- ChristianaCare (Wilmington, DE)
- ChristianaCare is searching for a Corporate Compliance & Privacy Auditor to join the team.This position will execute moderate-to-complex level audits and participate ... RHIT) Equivalent experience of 5+ years' experience in provider auditing, claims auditing, compliance auditing, quality assurance, and/or recovery auditing Coding… more
- Providence (Anaheim, CA)
- **Description** The Claims Auditor performs various audits of claims payments and denials to ensure accuracy based on the DOFR, internal policies and ... best people, we must empower them. **Required Qualifications:** + 3 years Claims processing experience in a managed care environment. **Preferred Qualifications:** +… more
- Centers Plan for Healthy Living (Staten Island, NY)
- Claims Auditor 75 Vanderbilt Ave, Staten Island, NY 10304, USA Req #1153 Monday, June 3, 2024 Centers Plan for Healthy Living's goal is to create the ultimate ... Responsible for the auditing functions of Centers Plan for Healthy Living (CPHL) claims . Collaborates with other Health plan departments and Management to ensure … more
- UCLA Health (Los Angeles, CA)
- …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, and denied) for accuracy, appropriate application of benefits, authorization for services, contract… more
- Universal Health Services (Riverside, CA)
- …guidelines and requirements. 2. Daily track and report both financial and clerical claims processing errors in the auditor Access database program, and report ... and receive care. SUMMARY: Responsible for auditing and training claims staff on all Managed Care claims ...is logged in the Batch Control section of the Auditor database, communicate to the appropriate Customer Service staff… more
- New York State Civil Service (Liverpool, NY)
- …the accurately and timely review of compensation and medical payments generated by claims . The Internal Auditor 1 will be responsible for auditing approximately ... NY HELP Yes Agency Insurance Fund, State Title Internal Auditor 1/Trainee 1/2 Occupational Category Financial, Accounting, Auditing Salary Grade 18 Bargaining Unit… more
- CVS Health (Scottsdale, AZ)
- … submitted through the CVS Health claims processing systems. The Pharmacy Claims Auditor will identify and rectify claim inaccuracies that would result in ... to not only help people get well, but help them stay well in body, mind and spirit. The Pharmacy Claims Reviewer is responsible for reviewing pharmacy claims… more
- New York State Civil Service (Albany, NY)
- NY HELP Yes Agency Medicaid Inspector General, NYS Office of the Title Auditor 1/ Auditor Trainee 1/ Auditor Trainee 2 (NY HELPS) Occupational Category ... for appointment through NYS HELPS, you must meet the following minimum qualifications: AUDITOR TRAINEE 1:1. Possess a bachelor's degree in accounting, auditing, or… more
- New York State Civil Service (White Plains, NY)
- NY HELP Yes Agency Taxation & Finance, State Title Auditor 1 (Tax)/ Auditor Trainee 1 (Tax)/ Auditor Trainee 2 (Tax) (NY HELPS) Occupational Category ... Civil Service Law, Rules and Regulations.Special Minimum Qualifications for transfer to Auditor 1 (Tax):A bachelor's degree including or supplemented by 24 semester… more
- New York State Civil Service (Albany, NY)
- NY HELP Yes Agency Mental Health, Office of Title Auditor 1/ Auditor Trainee, Central Office; Occupational Category Financial, Accounting, Auditing Salary Grade ... year of permanent competitive or 55-b/c service as a Auditor Trainee 1, Auditor Trainee 2, or...performing various tests, reviews, reconciliations, and evaluations of accounts, claims , records, and procedures to ensures that transactions are… more
- UPMC (Pittsburgh, PA)
- **UPMC Health Plan is looking for an Intermediate Clinical Auditor /Analyst to join the Quality Assurance team!** The Intermediate Clinical Auditor /Analyst is an ... to ensure correct DRG procedural and diagnosis codes have been used appropriately on claims . This role also acts as a SME for the department in representing… more
- HCA Healthcare (Campbell, CA)
- …and integrity. We care like family! Jump-start your career as a(an) Claim Auditor today with HCA Healthcare. **Benefits** HCA Healthcare, offers a total rewards ... by location._** Come join our team as a(an) Claim Auditor . We care for our community! Just last year,...function is to ensure examiner payment accuracy of all claims processing including analysis of support services fulfillment colleagues'… more
- Commonwealth of Pennsylvania (PA)
- Field Auditor 2 (LG) - Allegheny County Department of Human Services (Multiple Vacancies) Print ... (https://www.governmentjobs.com/careers/pabureau/jobs/newprint/4526685) Apply Field Auditor 2 (LG) - Allegheny County Department of Human Services (Multiple… more
- Nevada County (Nevada City, CA)
- Senior Accountant- Auditor -Limited-Term Print (https://www.governmentjobs.com/careers/mynevadacounty/jobs/newprint/4426196) Apply Senior Accountant- Auditor ... Nevada City, CA Job Type Full Time Job Number 2024-0059 Department Auditor -Controller Opening Date 03/13/2024 Closing Date Continuous + Description + Benefits +… more
- Iowa Department of Administrative Services (Des Moines, IA)
- Auditor /Program Coordinator (CSC) Print (https://www.governmentjobs.com/careers/iowa/jobs/newprint/4511086) Apply Auditor /Program Coordinator (CSC) Salary ... succession planning and trusteeships for attorneys, and manages the claims process related to the theft of client funds....to join our team as a full-time trust accounts auditor / audit program coordinator. This individual will be working… more
- New York State Civil Service (Albany, NY)
- NY HELP No Agency SUNY System Administration Title Internal Auditor Occupational Category Financial, Accounting, Auditing Salary Grade NS Bargaining Unit M/C - ... software or other auditing software. Duties Description Job Description:The Internal Auditor is responsible for performing internal audit services to further advance… more
- State of Maine, Bureau of Human Resources (Augusta, ME)
- UC Quality Assurance Auditor Augusta , Maine , United States | Audit | Full-time Apply by: June 17, 2024 Apply with Linkedin Apply Department of Labor - Bureau of ... We currently have an opening for a Quality Assurance Auditor (QAA) in our Benefit Accuracy Measurement (BAM) unit.... Measurement is auditing paid and denied UI benefit claims . Responsibilities include in-depth reviews of sampled claims… more
- State of Georgia (Fulton County, GA)
- Investigative Auditor - Medicaid Fraud Georgia - Fulton - Atlanta (https://careers.georgia.gov/jobs/52416/other-jobs-matching/location-only) Hot ... Attorney General Department of Law Medicaid Fraud - Investigative Auditor *To move forward in the recruiting process ALL...more of the following: . Audit experience in medical claims and/or claims data. . Certification as… more
- Peace Corps (Washington, DC)
- …Audit Unit and reports to the Assistant Inspector General for Audit. The Auditor is responsible for conducting performance and financial audits and reviews of Peace ... Act of 1978, as amended, (IG Act). Responsibilities The Auditor performs the following major duties: Serves as an...and the location of employment in your resume. Qualification claims will be subject to verification. Specialized Experience: This… more
- Robert Half Accountemps (Los Angeles, CA)
- …and finalizing DNB edits either in the PFS host Patient Accounting system or claims editing system. At times, the Chart Auditor may conduct insurance audits ... in Los Angeles is in the need of Chart Auditor . The Chart Auditor is responsible for...payer auditor per contractual terms. The Chart Auditor may also be responsible for hospital department communication… more
