- 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 ... 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
- Sedgwick (Buffalo, NY)
- …Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Attorney Auditor ** **This is a fully remote position, and candidates residing ... 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
- CareFirst (Baltimore, MD)
- …for systematic investigations of a specific area of operations (ie, claims , customer service, enrollment) within the organization. Incumbent conducts a variety ... to negotiate effective solutions to audit issues. + Knowledge of all claims , service and enrollment processing systems. + Excellent communication skills (verbal and… 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 Tampa Bay area. **Position Details:** + **Location:** Fully Remote (must reside in the state of Florida, Georgia,...+ The Inpatient Coding Auditor performs inpatient encounter audits and evaluates compliance related… more
- Sharp HealthCare (San Diego, CA)
- …factors, other requirements for the position, and employer business practices. *This is a remote position* **What You Will Do** The Compliance Coding Auditor is ... Functions** + Coding ComplianceCompliance Coding and Billing AuditsThe Compliance Coding Auditor has the primary responsibility of performing all audits and chart… more
- Insight Global (South Jordan, UT)
- Job Description Insight Global is seeking a DRG Validation Auditor for one of our clients to sit 100% remote . This person should have an extensive background in ... is responsible for auditing inpatient medical records and generating high-quality recoverable claims for the benefit of our client and their clients. They are… more
- Bon Secours Mercy Health (Cincinnati, OH)
- …cycle services performed for Bon Secours Mercy Health. *Please note this role is remote , but requires living in the continental US and working hours in alignment ... 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
- 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 ... within 24 months of hire** **3 years experience in claims processing operations and reporting systems, including 2 years...integrity** **3 years clinical experience** **This is a Telecommute ( Remote ) role: Must reside within 250 miles of the… more
- Commonwealth Care Alliance (Boston, MA)
- 011250 CCA- Claims Hiring for One Year Term **_This position is available to remote employees residing in Massachusetts. Applicants residing in other states will ... Summary:** Working under the direction of the Sr. Director, TPA Management and Claims Compliance, Healthcare Medical Claims Coding Sr. Analyst will be… more
- DoorDash (Tempe, AZ)
- …company's bottom line. The team is divided into three separate subgroups: Actuarial, Claims Operations, and Risk Management & Mitigation. We are looking for forward ... DoorDash. About the Role We are seeking an experienced claims specialist who will be a member of DoorDash's...Notice to Applicants for Jobs Located in NYC or Remote Jobs Associated With Office in NYC Only We… more
- Dallas Behavioral Healthcare Hospital (Desoto, TX)
- THIS IS NOT A REMOTE POSITION We are hiring a Medical Records Clerk/Coder to assign procedure, and diagnosis codes for insurance billing, review claims data, ... correspond with insurance companies to obtain accurate reimbursement for healthcare claims . This person will also be responsible for analyzing, abstracting,… more
- DoorDash (San Francisco, CA)
- …automation of recurring workflows + Collaborate with cross-functional teams-including Claims , Finance, and Legal-to incorporate operational insights into actuarial ... Notice to Applicants for Jobs Located in NYC or Remote Jobs Associated With Office in NYC Only We...The Covey tool has been reviewed by an independent auditor . Results of the audit may be viewed here:… more
- McKinstry (Seattle, WA)
- …+ Drive continuous improvement projects to reduce defects, rework, and warranty claims , using production quality data to identify and prioritize activities and ... Manufacturing preferred. + Lean Belt Certification preferred. + SO 9001:2015 Lead Auditor certification. + Working knowledge and understanding of the ISO 9001:2015… more
- DoorDash (New York, NY)
- …to connect messaging to downstream metrics, from comprehension to NPS to claims behavior. + Brings strong cross-functional leadership and a track record of ... Notice to Applicants for Jobs Located in NYC or Remote Jobs Associated With Office in NYC Only We...The Covey tool has been reviewed by an independent auditor . Results of the audit may be viewed here:… more
- BD (Becton, Dickinson and Company) (Four Oaks, NC)
- …Ensure compliance with quality systems, including holds, product disposition, intracompany claims , QMS audits, and metric data analysis. + Regulatory Compliance: Act ... Industry-recognized certification in a quality system element (eg, ASQ Certified Quality Auditor ) is preferred. **Knowledge and Skills** + Self-motivated and able to… more
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