- Humana (Trenton, NJ)
- … Quality Team is looking is an experienced and well-grounded medical coding auditor to quality review the inpatient hospital claims for proper reimbursement, ... and help us put health first** In this role, you will conduct quality reviews of coding processes within the Claims Cost Management organization, including offshore… more
- ManpowerGroup (New York, NY)
- Jefferson Wells is seeking an experienced ** Insurance Auditor with Life Claims** expertise to join our team. The successful candidate will be responsible for ... evaluating, reviewing, and auditing life insurance claims to ensure accuracy, compliance with company policies, industry standards, and regulatory requirements. The … more
- ManpowerGroup (New York, NY)
- Our client, a leading Financial Services firm, is seeking a SOX Auditor to join their team. As a SOX Auditor , you will be part of the internal audit department ... will align successfully in the organization. **Job Title:** SOX Auditor **Location: Remote** **Pay Range: $60/HR W2** **What's the...+ Dependent Care Flexible Spending Account + Supplemental Life Insurance + Short Term and Long Term Disability … more
- ManpowerGroup (New York, NY)
- Our client, a prestigious financial services firm, is seeking an Internal Auditor to join their team. As an Internal Auditor , you will be part of the audit ... mindset which will align successfully in the organization. **Job Title:** Internal Auditor **Location: (Remote)** **Pay Range:** $80/HR W2 **What's the Job?** + Lead… more
- Fiserv (Berkeley Heights, NJ)
- …global scale, come make a difference at Fiserv. **Job Title** Senior Internal Auditor (Advisory Services) **What does a successful Senior Internal Auditor do?** ... and maintenance of reporting that inform stakeholders on audit activities + Quality assurance reviews ensuring the standardization of governance and Internal Audit… more
- Elevance Health (Woodbridge, NJ)
- **Diagnosis Related Group Clinical Validation Auditor -RN** **Virtual:** This role enables associates to work virtually full-time, with the exception of required ... onboarding and skill development. The **Diagnosis Related Group Clinical Validation Auditor ** is responsible for auditing inpatient medical records to ensure… more
- Robert Half Finance & Accounting (North Brunswick, NJ)
- …Senior Auditors in their North Brunswick and New York (Midtown) offices. The senior auditor roles are hybrid and schedules are flexible. These openings are open due ... acquired several major clients. A CPA, or parts passed is preferred and 3 plus years quality CPA firm experience is also ideal. Any experience in a Big4 CPA is ideal… more
- Highmark Health (Trenton, NJ)
- …and retrospective coding audit activities. Reviews medical records to determine data quality and accuracy of coding, billing and documentation related to DRGs, APCs, ... processes as it relates to the DRG/APC and other clinical data quality management factors. With technical direction and assistance from management, designs and… more
- US Bank (New York, NY)
- …One. **Job Description** The Corporate Audit Services Audit Project Manager ( Auditor -in-Charge) is primarily responsible for supervising staff in the completion of ... audit staff in the completion of audit engagements, ensuring the highest quality work delivered timely. Supervision includes: + Assessing work performed by staff… more
- Centene Corporation (New York, NY)
- …and modify business processes to measure member outcomes. Assess provider performance and quality of care through clinical case reviews. + Lead clinical audits for ... reports summarizing findings, including clinical recommendations to assure the delivery of quality services + Lead case reviews to assess the clinical performance… more
- Atlantic Health System (Morristown, NJ)
- Responsible for coding quality audits of all records (outpatient, inpatient, procedures, testing) to assure appropriateness and accurate code assignments in ... procedures and testing records for physician practices. + Evaluates the quality of clinical documentation to identify incomplete or inconsistent documentation that… more
- Cognizant (Trenton, NJ)
- …an impact by playing a critical role in ensuring the accuracy, compliance, and quality of ICD-10-CM and ICD-10-PCS coding for inpatient records. You will be a valued ... with regulatory and organizational standards. - **Enhance Clinical Documentation Quality ** . Collaborate with physicians through a structured query process… more
- Centers Plan for Healthy Living (Staten Island, NY)
- …audit processes and keep up to date with departmental changes in conducting quality reviews. + Ensure the consistent use of current codes, correct information, ... use and identifying any deficiencies. + Prepare summaries for management of quality review results, including basic analysis of identified trends. + Analyzes audit… more
- Humana (Trenton, NJ)
- …Knowledge/understanding of laws and regulations governed by the Department of Insurance and CMS **Preferred Qualifications** + Compliance regulations knowledge and ... paid parental and caregiver leave), short-term and long-term disability, life insurance and many other opportunities. Application Deadline: 06-12-2025 **About us**… more
- Atlantic Health System (Morristown, NJ)
- …our communities is; Anyone who enters one of our facilities, will receive the highest quality care delivered at the right time, at the right place, and at the right ... full-time and part-time team members) + Life & AD&D Insurance . + Short-Term and Long-Term Disability (with options to...+ Pet, Home & Auto, Identity Theft and Legal Insurance Note: In Compliance with the NJ Pay Transparency… more
- Humana (Trenton, NJ)
- …paid parental and caregiver leave), short-term and long-term disability, life insurance and many other opportunities. Application Deadline: 06-19-2025 **About us** ... teammates, our customers and our company. Through our Humana insurance services and CenterWell healthcare services, we make it...need it. These efforts are leading to a better quality of life for people with Medicare, Medicaid, families,… more
- FreshRealm (Linden, NJ)
- …* Document all audits in Quality Tool Suite * Notify Specialist and Quality Auditor of any issues * Attend monthly refresher trainings with Quality ... Quality Tool Suite * Notify Specialist and Quality Auditor of any issues * Attend...package for full-time employees including medical, dental, vision, pet insurance and legal insurance * 401(k) with… more
- Valcor Engineering (Springfield, NJ)
- …have AS9100 Internal Auditor Certification. + Must be able to write Quality Management System supporting procedures and work instructions. + Knowledge of 14 CFR ... Summary: The AS9100/ISO9001/FAA Part 145 Quality Engineer (QE) will work with quality...hours per week are offered: health, dental, and vision insurance ; health savings accounts; a 401(k) savings plan; long… more
- FreshRealm (Linden, NJ)
- …hour) + Document all audits in Quality Tool Suite + Notify Specialist and Quality Auditor of any issues + Attend monthly refresher trainings with Quality ... The pay band for this role is $19.00-21.00/hr. FreshRealmis looking for Quality Control Technicianin our Fulfillment Center to inspect and ensure that all… more