- HCA Healthcare (Nashville, TN)
- … like you to be a part of our team. **Job Summary and Qualifications** The Claims Auditor will serve as a Subject Matter Expert (SME) in medical claims ... area Do you want to join an organization that invests in you as a **Claim Auditor ** ? At Work from Home, you come first. HCA Healthcare has committed up to $300… more
- Sedgwick (Columbus, OH)
- …work. Great Place to Work(R) Most Loved Workplace(R) Forbes Best-in-State Employer Claims Compliance Auditor - Workers Compensation **PRIMARY PURPOSE** **:** To ... monitor claims colleague technical activities at a claim file level...dental, vision, 401k and matching, PTO, disability and life insurance , employee assistance, flexible spending or health savings account,… more
- Centers Plan for Healthy Living (Staten Island, NY)
- Claims Auditor 75 Vanderbilt Ave, Staten Island, NY 10304, USA Req #1153 Tuesday, November 5, 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
- USAA (Plano, TX)
- …what makes us so special! **The Opportunity** As a dedicated **Senior Auditor ,** you'll perform internal audit assignments. Identify problems for resolution in ... with high quality. + Executes and may lead as Auditor in Charge (AIC) for audit engagements throughout the...of a degree. + 4 years of audit, financial, insurance , banking, information technology or related business and/or leadership… more
- City of Eugene (Eugene, OR)
- Police Auditor Print (https://www.governmentjobs.com/careers/eugene/jobs/newprint/4710124) Apply Police Auditor Salary $125,798.40 - $169,811.20 Annually ... 5:15 PM Pacific + Description + Benefits + Questions General Statement of Duties The Police Auditor is an employee of the City of Eugene and is one of three directly… 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
- UPMC (Pittsburgh, PA)
- UPMC Health Plan is looking for an Intermediate Clinical Auditor /Analyst to join the Quality Assurance team! This role will work standard daylight hours, Monday - ... however, this role may work remotely. The Intermediate Clinical Auditor /Analyst is an integral part of the Quality Assurance...procedural and diagnosis codes have been used appropriately on claims . This role also acts as a SME for… more
- NJM Insurance (Trenton, NJ)
- … Industry Experience + APA ( Associate in Premium Auditing) + CIPA ( Certified Insurance Premium Auditor ) + ARM ( Associate in Risk Management ) + CPCU ... Our Commercial Lines department is seeking a Premium Auditor with strong organizational and time management skills. The auditor will be responsible for… more
- City of Detroit (Detroit, MI)
- Director of Internal Audit ( Auditor Manager 3) Print (https://www.governmentjobs.com/careers/detroit/jobs/newprint/4745404) Apply Director of Internal Audit ( ... Auditor Manager 3) Salary $105,064.00 - $137,796.00 Annually Location...administration and operation of City agencies. Settles all disputed claims in favor of or against the City as… more
- Catholic Health Initiatives (Chattanooga, TN)
- …Assistance Program (EAP) for you and your family Health/Dental/Vision Insurance Flexible spending accounts Voluntary Protection: Group Accident, Critical Illness, ... with us today! **Responsibilities** **Job Summary / Purpose** The Sr Coding Compliance Auditor is responsible for reviewing chart notes for proper coding with an… 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
- Henry Ford Health System (Troy, MI)
- Reporting to the Manager, Revenue Integrity, the Revenue Integrity Auditor must have a comprehensive understanding of medical terminology, coding, charge entry, and ... healthcare revenue cycle processes. The Revenue Integrity (RI) Auditor provides support for timely, accurate and inclusive charge capture, coding, billing functions… more
- BlueCross BlueShield of North Carolina (NC)
- **Job Description** The Auditor will be responsible for auditing processed claims , customer inquiries and membership processing in compliance with one of the ... audits. + Audit company systems and processes that support Claims , Customer Inquiries, and Membership processing in compliance with...audits are required by the North Carolina Department of Insurance . + Assist the Senior Auditor 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
- Elevance Health (Morristown, NJ)
- **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
- MyFlorida (Miami, FL)
- TAX AUDITOR IV - 79011034 Date: Nov 26, 2024 The State Personnel System is an E-Verify employer. For more information click on our E-Verify Website ... Requisition No: 842176 Agency: Business and Professional Regulations Working Title: TAX AUDITOR IV - 79011034 Pay Plan: Career Service Position Number: 79011034… more
- Blue Cross Blue Shield of Massachusetts (Boston, MA)
- …the Audit, Risk Management & Information Security (ARMIS) team, the Senior Internal Auditor will perform and support audits and assessments related to financial and ... to Sarbanes-Oxley), risk-based audits, and consulting engagements. The Senior Internal Auditor will participate in cross-functional projects with IT Audit, Risk… more
- Fallon Health (Worcester, MA)
- …we strive to be the leading provider of government-sponsored health insurance programs-including Medicare, Medicaid, and PACE (Program of All-Inclusive Care for ... all aspects of audits following departmental standards and procedures. **The Internal Auditor will perform or assist in the following:** + Supports the internal… more
- Idaho Division of Human Resources (Boise, ID)
- Medicaid Fraud Control Unit Investigative Auditor , OAG Posting Begin Date: 2024/10/17 Posting End Date: 2024/12/20 Category: Audit Sub Category: Program Management ... Experience Benefits: State employee benefits which include low-cost health and dental insurance , paid vacation and sick leave, 11 paid holidays, multiple retirement… more
- Alluvionic (Arlington, VA)
- …next level! Job Summary Alluvionic is seeking aa Federal Travel Regulation (FTR) Auditor who will ensure that travel expenses and reimbursements within the United ... is Required: As Needed *This is an onsite position.* Responsibilities: Audit Travel Claims : + Review and audit federal employee travel expense reports and claims… more