- Premera Blue Cross (Mountlake Terrace, WA)
- …we 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
- 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
- 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
- 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
- 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
- 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: Oct 21,...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
- 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 ... Policy. The Office of the General Counsel provides legal support across the office related to human resources, procurements,...enforcement state and federal prosecutors. AOI may be investigating claims of public corruption or other wrongdoing in a… more
- Montana State University (Bozeman, MT)
- …Sr. Associate Registrar Email: ###@montana.edu (###@montana.edu) Phone: ### Classification Title Auditor II Working Title Enrollment and Registration Auditor ... and Registration Auditor performs a variety of technical and customer service support tasks in support of the Registrar's Office and Division of Student… 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
- 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 ... week, fostering collaboration and connectivity, while providing flexibility to support productivity and work-life balance. This approach combines structured office… 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
- UPMC (Pittsburgh, PA)
- **Join UPMC Corporate Finance as a Compliance Auditor , Associate!** Are you detail-oriented and passionate about ensuring compliance in healthcare? **UPMC Corporate ... Finance** is looking for a dedicated and meticulous **Compliance Auditor , Associate** to join our team. This role is crucial in maintaining the integrity of our… 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
- Independent Health (Buffalo, NY)
- …fosters growth, innovation and collaboration. **Overview** The Quality Assurance Auditor will perform monitoring, oversight, and quality assurance reviews/audits of ... ensure the quality and accuracy of the systems and processes that support the organization's operation to meet client government regulatory requirements and… 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
- International (Lisle, IL)
- Position Overview International is seeking a strategic and analytical Senior Internal Auditor with a strong foundation in internal controls, audit methodologies, and ... recommendations to process owners, and contribute to audit reporting + Support continuous improvement initiatives within the Internal Audit department + Supervise,… 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 ... or acquire within 24 months of hire** **3 years experience in claims processing operations and reporting systems, including 2 years experience in auditing… more
- Dignity Health (Rancho Cordova, CA)
- …Under the supervision of the Business Office Leadership, the Business Office Auditor role is responsible for monitoring the quality of work performed within ... Requires: + Knowledge of physician billing regulations + Understanding of professional claims and billing procedures + Knowledge of Federal and State regulations… more
- Covenant Health Inc. (Knoxville, TN)
- …a resource to coders, CDI staff, Quality and Case Managers, Decision Support and physician office personnel regarding coding questions. Responsible for educating ... to ensure compliance. + Reviews information from third party payers relative to claims charging, coding, and billing in order to ensure compliance. + Performs… more
