- International (Lisle, IL)
- …Overview International is seeking a detail-oriented and motivated Staff Internal Auditor to support the execution of financial, operational, compliance, and ... + Professional certifications (CPA, CIA, CISA) or progress toward certification preferred , but not required. + Strong analytical, problem-solving, and communication… more
- Lyric (Newtown Square, PA)
- … editing solution, as a payment, reimbursement or medical policy analyst, medical claims processor, chart auditor /reviewer, or claims edit/denial management ... leadership skills to guide their team in delivering superior claims edits. The Senior Manager will meet regularly with...with clients to assist in their interpretation of Lyric's claim edits while using our software. The Senior Manager's… more
- Prysmian (Mckinney, TX)
- …ERP system for updates made to NetSuite periodically through the year + Answer auditor requests with urgency + Communicate Non-Trade AR to accounting or other + ... Provide backup to D & R Specialists for freight claim deposits + Offset CR/DR memos as requested by...an absolute requirement as communication via telephone is our preferred method of communication over email + Thorough documentation… more
- Elevance Health (San Juan, PR)
- …perform progressively more complex skills and tasks in a production environment strongly preferred . + Previous Experience as a Quality Auditor is Preferred ... technology and business operations services for health plans. **Performance Quality Auditor I** **Location:** This role requires associates to be in-office [2]… more
- Boar's Head Brand/Frank Brunckhorst Co., LLC (Sarasota, FL)
- …a training course. + SQF or any other GFSI Scheme certification desired. + Auditor Certification preferred (ie American Society for Quality - Certified HACCP ... COAs, Allergen forms, Weight & Tare, any other product claims , etc.), as applicable. + Perform Food Safety &...Auditor , Certified Quality Auditor , Certified Supplier Quality… more
- MAPFRE Insurance (Webster, MA)
- …Certified Internal Auditor (CIA) designation or Certified Information Systems Auditor (CISA) designation preferred + 1-2 years of insurance industry ... Internal Auditor (Webster or Boston, MA) Date: Nov 22,...and continuous process improvement. We are looking for an Auditor to optimize and streamline our audit processes while… more
- Sedgwick (Indianapolis, IN)
- …college or university preferred . Major in accounting field strongly preferred . Certified Public Accountant (CPA), Certified Internal Auditor (CIA) or ... certified Information Systems Auditor (CISA) designation preferred . Experience: Four (4) years of related experience or equivalent combination of education and… more
- Elevance Health (Nashville, TN)
- ** Claims Auditor I, II and Senior**...and post payment and adjudication audits of high dollar claims for limited lines of business, claim ... an accommodation is granted as required by law._ The ** Claims Auditor I** is responsible for pre...an impact :** + Performs audits of high dollar claims . + Ensures claim payment accuracy by… more
- Kemper (Birmingham, AL)
- …is excited to be adding to our Claims Auditing Team. Our claims auditor position is responsible for reviewing claim files in an effort to: + Provide ... claims adjusting, claims auditing and/or claims supervision. + 5+ years auditing experience preferred...Claims auditing experience with a casualty company is preferred . + A clear understanding of current Claim… more
- LA Care Health Plan (Los Angeles, CA)
- Financial Compliance Auditor III Claims Job Category: Accounting/Finance Department: Financial Compliance Location: Los Angeles, CA, US, 90017 Position Type: ... to achieve that purpose. Job Summary The Financial Compliance Auditor III Claims is responsible for audits...This position is responsible for all aspects of assigned claim audits, including audit testing and completion of the… more
- Prime Therapeutics (Richmond, VA)
- …career? Come build the future of pharmacy with us. **Job Posting Title** Pharmacy Claims Auditor - Remote **Job Description** The Pharmacy Claims ... Intermediate skill and understanding of the point of sale and on-line pharmacy claims processing environment ** Preferred Qualifications** + 3 years of previous… more
- Robert Half Accountemps (Boston, MA)
- Description Job Title: Medical Claims Auditor - RN Auditor Location: Massachusetts - 90% Remote Job Type: 1 Year Contract - Potential for Perm Hire Hours: 40 ... 1, 2025 Job Description We are seeking a qualified Auditor with healthcare experience to support Program Integrity activities...perform onsite audits (1-4 times per month) + Evaluate claims and provider documentation for compliance and accuracy +… more
- Cedars-Sinai (Los Angeles, CA)
- …fuels innovation. **Req ID** : 13340 **Working Title** : Outpatient Surgical and Claims Edit Auditor **Department** : CSRC Coding Audit **Business Entity** : ... will I be doing in this role?** The Coding Auditor works under the general direction of the Coding...diploma or GED required. Degree in Health Information Management preferred . A minimum of 3 years of Coding Audit… more
- Centers Plan for Healthy Living (Staten Island, NY)
- …experience Preferred : Type of Experience Required: 2+ years of claim processing experience with a Medicaid/Medicare Health Plan. Preferred : Experience ... Responsible for the auditing functions of Centers Plan for Healthy Living (CPHL) claims . Collaborates with other Health plan departments and Management to ensure … more
- Molina Healthcare (Albany, NY)
- …skills. + Microsoft Office suite and applicable software programs proficiency. ** Preferred Qualifications** + Health care claims auditing/billing experience. To ... JOB DESCRIPTION Job Summary Provides support for claims audit activities including identification of incorrect coding, abuse and fraudulent billing practices, waste,… more
- Elevance Health (Roanoke, VA)
- …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 (Norfolk, VA)
- …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...Audit setting or hospital coding or quality assurance environment preferred . + Broad knowledge of medical claims … more
- New York State Civil Service (Albany, NY)
- NY HELP No Agency Information Technology Services, Office of Title Auditor 1 - 10273 Occupational Category IT Engineering, Sciences Salary Grade 18 Bargaining Unit ... NY Zip Code 12210 Duties Description Under the general direction of an Information Systems Auditor 2, in the Office of Internal Audit, the Auditor 1 performs… more
- Elevance Health (Seattle, WA)
- **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, ... required by law. The **Diagnosis Related Group Clinical Validation Auditor ** is responsible for auditing inpatient medical records to...Specializes in review of Diagnosis Related Group (DRG) paid claims . **How you will make an impact:** + Analyzes… 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
