- Franklin Energy (Raleigh, NC)
- …our diverse partnerships, clients and communities we serve. Position SummaryThe Energy Auditor I is responsible for providing services directly to small business ... offenses such as vehicle vandalism and break-ins and staged-accident fraud, defense of legal claims , driver exoneration, and driver training and improvement. more
- Northeast Georgia Health System, Inc (Oakwood, GA)
- …discuss concerns, and make plans for processes/procedures.Assists with submission of charges/ claims during high volume and/or end of month. Assists, as needed, ... with Coding Department work queues, deferrals, and claim edits. Conducts peer to peer audits and provides education for new Coding department employees, or as needed. Audits charts to ensure the NGPG/NGHS coding staff are utilizing the correct CPT, ICD-10,… more
- Advanced Recovery Systems (Washington, DC)
- Overview:We are seeking an experienced, Full-Time Auditor to join our Revenue Cycle Management Team!This is a 100% remote position requiring work hours of 8:00 am to ... or mental illness.Pay Minimum: USD $22.00/Hr. Responsibilities:The Revenue Cycle Team Auditor is responsible for coordinating daily, weekly, and monthly audits of… more
- 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
- Blanchard Valley Hospital (Findlay, OH)
- …by clinical documentation. Coordinate with the Professional Coding Integrity Auditor /Educator to research coding questions from offices, departments, and providers. ... internal quality audits of the PCISS, in coordination with the Coding Claims Resolution Specialist. Provide feedback and documented education to the Vregarding the… more
- Amerant Bank (Miramar, FL)
- …Business Continuity in providing regulators, internal and external auditor 's information regarding the Organization's Operational Risk Management framework.Support ... contact for insurance related matters including but not limited to claims reporting, premium payments, and certificate of insurance requirements. NON-ESSENTIAL… more
- Randstad US (Duluth, GA)
- hybrid medical claims auditor (6 weeks). + duluth , georgia + posted 6 days ago **job details** summary + $20 - $23 per hour + temporary + high school + category ... + referenceAB_4525885 job details Are you an experienced Medical Claims specialist or Revenue Cycle Specialist who is skilled...or Revenue Cycle Specialist who is skilled in auditing claims ? We are looking for 6 temporary employees to… more
- The Cigna Group (Bloomfield, CT)
- …a division of The Cigna Group is hiring an Accounts Receivable - Quality Assurance, Claims Auditor . For this integral role you will audit / examine claims ... What you'll do to make a difference: + Audit claims in accordance with policy terms / conditions and...Outlook, Word) + 2 + years of knowledge of claims processes and Medical Terminology, required + 1+ years… more
- Centers Plan for Healthy Living (Staten Island, NY)
- Claims Auditor 75 Vanderbilt Ave, Staten Island, NY 10304, USA Req #1153 Monday, April 29, 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
- Molina Healthcare (Albuquerque, NM)
- …Care, Tribal, Value Added, Community, Tribal 638, Tribal Governments, TCBOs, HSD/MAD, Claims Examiner, Auditor , Claims Processor, \#PJHPO \#LI-AC1 Pay ... **Molina Healthcare** is hiring in **New Mexico** for several **Billing & Claims , Tribal Liaisons** . These roles are specifically responsible for working with… more
- AmeriHealth Caritas (Philadelphia, PA)
- …services. Discover more about us at **www.amerihealthcaritas.com.** **Responsibilities:** The Provider Claims Inquiry Team Medical Coding Auditor reviews medical ... **Medical Coding Auditor | Certification Required (Remote, USA)** Location: Remote,...support related to coding and billing issues. The Provider Claims Inquiry Team identifies potential overpayments due to suspected… more
- New York State Civil Service (Albany, NY)
- NY HELP Yes Agency Criminal Justice Services, Division of Title Auditor 1/ Auditor Trainee Occupational Category Other Professional Careers Salary Grade NS ... City Albany State NY Zip Code 12210 Minimum Qualifications NON-COMPETITIVE MINIMUM QUALIFICATIONS: Auditor Trainee 1, NS: You must have either: 1. A bachelor's degree… more
- New York State Civil Service (Hauppauge, 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
- Iowa Department of Administrative Services (State Of Iowa, IA)
- Employer Auditor Print (https://www.governmentjobs.com/careers/iowa/jobs/newprint/4495252) Apply Employer Auditor Salary $50,252.80 - $76,336.00 Annually ... Description Iowa Workforce Development is seeking applicants for the position of Employer Auditor . This position will be domiciled at one of the following IowaWORKS… more
- New York State Civil Service (Hauppauge, NY)
- NY HELP Yes Agency Taxation & Finance, State Title Auditor Trainee 1 (Tax) (NY HELPS) Occupational Category Financial, Accounting, Auditing Salary Grade 14 ... 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
- 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
- Federal Retirement Thrift Investment Board (Washington, DC)
- …is looking for a highly qualified and motivated individual to serve as an Auditor . This Job Opportunity Announcement (JOA) may be used to fill other Auditor ... and participates in entrance conferences and walkthrough meetings. Coordinates external auditor request for documentation and interviews with Agency Offices. Obtains… more
- Elevance Health (Tampa, FL)
- **Pharmacy Internal Auditor ** **Location:** This position will work a hybrid model (remote and office). Ideal candidates will live within 50 miles of one of our ... lens, to deliver member-centered, lasting pharmacy care. The **Pharmacy Internal Auditor ** is responsible for driving service quality excellence by evaluating the… more
