- Catholic Health Initiatives (Chattanooga, TN)
- …Coders (AAPC) as a Certified Professional Coder (CPC) required. Professional Medical Auditor Certification (CPMA) (CMAS)-preferred but not required. CRC ... with us today! **Responsibilities** **Job Summary / Purpose** The Sr Coding Compliance Auditor is responsible for reviewing chart notes for proper coding with an… more
- Fallon Health (Worcester, MA)
- …is preferred **License/Certifications:** Willingness to pursue a CIA-Certified Internal Auditor certification , or industry certification **Experience:** ... all aspects of audits following departmental standards and procedures. **The Internal Auditor will perform or assist in the following:** + Supports the internal… more
- Medical Mutual of Ohio (OH)
- …**_and/or_** **_hospital bill auditing experience._** **Responsibilities** **Medicare Clinical Auditor ** + **Audits outpatient, inpatient and professional claims ... recovery staff.** + **Performs other duties as assigned.** **Senior Medicare Clinical Auditor ** + **Audits outpatient, inpatient and professional claims from a… more
- HCA Healthcare (Nashville, TN)
- …CA market 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 ... make a difference. We are looking for a dedicated Claim Auditor like you to be a...part of our team. **Job Summary and Qualifications** The Claims Auditor will serve as a Subject… more
- Martin's Point Health Care (Portland, ME)
- …Position Summary: Under the supervision of the Director of Health Plan Operations, the Claims Auditor II will perform the following job functions: + Audit ... Development and Processing: The Auditor II will be responsible for developing and processing...verbally or through written communications, regarding questions related to claims , claims audits or other matters directed… more
- Iowa Department of Administrative Services (Des Moines, IA)
- Accounting Tech 3 - Pre- Auditor Print (https://www.governmentjobs.com/careers/iowa/jobs/newprint/4725512) Apply Accounting Tech 3 - Pre- Auditor Salary ... of Finance is seeking an Accounting Tech 3 - Pre- Auditor . Summary: Under the direction of the Bureau Chief...is responsible for the accurate and timely payment of claims for external vendors and reimbursements of travel expenses… more
- The Gleason Works (Rochester, NY)
- …Licenses or Registrations: + Lean Six Sigma - Black Belt + Quality Engineer certification + ISO Auditor certification + Project Management Professional ... supplier management and development + Leads facilitation of warranty claims Preferred Education/Training/Experience: + Bachelor's degre5+ years of experience,… 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
- State of Georgia (Fulton County, GA)
- …the minimum qualifications, meet one or more of the following: . Audit experience in medical claims and/or claims data. . Certification as a CPA or a CFE ... Investigative Auditor - Medicaid Fraud Georgia - Fulton -...an accounting degree as well as auditing experience, medical claims and/or claims data. Certification … more
- Mohawk Valley Health System (New Hartford, NY)
- Internal Auditor (Hybrid) - Full Time - Days Department: LEGAL AND COMPLIANCE Job Summary The Internal Auditor - Compliance will oversee the internal and ... the effectiveness of the compliance program across the organization. The Internal Auditor - Compliance will identify areas to be audited based on regulatory… more
- HCA Healthcare (Nashville, TN)
- …colleagues invested over 156,000 hours volunteering in our communities. As a Revenue Integrity Auditor RN with Parallon you can be a part of an organization that is ... preferred banking partnerships + Education assistance (tuition, student loan, certification support, dependent scholarships) + Colleague recognition program + Time… more
- TEKsystems (Jacksonville, FL)
- The Outpatient Medical Coding Auditor - is responsible for ensuring the accuracy, integrity, and compliance of medical coding practices within the organization. This ... to verify adherence to coding guidelines and regulations. The Medical Coding Auditor plays a crucial role in minimizing coding errors, preventing fraudulent… 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
- Elevance Health (Columbus, OH)
- **Clinical Provider Auditor II** **Supports the Payment Integrity line of business** _Location: This position will work a hybrid model (remote and office). The ideal ... recover, eliminate and prevent unnecessary medical-expense spending. The **Clinical Provider Auditor II** is responsible for identifying issues and/or entities that… 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
- Sedgwick (Knoxville, TN)
- …Great Place to Work(R) Most Loved Workplace(R) Forbes Best-in-State Employer Internal Auditor - IT **PRIMARY PURPOSE:** To perform IT internal audit procedures under ... and to assist in supporting the Company's ISO 27001 certification . **ARE YOU AN IDEAL CANDIDATE?** We are looking...with major in Information Systems preferred. Certified Information Systems Auditor (CISA), Certified Internal Auditor (CIA), or… 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
- Covenant Health Inc. (Knoxville, TN)
- …to ensure compliance. + Reviews information from third party payers relative to claims charging, coding, and billing in order to ensure compliance. + Performs ... to meet the standards for achievement of the below indicated license and/or certification as required by the issuing authority. Minimum Experience: Three (3) to five… more
- Rising Medical Solutions (Chicago, IL)
- …born - and continues to thrive. Rising Medical Solutions is looking for a Nurse Auditor who wants to make their mark in the world of medical cost containment. Join ... license or equivalent within states of operation + CPC and/or CPC-H certification (s) strongly desired + Specialized training in hospital coding, ortho, neuro, rehab,… more
- McLaren Health Care (Indianapolis, IN)
- We are looking for a Special Investigative Unit Auditor to join us in leading our organization forward. McLaren Integrated HMO Group (MIG), a division of McLaren ... function. _Preferred:_ + Bachelor's Degree in business, health care or related field. + Certification such as RHIT, RHIA, AHFI, CFE, CPMA or CPC. + Two (2) years'… more