- Catholic Health Initiatives (Chattanooga, TN)
- …(AAPC) as a Certified Professional Coder (CPC) required. Professional Medical Auditor Certification (CPMA) (CMAS)- preferred but not required. CRC Certification ... with us today! **Responsibilities** **Job Summary / Purpose** The Sr Coding Compliance Auditor is responsible for reviewing chart notes for proper coding with an… more
- Sedgwick (Knoxville, TN)
- …from an accredited college or university with major in Information Systems preferred . Certified Information Systems Auditor (CISA), Certified Internal Auditor ... Place to Work(R) Most Loved Workplace(R) Forbes Best-in-State Employer Internal Auditor **PRIMARY PURPOSE:** To perform IT internal audit procedures under general… 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
- Centers Plan for Healthy Living (Staten Island, NY)
- Claims Auditor 75 Vanderbilt Ave, Staten Island, NY 10304, USA Req #1153 Tuesday, November 5, 2024 Centers Plan for Healthy Living's goal is to create the ... experience Preferred : Type of Experience Required: 2+ years of claim processing experience with a Medicaid/Medicare Health Plan. Preferred : Experience… 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
- City of Eugene (Eugene, OR)
- Police Auditor Print (https://www.governmentjobs.com/careers/eugene/jobs/newprint/4710124) Apply Police Auditor Salary $125,798.40 - $169,811.20 Annually ... Benefits + Questions General Statement of Duties The Police Auditor is an employee of the City of Eugene...monitoring of investigations and reviews of risk and tort claims ; makes recommendations to the Police Department or the… 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
- 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
- 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)
- 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...with a major in accounting or a related field. Preferred Qualifications: In addition to meeting the minimum qualifications,… 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 ... Consumer Discounts + Retirement readiness, rollover assistance services and preferred banking partnerships + Education assistance (tuition, student loan,… more
- Mohawk Valley Health System (New Hartford, NY)
- Internal Auditor (Hybrid) Department: LEGAL AND COMPLIANCE Job Summary The Internal Auditor - Compliance will oversee the internal and external compliance audits ... the effectiveness of the compliance program across the organization. The Internal Auditor - Compliance will identify areas to be audited based on regulatory… 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
- 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...all Retail transactions for the guest + Issues luggage claims and check guest luggage when requested + Manages… 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
- 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
- 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
- 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
- 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
- Three Saints Bay (Arlington, VA)
- **Federal Travel Regulation Auditor (4520)** Location **Arlington, VA** Job Code **4520** \# of Openings **1** Apply Now ... Government Contractor industry leader, is seeking a Federal Travel Regulation (FTR) Auditor who will ensure that travel expenses and reimbursements to join our… more