- 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 various...This position is responsible for all aspects of assigned claim audits, including audit testing and completion of the… more
- Conduent (Orlando, FL)
- …be part of a culture where individuality is noticed and valued every day. **Pharmacy Claims Auditor CPhT** **Do you have a CPhT certification?** **Would you like ... behalf of our healthcare payer clients. As a Pharmacy Claims Auditor CPhT, you will examine a...claim data. This is to ensure billed pharmacy claims are being accurately submitted. You will also be… more
- CHS (Clearwater, FL)
- **Overview** ** ** ** Claims and Call Auditor (Call Center QC) - Clearwater, FL** ** ** **Summary** The Claims & Call Auditor audits processed medical ... kneeling, stooping and lifting up to thirty (30) pounds. ** ** ** Claims and Call Auditor (Call Center QC) - Clearwater, FL** ** ** PA123 **Job Locations**… more
- Centers Plan for Healthy Living (Staten Island, NY)
- Claims Auditor 75 Vanderbilt Ave, Staten Island, NY 10304, USA Req #1153 Monday, December 2, 2024 Centers Plan for Healthy Living's goal is to create the ... Responsible for the auditing functions of Centers Plan for Healthy Living (CPHL) claims . Collaborates with other Health plan departments and Management to ensure … more
- Robert Half Accountemps (Los Angeles, CA)
- …near Los Angeles is seeking a detail-oriented and experienced Medical Clinical Trial Claims Auditor . This role involves meticulous oversight and auditing of ... claims related to our clinical trials to ensure compliance...Medical Denials, Clinical Trial Operations, Clinical trial management, Medical Claims , Claims audits, Coding Audits Robert Half… more
- Humana (Columbus, OH)
- …of our caring community and help us put health first** The Medical Coding Auditor reviews medical claims submitted against medical records provided, to ensure ... Follows established guidelines/procedures. **Where you Come In** The Medical Coding Auditor reviews medical claims submitted against medical records provided,… 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 ... compliance with company policies, industry standards, and regulatory requirements. The auditor will analyze the claims documentation and processes, identify… more
- Commonwealth of Pennsylvania (PA)
- Auditor 2 Print (https://www.governmentjobs.com/careers/pabureau/jobs/newprint/4806542) Apply Auditor 2 Salary $58,035.00 - $88,235.00 Annually Location ... of Enforcement and Investigation, Charities Investigation Unit as an Auditor 2 for the opportunity to perform advanced and...attach a copy of your college transcripts for your claim to be accepted toward meeting the minimum requirements.… more
- Commonwealth of Pennsylvania (PA)
- Auditor 1, AU (Southeast Region) Print (https://www.governmentjobs.com/careers/pabureau/jobs/newprint/4803101) Apply Auditor 1, AU (Southeast Region) Salary ... Permanent Full-time Job Number N-2025-17289 Department Department of the Auditor General Division AU Bur Fire Relief Auds Opening...attach a copy of your college transcripts for your claim to be accepted toward meeting the minimum requirements.… more
- Commonwealth of Pennsylvania (PA)
- Auditor 1, Southwest Region Print (https://www.governmentjobs.com/careers/pabureau/jobs/newprint/4803200) Apply Auditor 1, Southwest Region Salary $50,836.00 - ... Permanent Full-time Job Number N-2025-17290 Department Department of the Auditor General Division AU Bur Fire Relief Auds Opening...attach a copy of your college transcripts for your claim to be accepted toward meeting the minimum requirements.… more
- New York State Civil Service (Syracuse, NY)
- NY HELP Yes Agency Taxation & Finance, State Title Auditor 1 (Tax)/ Auditor Trainee 1 (Tax)/ Auditor Trainee 2 (Tax) (NY HELPS) Occupational Category ... City Syracuse State NY Zip Code 13202 Duties Description Auditor 1 (Tax) performs on-site field audits and examinations...and advocate disputed cases at BCMS conferences and Small Claims Hearings. May participate at hearings as a witness… more
- Elevance Health (Grand Prairie, TX)
- …claim identification, and documentation purposes (eg, letter writing). + Identifies new claim types by identifying potential claims outside of the concept ... **DRG Coding Auditor (DIAGNOSTIC RELATED GROUP)** _This position will work...auditing inpatient medical records and generating high quality recoverable claims for the benefit of the company, for all… more
- Chesapeake Regional Healthcare (Chesapeake, VA)
- Summary With direction from the Patient Financial Services Director, the Nurse Auditor / Revenue Integrity/ CDM Analyst is responsible for performing audits of ... record and other applicable hospital documentation, assigning modifiers to appropriate claims , researching edited claims for medical necessity, and advising… more
- New York State Civil Service (Albany, NY)
- …Indigent Legal Services, Office of Title Special Assistant (working title: Auditor ) - VID 179915 Occupational Category Financial, Accounting, Auditing Salary Grade ... The holder of this position will serve as the Auditor in the ILS Grants Unit, reporting to Assistant...comprehensive audit function for ILS that includes spot-checking pending claims for payment, desk audits of claims … more
- ManpowerGroup (Vienna, VA)
- Our client, is seeking a Bank and Corporate Owned Life Insurance (BOLI/COLI) Auditor to join their team. As a Bank and Corporate Owned Life Insurance (BOLI/COLI) ... Auditor , you will be part of the Audit Services...policies. + Conduct thorough audits of life and death claims to verify accuracy, completeness, and compliance with company… more
- Health Advocates Network (Phoenix, AZ)
- Contract **Job # 24538 Charge Auditor ** **Acclivity Healthcare - Your personable, proven partner!** Since 1999, Acclivity Healthcare has served the specialized ... of better talent. **Compensation and Schedule for the Charge Auditor ** Charge Auditor - Full-time, work-from-home, $25-$35...- Work with Audit and Education Specialists to assist claim audits and understanding on missed charges based on… more
- AmeriHealth Caritas (Philadelphia, PA)
- …audit process and communicate the audit outcome to the appropriate persons. The auditor will validate production to ensure that the case is migrated appropriately. ... post-implementation review is completed as the policy outlines. The auditor will be expected to build/run complex queries to...will be expected to build/run complex queries to identify claims affected by the configuration change and analyze all… more
- State of Massachusetts (Everett, MA)
- …financial reporting. The School Business Services unit is seeking an experienced auditor who will be responsible for establishing, monitoring and auditing various ... complex spreadsheets for tracking, reporting and auditing grants and Circuit Breaker claims ; Review, analyze, and manipulate data in various formats to assist with… more
- Chesapeake Regional Healthcare (Chesapeake, VA)
- Job Summary With direction from the Director, the Nurse Auditor /Revenue Integrity Specialist is responsible for auditing itemized charges versus the patient medical ... record and other applicable hospital documentation, assigning modifiers to appropriate claims , researching edited claims for medical necessity, and advising the… more
- City of New York (New York, NY)
- …As such, DCAS/Audit and Compliance Services seeks to hire a Vendor Contract Auditor to coordinate, monitor and conduct reviews of audit work performed by contracted ... master contracts under the purview of a Senior Staff Auditor /Supervisor and the Audit Director. Responsibilities for the Internal...of vendor contract and/or financial auditing, and auditing of claims for payment to assess their validity on a… more