- Mohawk Valley Health System (New Hartford, NY)
- …will identify areas to be audited based on regulatory guidelines and the company 's risk areas. The Auditor will implement and monitor corrective action ... Internal Auditor (Hybrid) - Full Time - Days Department:...including preparation of quarterly statistical summaries on all government claim recovery activities and presents trends/findings to the Compliance… 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...departmental materials. + Provide support to others within the company regarding claims administration, procedural coding and… 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)
- …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 ... organization. We are looking for an enthusiastic Revenue Integrity Auditor RN to help us reach our goals. Unlock...edits or exceptions detected during system processing of the claim in Patient Accounting, SSI or the payer. Audit… 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
- General Motors (Columbus, OH)
- …worksite unless directed by their manager. **The Role** The individual Dealer Auditor reviews the administration of General Motors policies and procedures as ... Service Agreement. This review may include dealership practices relative to sales incentive claims and dealer objective program payouts. These claims must comply… 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 ... carry out extensive defense audits of patient medical records with insurance company representatives. * Correct charges and coordinate re-bills based on agreed audit… 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
- Sherman Associates, Inc. (Duluth, MN)
- …This is a Sherman Associates owned Marriott International, Inc 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...provide the highest level of guest service and that company standards are met and maintained at all times.… 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...provide the highest level of guest service and that company standards are met and maintained at all times.… 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 Senior Internal Auditor offers exposure to many areas of the company and works with our external auditors. The work performed helps to provide assurance ... the Audit, Risk Management & Information Security (ARMIS) team, the Senior Internal Auditor will perform and support audits and assessments related to financial and… more
- ManpowerGroup (Madison, AL)
- Our client, a leading company in the automotive manufacturing industry, is seeking a Parts Logistics Auditor to join their team. As a Parts Logistics Auditor ... logistics, inventory management, and internal controls. **Job Title:** Parts Logistics Auditor **Location:** Remote **Pay Range:** $55 - $70/hour **What's the Job?**… 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 ... general direction and to assist in supporting the Company 's ISO 27001 certification. **ARE YOU AN IDEAL CANDIDATE?** We are looking for enthusiastic candidates who… more
- AutoZone, Inc. (Memphis, TN)
- POSITION SUMMARY The Associate Audit Recovery Auditor utilizes analytical and forensic email review skills to audit Merchandising negotiations to recover missed ... Negotiate and communicate flawlessly with Merchandising and Vendors to successfully resolve claims and recover all vendor funding dollars due AutoZone. + Review and… more
- NJM Insurance (Trenton, NJ)
- Our Commercial Lines department is seeking a Premium Auditor with strong organizational and time management skills. The auditor will be responsible for ... performing audits of Commercial Lines policies in accordance with company , industry and government rules and regulations in order to establish appropriate… more
- Fallon Health (Worcester, MA)
- **Overview** **About us:** Fallon Health is a company that cares. We prioritize our members-always-making sure they get the care they need and deserve. Founded in ... all aspects of audits following departmental standards and procedures. **The Internal Auditor will perform or assist in the following:** + Supports the internal… more
- Alphabroder (Lewisberry, PA)
- …+ Process customer returns by sorting/inspecting/identifying product and updating items/quantities on claims in IRMS. Determine if claim is complete. Close/post ... update customer returns in FDM4. Determine if a new claim must be entered or if it is necessary...claims . + Adhere to established safety regulations and company policies/procedures. + Serve as a member of the… more
- R1 RCM (Salt Lake City, UT)
- …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