- University Health (San Antonio, TX)
- …Certified Professional Coder (CPC) and Certified Professional Medical Record Auditor (CMPA), Certified Coding Specialist (CCS), Registered Health Information ... resources for analytical auditing and monitoring activities related to University Health 's compliance program. The position reports directly to the Chief… more
- ACSC Management Services Inc (Costa Mesa, CA)
- …the achievement of organization, team and personal performance. . Remarkable benefits: * Health coverage for medical , dental, vision * 401(K) saving plan with ... accuracy, consistency, and timely completion. Conduct monthly re-audits to assess auditor performance and identify coaching opportunities. Monitor audit trends and… 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...minimal supervision during the audits of PPGs, hospitals and health plans. Conducts sub-delegation claims oversight audits… more
- UCLA Health (Los Angeles, CA)
- …Take your career to the next level. You can do all this and more at UCLA Health . The Claims Quality Auditor will be responsible for the daily audit of ... all examiners assigned to the auditor . You will review claims (paid, pending,...GED or equivalent + Four or more years of medical claims payment experience in an HMO… more
- Kemper (Birmingham, AL)
- …stakeholders that delivers on our promises._ Kemper is excited to be adding to our Claims Auditing Team. Our claims auditor position is responsible for ... experience and impacting bottom-line results + Maximize value to the claims department through planned partner relationships designed to foster open, collaborative… more
- Conduent (Warren, MI)
- …part of a culture where individuality is noticed and valued every day. **Supplier Claims Auditor ** **Hybrid | Warren, MI** **Part-Time | Hours Assigned as ... 4:00 PM EST** **About the Role:** As a Supplier Claims Auditor , you'll play a vital role...Conduent provides a variety of benefits to employees including health insurance coverage, voluntary dental and vision programs, life… 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** : ... 19 years in a row for providing the highest-quality medical care in Los Angeles. We also were awarded...Workplace of the Year. This award recognizes hospitals and health systems nationwide that have outstanding levels of employee… more
- Louisiana Department of State Civil Service (Baton Rouge, LA)
- …return-to-work efforts and improve workplace safety. The department manages disputed claims , conducts hearings, reviews medical treatment disputes, and ... AUDITOR 1/2/3 Print (https://www.governmentjobs.com/careers/louisiana/jobs/newprint/5162783) Apply AUDITOR...insurance carriers. OWCA does not process individual workers' compensation claims or issue benefit payments. They also do not… more
- Texas Tech University Health Sciences Center - El Paso (El Paso, TX)
- **42910BR** **Extended Job Title:** Medical Coding Auditor **Org Level 1:** Texas Tech Unv Hlth Sci Ctr El Paso **Position Description:** Responsible for ... while maintaining compliance with healthcare laws and organizational policies. The Medical Coding Auditor collaborates with practice, providers, and other… more
- Elevance Health (Roanoke, VA)
- …spending. The **DRG Coding Auditor Principal** is responsible for auditing inpatient medical records on claims paid based on Diagnostic Relation Group (DRG) ... **DRG Coding Auditor Principal** **_Virtual: _** _ _ This role...environment preferred. + Broad, deep and niche knowledge of medical claims billing/payment systems provider billing guidelines,… more
- Elevance Health (Norfolk, VA)
- …spending. The **DRG CODING AUDITOR ** is responsible for auditing inpatient medical records and generating high quality recoverable claims for the benefit ... **DRG CODING AUDITOR ** **_Virtual_** **_: _** _ _ __ This...or quality assurance environment preferred. + Broad knowledge of medical claims billing/payment systems provider billing guidelines,… 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 - ... choose among a variety of pre-tax and after-tax benefits that include Medical and Dental coverage, Group life insurance, Accidental Death and Dismemberment… more
- Elevance Health (Indianapolis, IN)
- …experience preferred. + Broad knowledge of clinical documentation improvement guidelines, medical claims billing and payment systems, provider billing ... required by law. The **Diagnosis Related Group Clinical Validation Auditor -RN** is responsible for auditing inpatient medical ...you will make an impact:** + Analyzes and audits claims by integrating medical chart coding principles,… 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...opportunities. + A diverse and comprehensive benefits offering including medical , dental vision, 401K and PTO. + Wellness benefits… more
- Covenant Health Inc. (Knoxville, TN)
- …Tennessee as RN with equivalent coding experience. Apply/Share Job Title REV INTEGRITY AUDITOR SR ID 4399754 Facility Covenant Health Corporate Department Name ... Overview Revenue Integrity Auditor Full Time, 80 Hours Per Pay Period, Day Shift Covenant Health Overview: Covenant Health is the region's top-performing… more
- Humana (Carson City, NV)
- **Become a part of our caring community and help us put health first** The Nurse Auditor 2 performs clinical audit/validation processes to ensure that medical ... determination of the appropriate courses of action. The **Nurse Auditor 2** validates and interprets medical documentation...of 1 year of clinical experience reading and interpreting medical records and claims and/or working disputes… more
- Idaho Division of Human Resources (Boise, ID)
- …fraud, financial crimes or white-collar investigations. + Experience analyzing financial records, claims data, or medical billing. + Proficiency in writing ... Criminal Investigator or Investigative Auditor , OAG, Criminal Law Division Posting Begin Date:...a bachelor's degree in a related field, such as health information management, accounting, healthcare administration, or criminal justice.… more
- Sharp HealthCare (San Diego, CA)
- …Documentation Specialist (CCDS) - Various-Employee provides certificate; Other; Certified Health Care Compliance (CHC) - Compliance Certification Board **Hours** ... *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
- FlexStaff (Chappaqua, NY)
- **Req Number** 172252 Surgical Anesthesia Compliance AuditorCompliance Auditor MUST HAVE CPC CERTIFICATON This is a HYBRID position- MUST be in the office located in ... Chappaqua, NY 3 days a week. Surgical Anesthesia Compliance Auditor - Hybrid position- Chappaqua, NY- $100K-$115K Are you passionate about healthcare compliance and… more
- Dignity Health (Rancho Cordova, CA)
- …within the Business Office consistent with the mission and philosophy of Dignity Health Medical Foundation. **Job Requirements** + High school diploma (or ... Qualifications:** + Previous auditing experience preferred **Where You'll Work** Dignity Health Medical Foundation, established in 1993, is a California… more
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