.com ... + Reviews information from third party payers relative to claims charging, coding, and billing in order to ensure...coding and documentation changes and updates. Works with CDI Manager on annual coding updates. + Serves as a… more
- City of New York (New York, NY)
- …30-30 Thomson Ave, LIC, Queens 11101 As the City's primary capital construction project manager , we build many of the civic facilities New Yorkers use every day. We ... 4500 payment requests annually. DDC seeks a Capital Payment Auditor to review and process these payment requisitions. To...(in FMS3); and adjust payment voucher(s) due to liens, claims and assignments. The candidate will use the DDC… more
- Bon Secours Mercy Health (Cincinnati, OH)
- …operational excellence. Job Description **Summary** Works collaboratively with the Compliance Manager on creating auditing protocols which align with Bon Secours ... Assists in the review of Bon Secours Mercy Health coding, billing and claims processing policies and procedures for the development of compliance internal monitors… more
- 3M (Monroe, NC)
- …for Quality-ASQ certification(s): Certified Quality Engineer (CQE), Certified Quality Auditor (CQA), Certified Manager of Quality/Organizational Excellence ... qualification, measurement system analysis, supplier management, regulatory compliance, and claim substantiation. The hire will also collaborate with manufacturing… more
- DoorDash (Tempe, AZ)
- …injury and property damage claims are required. You will report to the Insurance Claims Manager and work a hybrid schedule at our Tempe, AZ office. During ... The team is divided into three separate subgroups: Actuarial, Claims Operations, and Risk Management & Mitigation. We are...The Covey tool has been reviewed by an independent auditor . Results of the audit may be viewed here:… more
