- Prime Therapeutics (Columbus, OH)
- …It fuels our passion and drives every decision we make. **Job Posting Title** Pharmacy Claims Auditor **Job Description** The Pharmacy Claims Auditor is ... responsible for the selection and auditing of claims , educating Prime's network pharmacies and driving contract compliance, and supporting downstream claim … more
- CHS (Clearwater, FL)
- **Overview** ** ** ** Claims and Call Auditor (Call Center QC) - Clearwater, FL** ** ** **Summary** The Claims & Call Auditor audits processed medical ... to bending, reaching, kneeling, stooping and lifting up to thirty (30) pounds. ** ** ** Claims and Call Auditor (Call Center QC) - Clearwater, FL** ** ** PA123… more
- Conduent (Dallas, TX)
- …in depth pharmacy audits on behalf of our healthcare payer clients. As a Pharmacy Claims Auditor CPhT, you will examine a wide variety of pharmacy records ... claim data. This is to ensure billed pharmacy claims are being accurately submitted. You will also be...stand for long periods of time (Up to 8 hours ). + Be able to lift heavy boxes (about… more
- Commonwealth of Pennsylvania (PA)
- Auditor 1, Southeast Region (Multiple Vacancies) Print (https://www.governmentjobs.com/careers/pabureau/jobs/newprint/4802585) Apply Auditor 1, Southeast ... Permanent Full-time Job Number N-2025-17267 Department Department of the Auditor General Division AU Lqd Fuels Div Opening Date...Schedule and Additional Information: + Full-time employment + Work hours are 8:00 AM to 4:30 PM, Monday -… more
- Commonwealth of Pennsylvania (PA)
- Auditor 1, AU (Northwest Region) Print (https://www.governmentjobs.com/careers/pabureau/jobs/newprint/4802719) Apply Auditor 1, AU (Northwest Region) Salary ... Permanent Full-time Job Number N-2025-17284 Department Department of the Auditor General Division AU Lqd Fuels Div Opening Date...to auditee sites Northwest Region is required. + Work hours are 8:00 AM to 4:30 PM, Monday -… more
- Commonwealth of Pennsylvania (PA)
- Auditor 1, AU Print (https://www.governmentjobs.com/careers/pabureau/jobs/newprint/4802673) Apply Auditor 1, AU Salary $50,836.00 - $77,321.00 Annually ... Permanent Full-time Job Number N-2025-17268 Department Department of the Auditor General Division AU DC & RO Div Opening...Schedule and Additional Information: + Full-time employment. + Work hours are 8:00 AM to 4:30 PM, Monday -… more
- New York State Civil Service (Kew Gardens, NY)
- NY HELP Yes Agency Taxation & Finance, State Title Auditor 1 (Tax)/ Auditor Trainee 1 (Tax)/ Auditor Trainee 2 (Tax) (NY HELPS) Occupational Category ... Jurisdictional Class Competitive Class Travel Percentage 10% Workweek Mon-Fri Hours Per Week 37.50 Workday From 8:30 AM To...Kew Gardens State NY Zip Code 11415 Duties Description Auditor 1 (Tax) performs on-site field audits and examinations… 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
- TEKsystems (Chesapeake, VA)
- …With direction from the Patient Financial Services Director, the Nurse Auditor / Revenue Integrity/CDM Analyst is responsible for performing audits of itemized ... record and other applicable hospital documentation, assigning modifiers to appropriate claims , researching edited claims for medical necessity, and advising… more
- Humana (Columbus, OH)
- …**Where you Come In** Humana is looking for an experienced medical coding auditor to review inpatient hospital claims for proper reimbursement, handle provider ... caring community and help us put health first The Inpatient Medical Coding Auditor extracts clinical information from a variety of medical records and assigns… more
- Tennessee Comptroller of the Treasury (Nashville, TN)
- Auditor : Financial/TennCare This role focuses on examining, analyzing, and reviewing records, financial statements, claims data, and cost reports for providers ... The Comptroller of the Treasury is recruiting for a full-time Auditor : Financial/TennCare position in the Division of State Audit's Tenncare/Medicaid Section.… 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...all Retail transactions for the guest + Issues luggage claims and check guest luggage when requested + Manages… 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
- Army National Guard Units (Montgomery, AL)
- …GUARD TITLE 5 EXCEPTED SERVICE POSITION. This National Guard position is for a AUDITOR (T5), Position Description Number T5148P02/ T5147P01 and is part of the AL ... administration that included or was supplemented by 24 semester hours in accounting. The 24 hours may...certificate as Certified Public Accountant or a Certified Internal Auditor , obtained through written examination; or Completion of the… more
- Air Force Civilian Career Training (Scott AFB, IL)
- …considered and other IMPORTANT information. To serve as a developmental level professional auditor . This is a formal Air Force intern position, established under the ... Administration that included or was supplemented by 24 semester hours in Accounting. The 24 hours may..."Accountant" should be interpreted , generally as, "Accountant and/or Auditor "). To qualify for a GS-07: Completion of 1… more
- New York State Civil Service (Albany, NY)
- …HELP No Agency Attorney General, Office of the Title Forensic Auditor : Entry-Level, Investigate Medicaid Fraud (6354) Occupational Category Financial, Accounting, ... Appointment Type Permanent Jurisdictional Class Exempt Class Travel Percentage 0% Workweek Mon-Fri Hours Per Week 37.5 Workday From 8:30 AM To 5 PM Flextime allowed?… more
- Covenant Health Inc. (Knoxville, TN)
- Overview Inpatient Coding Auditor and Educator, Centralized Coding Full-Time, 80 Hours per pay period, Day Shift Covenant Health Overview: Covenant Health is ... to ensure compliance. + + Reviews information from third party payers relative to claims charging, coding, and billing in order to ensure compliance. + + Performs… more
- TEKsystems (Norfolk, VA)
- Remote Hospital Charge/Coding Auditor Fully remote with equipment provided!! Must live within 2.5 hours of Chesapeake, VA. You'll enjoy Standard Hours - ... training Monday-Friday 8:00am-5:00pm after training can work any hours between 6:00am and 6:00pm Competitive Pay Opportunity to work for a large healthcare provider… more
- Lockheed Martin (Bethesda, MD)
- **Description:** Join Lockheed Martin's Corporate Internal Audit \(LMCIA\) team as a Financial Auditor and play a key role in evaluating and improving the company's ... Knowledge of government finance including CAS, FAR, DFARS, GAGAS, incurred cost claims , and contract and indirect rate closure processes\. Understands concepts of… more
- Covenant Health Inc. (Knoxville, TN)
- Overview Coding Educator, Clinical Document Integrity Full time, 80 hours per pay period, Day shift Covenant Medical Group is Covenant Health's employed and managed ... to ensure compliance. + Reviews information from third party payers relative to claims charging, coding, and billing in order to ensure compliance. + Performs… more