- City of Detroit (Detroit, MI)
- …registration as a Certified Public Accountant or certification as a Certified Internal Auditor is preferred . Knowledge, Skills, and Abilities + Internal audit, ... Director of Internal Audit ( Auditor Manager 3) Print (https://www.governmentjobs.com/careers/detroit/jobs/newprint/4745404) Apply Director of Internal Audit (… more
- Catholic Health Initiatives (Chattanooga, TN)
- …(AAPC) as a Certified Professional Coder (CPC) required. Professional Medical Auditor Certification (CPMA) (CMAS)- preferred but not required. CRC Certification ... with us today! **Responsibilities** **Job Summary / Purpose** The Sr Coding Compliance Auditor is responsible for reviewing chart notes for proper coding with an… more
- Sedgwick (Knoxville, TN)
- …from an accredited college or university with major in Information Systems preferred . Certified Information Systems Auditor (CISA), Certified Internal Auditor ... Place to Work(R) Most Loved Workplace(R) Forbes Best-in-State Employer IT Internal Auditor / Hybrid **PRIMARY PURPOSE:** To perform IT internal audit procedures under… 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 various...This position is responsible for all aspects of assigned claim audits, including audit testing and completion of the… more
- CHS (Clearwater, FL)
- **Overview** ** ** ** Claims and Call Auditor (Call Center QC) - Clearwater, FL** ** ** **Summary** The Claims & Call Auditor audits processed medical ... work independently **Qualifications** **Qualifications:** + Prior auditing experience is preferred + Knowledge of medical terminology + Knowledge of...and lifting up to thirty (30) pounds. ** ** ** Claims and Call Auditor (Call Center QC)… 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 ... experience Preferred : Type of Experience Required: 2+ years of claim processing experience with a Medicaid/Medicare Health Plan. Preferred : Experience… more
- Cedars-Sinai (CA)
- …related field of study, preferred . **Req ID** : 7494 **Working Title** : Claims Auditor (Managed Care) - Remote **Department** : MNS Managed Care **Business ... we strive for. **What will you be doing:** The Claims Auditor is responsible for ensuring the...Commercial products. Must be familiar with provider dispute resolution. ( preferred ) Knowledge of claims processing, ICD-10, CPT-4… more
- Elevance Health (St. Louis, MO)
- …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...Audit setting or hospital coding or quality assurance environment preferred . + Broad knowledge of medical claims … 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 (Buffalo, NY)
- NY HELP No Agency State Police, Division of Title Auditor 1 Occupational Category Financial, Accounting, Auditing Salary Grade 18 Bargaining Unit PS&T - ... and federal civil and prosecutorial anti-fraud agencies. A forensic auditor is needed to participate in these complex fraud...to explain goals and methodology to prove or deny claims as well as gain access or obtain records… more
- AmeriHealth Caritas (Philadelphia, PA)
- …+ Bachelor's Degree preferred + Minimum of 1 year of advanced-level claims experience and auditing experience + Minimum of 3 years of system configuration ... communicate the audit outcome to the appropriate persons. The auditor will validate production to ensure that the case...will be expected to build/run complex queries to identify claims affected by the configuration change and analyze all… 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
- State of Georgia (Fulton County, GA)
- Investigative Auditor - Medicaid Fraud Georgia - Fulton - Atlanta (https://careers.georgia.gov/jobs/64128/other-jobs-matching/location-only) Hot ... Attorney General Department of Law Medicaid Fraud - Investigative Auditor *To move forward in the recruiting process ALL...with a major in accounting or a related field. Preferred Qualifications: In addition to meeting the minimum qualifications,… more
- TEKsystems (Jacksonville, FL)
- Description The Medical Coding Auditor - Outpatient is responsible for ensuring the accuracy, integrity, and compliance of medical coding practices within the ... to verify adherence to coding guidelines and regulations. The Medical Coding Auditor plays a crucial role in minimizing coding errors, preventing fraudulent… more
- TEKsystems (Atlanta, GA)
- Description The Medical Coding Auditor (Outpatient) is responsible for ensuring the accuracy, integrity, and compliance of medical coding practices within the ... to verify adherence to coding guidelines and regulations. The Medical Coding Auditor plays a crucial role in minimizing coding errors, preventing fraudulent… more
- UPMC (Pittsburgh, PA)
- **Join UPMC Corporate Compliance as a Senior Compliance Auditor !** Are you passionate about ensuring accuracy and compliance in healthcare documentation and billing? ... impact? UPMC Corporate Compliance is seeking a dedicated and detail-oriented **Senior Compliance Auditor ** to join our team! This position will be based out of… more
- Sherman Associates, Inc. (Minneapolis, MN)
- …neighborhood. This is a Sherman Associates owned Marriott franchised location. The Night Auditor is a key member of the Guest Services team responsible for the ... assisting with all aspects of guest services. The Night Auditor is responsible for ensuring to provide the highest...all Retail transactions for the guest + Issues luggage claims and check guest luggage when requested + Manages… more
- Elevance Health (Columbus, GA)
- **Diagnosis Related Group Clinical Validation Auditor -RN** **Location:** This position will work a hybrid model (remote and office). Ideal candidates will live ... one of our PulsePoint locations. The **Diagnosis Related Group Clinical Validation Auditor ** is responsible for auditing inpatient medical records to ensure clinical… more
- Hackensack Meridian Health (Hackensack, NJ)
- …as a leader of positive change. The **Diagnosis Related Group (DRG) Auditor ** is responsible for auditing clinical documentation that supports code assignment for ... includes compliance with the Conditions of Participation for CMS. The DRG auditor is responsible for ensuring coding accuracy, coding consistency and efficiency in… more
- Tennessee Comptroller of the Treasury (Nashville, TN)
- Auditor : Financial/TennCare This role focuses on examining, analyzing, and reviewing records, financial statements, claims data, and cost reports for providers ... The Comptroller of the Treasury is recruiting for a full-time Auditor : Financial/TennCare position in the Division of State Audit's Tenncare/Medicaid Section.… more