- 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 ... an organization that invests in you as a **Claim Auditor ** ? At Work from Home, you come first....expenses. "Good people beget good people."- Dr. Thomas Frist, Sr . HCA Healthcare Co-Founder We are a… more
- Commonwealth Care Alliance (Boston, MA)
- CCA- Claims Essential Duties & Responsibilities: * Develop enhanced, customized prospective claims auditing and clinical coding and reimbursement policies and ... on edits implemented. * Utilize data to examine large claims data sets to provide analysis and reports on...* Certified Inpatient Coder (CIC) * Certified Professional Medical Auditor (CPMA) Desired Education (nice to have): * Masters… 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
- Blue Cross Blue Shield of Massachusetts (Boston, MA)
- …member of the Audit, Risk Management & Information Security (ARMIS) team, the Senior Internal Auditor will perform and support audits and assessments related ... Ready to help us transform healthcare ? Bring your true colors to blue. We...(similar to Sarbanes-Oxley), risk-based audits, and consulting engagements. The Senior Internal Auditor will participate in cross-functional… more
- Nuvance Health (Danbury, CT)
- …Special Associate Compliance Officer (SACO) Physician Audit & Billing, the Senior Inpatient Professional Auditor providesHospital Inpatient and Outpatient ... and State guidelines. Ensure correct DRG and APC assignments for Institutional claims . 2. Maintains confidentiality of protected health information and other forms… more
- Ascension Health (Kalamazoo, MI)
- …Advisor for additional specifics._ **Responsibilities** Perform periodic and ongoing audits of claims to ensure accuracy of coding and billing, and sufficiency of ... Team** Ascension Michigan operates 16 hospitals and more than 300 related healthcare facilities that together employ nearly 23,000 compassionate associates. When you… more
- Ascension Health (Indianapolis, IN)
- …Advisor for additional specifics._ **Responsibilities** Perform periodic and ongoing audits of claims to ensure accuracy of coding and billing, and sufficiency of ... Vincent in Indiana has been providing rewarding careers in healthcare for over 148 years. With 24 hospitals throughout...of care, including more than 140 hospitals and 40 senior living communities in 19 states. Our Mission, Vision… more
- Somatus (Mclean, VA)
- …grow, and be the best version of themselves, including: + Subsidized, personal healthcare coverage (medical, dental vision) + Flexible Paid Time Off (PTO) + ... relevant actuarial estimates. Leads the development/compilation of the risk premium, claims and shared savings forecasting models used in the corporate… more
- UNUM (Chattanooga, TN)
- …and enhancing your professional skills + Gain exposure to networking opportunities with senior leader across our enterprise locations + Take part in social events, ... offers and compensation incentives + Provided competitor intelligence around available claims reporting for insurance and service products + Created new hire… more