- Office of Inspector General (Oklahoma City, OK)
- …applicant's background must also include one of the following: A certificate as a Certified Internal Auditor or a Certified Public Accountant, obtained ... based on pass/fail or similar non-traditional grading systems. TO CLAIM SUPERIOR ACADEMIC ACHIEVEMENT (SAA): YOU MUST HAVE A...one of the following: 1. A certificate as a Certified Internal Auditor or a Certified… more
- Sedgwick (Knoxville, TN)
- …from an accredited college or university with major in Information Systems preferred. Certified Information Systems Auditor (CISA), Certified Internal ... 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… more
- UPMC (Pittsburgh, PA)
- …Inpatient Coder (CIC) + Certified Evaluation & Management Coder (CEMC) + Certified Professional Medical Auditor (CPMA) + Certified Professional Coder ... **UPMC Corporate Finance is hiring a full-time Compliance Auditor , Intermediate. This position will be based out of Forbes Tower in Pittsburgh, PA. This position… more
- Office of Inspector General (Oklahoma City, OK)
- …of business law; A certificate as Certified Public Accountant or a Certified Internal Auditor , obtained through written examination; or Completion of the ... business law; 2. A certificate as Certified Public Accountant or a Certified Internal Auditor , obtained through written examination; or 3. Completion of the… more
- Fallon Health (Worcester, MA)
- …business administration is preferred **License/Certifications:** Willingness to pursue a CIA- Certified Internal Auditor certification, or industry certification ... all aspects of audits following departmental standards and procedures. **The Internal Auditor will perform or assist in the following:** + Supports the internal… more
- Office of Inspector General (Washington, DC)
- …of business law; A certificate as Certified Public Accountant or a Certified Internal Auditor , obtained through written examination; or Completion of the ... the Federal Information Security Management Act (FISMA) As an Auditor , your work will include the following responsibilities: Serves...level is fully qualifying at the GS-7 level. To claim SAA, submit documentation of one of the following:… more
- NJM Insurance (Trenton, NJ)
- …+ Insurance Industry Experience + APA ( Associate in Premium Auditing) + CIPA ( Certified Insurance Premium Auditor ) + ARM ( Associate in Risk Management ) + ... Our Commercial Lines department is seeking a Premium Auditor with strong organizational and time management skills. The auditor will be responsible for… more
- R1 RCM (Chicago, IL)
- …operating costs and enhancing the patient experience. As our Inpatient Production Auditor , you will be responsible for auditing inpatient cases and reviewing ... part in providing analytical expertise for the validation process while evaluating claim reimbursement potential based on coding assignment. To thrive you must be… 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 ... find out for yourself why Martin's Point has been certified as a "Great Place to Work" since 2015....Development and Processing: The Auditor II will be responsible for developing and processing… more
- Offices, Boards and Divisions (Washington, DC)
- …background must also include one of the following: 1) A certificate as a Certified Internal Auditor or Certified Public Accountant, obtained through written ... see the statements below: Education must be reviewed and certified by an accrediting institution recognized by the US...below: When you apply you'll have the chance to claim an eligibility pathway, be sure you fully read… more
- Commonwealth of Pennsylvania (PA)
- …operating expenditures, fixed asset reviews, i ndirect cost allocation plan reviews and claims validation. Among these functions the Field Auditor will be ... Field Auditor 2 (Local Government) - Allegheny County Support...program, reviews previous agency information including prior reports and certified audits; ensuring site visits are completed ie entrance… 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 (DIAGNOSTIC RELATED GROUP)** _This position will work...auditing inpatient medical records and generating high quality recoverable claims for the benefit of the company, for all… 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
- Robert Half Accountemps (Alhambra, CA)
- …for verifying, rectifying, and finalizing edits in the Patient Accounting System or claims editing system. The Chart Auditor will occasionally conduct insurance ... Description We are seeking a Medical Chart Auditor to join our team in the Healthcare...and adjust edits in the Patient Accounting System or claims editing system. * Conduct insurance audits alongside selected… 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
- Wells Fargo (Irving, TX)
- …Accounting, Analytics, or Reporting. + A Certified Public Accountant (CPA), Certified Internal Auditor (CIA), or Certified Regulatory Compliance Manager ... specifically Consumer, Small & Business Banking Operations and Fraud and Claims Management. + Experience managing testing engagements, preferably of large and… more
- Catholic Health Initiatives (Chattanooga, TN)
- …(CCS-P) or the American Academy of Professional Coders (AAPC) as a Certified Professional Coder (CPC) required. Professional Medical Auditor Certification (CPMA) ... with us today! **Responsibilities** **Job Summary / Purpose** The Sr Coding Compliance Auditor is responsible for reviewing chart notes for proper coding with an… more
- State of Georgia (Fulton County, GA)
- Investigative Auditor - Medicaid Fraud Georgia - Fulton - Atlanta (https://careers.georgia.gov/jobs/52416/other-jobs-matching/location-only) Hot ... Attorney General Department of Law Medicaid Fraud - Investigative Auditor *To move forward in the recruiting process ALL...more of the following: . Audit experience in medical claims and/or claims data. . Certification as… 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
- Elevance Health (Denver, CO)
- **Diagnosis Related Group Clinical Validation Auditor ** **Location:** This position will work a hybrid model (remote and office). Ideal candidates will live within ... one of our PulsePoint locations. The **Diagnosis Related Group Clinical Validation Auditor ** is responsible for auditing inpatient medical records to ensure clinical… more