- Premera Blue Cross (Mountlake Terrace, WA)
- …serve through our Healthsource blog: https://healthsource.premera.com/ . The **Medical Coding Auditor ** plays a crucial role in ensuring the accuracy and compliance ... leveraging a deep understanding of ICD-10 and other coding standards, the auditor reviews and researches provider diagnostic coding issues, performs detailed medical… more
- Boar's Head Brand/Frank Brunckhorst Co., LLC (Sarasota, FL)
- …desired. + Auditor Certification preferred (ie American Society for Quality - Certified HACCP Auditor , Certified Quality Auditor , Certified ... CAPAs, Nutritional Documents, COAs, Allergen forms, Weight & Tare, any other product claims , etc.), as applicable. + Perform Food Safety & Product Quality audits at… more
- Sedgwick (Indianapolis, IN)
- …Major in accounting field strongly preferred. Certified Public Accountant (CPA), Certified Internal Auditor (CIA) or certified Information Systems ... achieve. Newsweek Recognizes Sedgwick as America's Greatest Workplaces National Top Companies Certified as a Great Place to Work(R) Fortune Best Workplaces in… more
- MAPFRE Insurance (Webster, MA)
- …+ Bachelor's Degree required. Certified Public Accountant (CPA) designation, Certified Internal Auditor (CIA) designation or Certified Information ... Internal Auditor (Webster or Boston, MA) Date: Nov 22,...designation preferred + 1-2 years of insurance industry knowledge ( Claims , Underwriting, Insurance Operations, etc.)An understanding of internal audit… more
- City of New York (New York, NY)
- …license issued by the New York State Education Department; or (C) a valid Certified Internal Auditor certificate issued by the Institute of Internal Auditors ... standard audit procedures examine records and documents that support claims submitted to Medicaid for reimbursement for goods or...a Certified Public Accountant license; or a Certified Internal Auditor certificate, as described in… more
- Commonwealth of Pennsylvania (PA)
- …CPA, Certified Public Accountant + CFE, Certified Fraud Examiner + CISA, Certified Information Systems Auditor + CIA, Certified Internal Auditor ... attach a copy of your college transcripts for your claim to be accepted toward meeting the minimum requirements....+ CFE ( Certified Fraud Examiner) + CISA ( Certified Information Systems Auditor ) + CIA (… more
- Marshfield Clinic (Marshfield, WI)
- …come together to support the most exciting missions in the world!** **Job Title:** Claims Auditor (Remote - WI or MN) **Cost Center:** 682891379 SHP- Claims ... (United States of America) **Job Description:** **JOB SUMMARY** The Claims Auditor is responsible for performing payment,... has working knowledge of the overall aspects of claim processing, both in and outside of Security Health… more
- Quality Technology Services, LLC (Overland Park, KS)
- …CSF), and SOX ITGCs + One or more professional certifications such as Certified Information Systems Auditor (CISA), Certified Information Security Manager ... (CISM), Certified Information Systems Security Professional (CISSP), Certified Internal Auditor (CIA), or similar certifications **Knowledge, Skills &… more
- Eaton Corporation (Sumter, SC)
- …knowledge on Panelboards and Switchboards or similar electrical products + ISO 9001 Internal Auditor . + ASQ Certified Quality Engineer or Certified Quality ... work with the production team to implement corrective actions. + Authorize warranty claims , assign RMA return suffixes, and generate replacement orders for RE … more
- UPMC (Pittsburgh, PA)
- …in person or virtual recipient restriction hearings. + Review Medical Pended Queue claims to understand and resolve claim referral issues through research and ... UPMC Health Plan has an exciting opportunity for a Clinical Auditor /Analyst Intermediate! The Clinical Auditor /Analyst Intermediate is an integral part of the… more
- Sedgwick (Cincinnati, OH)
- …certification such as Certified Information Systems Security Professional (CISSP), Certified Information Systems Auditor (CISA), Certified Information ... achieve. Newsweek Recognizes Sedgwick as America's Greatest Workplaces National Top Companies Certified as a Great Place to Work(R) Fortune Best Workplaces in… more
- LA Care Health Plan (Los Angeles, CA)
- …any of the following Licenses/ Certifications: Certified Public Accountant (CPA) Certified Internal Auditor (CIA) Certified Management Accountant (CMA) ... data by delegates on a monthly basis to assign the annual claim processing and financial solvency audits, adherence to regulatory requirements. Manages complex… more
- Elevance Health (Chicago, IL)
- …documentation purposes (eg, letter writing) on lower level auditors. + Identifies new claim types by identifying potential claims outside of the concept where ... **DRG Coding Auditor Principal** **_Virtual: _** _ _ This role...Principal** is responsible for auditing inpatient medical records on claims paid based on Diagnostic Relation Group (DRG) methodology,… more
- Elevance Health (Chicago, IL)
- …claim identification, and documentation purposes (eg, letter writing). + Identifies new claim types by identifying potential claims outside of the concept ... **DRG CODING AUDITOR ** **_Virtual_** **_: _** _ _ __ This...auditing inpatient medical records and generating high quality recoverable claims for the benefit of the company, for all… more
- SUNY Upstate Medical University (Syracuse, NY)
- …certification such as COBGC ( Certified OB/GYN Coder) preferred. + CPMA ( Certified Professional Medical Auditor ) or CDEO ( Certified Documentation Expert ... and compliance training. + Support revenue cycle teams in addressing claim denials, coding queries, and charge reconciliation. Education, Training and Previous… more
- The Cigna Group (Detroit, MI)
- The Pharmacy Auditor is responsible for identifying pharmacy audit risks using analytical skills and audit tools, and for developing and executing audit plans and ... the scope of procedures necessary to address those risks. The Staff Auditor will complete audits to address identified risks and present findings to the Sr Audit… more
- Sharp HealthCare (San Diego, CA)
- …**Shift** Day **FTE** 1 **Shift Start Time** **Shift End Time** Certified Clinical Documentation Specialist (CCDS) - Various-Employee provides certificate; Other; ... Certified Health Care Compliance (CHC) - Compliance Certification Board...remote position* **What You Will Do** The Compliance Coding Auditor is responsible for the administration of the Sharp… more
- Sedgwick (Charlotte, NC)
- …achieve. Newsweek Recognizes Sedgwick as America's Greatest Workplaces National Top Companies Certified as a Great Place to Work(R) Fortune Best Workplaces in ... Financial Services & Insurance Attorney Auditor ** **This is a fully remote position, and...other roles.** **Sedgwick is the world's leading risk and claims administration partner, which helps clients thrive by navigating… more
- Texas Tech University Health Sciences Center - El Paso (El Paso, TX)
- **42910BR** **Extended Job Title:** Medical Coding Auditor **Org Level 1:** Texas Tech Unv Hlth Sci Ctr El Paso **Position Description:** Responsible for auditing ... compliance with healthcare laws and organizational policies. The Medical Coding Auditor collaborates with practice, providers, and other departmental leaders to… more
- Elevance Health (Chicago, IL)
- **Diagnosis Related Group Clinical Validation Auditor -RN (CDI, MS-DRG, AP-DRG and APR-DRG)** **Virtual:** This role enables associates to work virtually full-time, ... granted as required by law. The **Diagnosis Related Group Clinical Validation Auditor -RN** is responsible for auditing inpatient medical records to ensure clinical… more
