- City of Detroit (Detroit, MI)
- …registration as a Certified Public Accountant or certification as a Certified Internal Auditor is preferred . Knowledge, Skills, and Abilities + Internal audit, ... Director of Internal Audit ( Auditor Manager 3) Print (https://www.governmentjobs.com/careers/detroit/jobs/newprint/4745404) Apply Director of Internal Audit (… more
- 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
- 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 various...This position is responsible for all aspects of assigned claim audits, including audit testing and completion of the… more
- CHS (Clearwater, FL)
- **Overview** ** ** ** Claims and Call Auditor (Call Center QC) - Clearwater, FL** ** ** **Summary** The Claims & Call Auditor audits processed medical ... work independently **Qualifications** **Qualifications:** + Prior auditing experience is preferred + Knowledge of medical terminology + Knowledge of...and lifting up to thirty (30) pounds. ** ** ** Claims and Call Auditor (Call Center QC)… more
- Centers Plan for Healthy Living (Staten Island, NY)
- Claims Auditor 75 Vanderbilt Ave, Staten Island, NY 10304, USA Req #1153 Monday, December 2, 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
- Humana (Columbus, OH)
- …of our caring community and help us put health first** The Medical Coding Auditor reviews medical claims submitted against medical records provided, to ensure ... Follows established guidelines/procedures. **Where you Come In** The Medical Coding Auditor reviews medical claims submitted against medical records provided,… 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...You must be able to perform essential job functions. Preferred Qualifications (not required): + One or more of… 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...You must be able to perform essential job functions. Preferred Qualifications (not required): + One or more of… more
- Commonwealth of Pennsylvania (PA)
- Auditor 1, AU (Southeast Region) Print (https://www.governmentjobs.com/careers/pabureau/jobs/newprint/4803101) Apply Auditor 1, AU (Southeast Region) Salary ... Permanent Full-time Job Number N-2025-17289 Department Department of the Auditor General Division AU Bur Fire Relief Auds Opening...You must be able to perform essential job functions. Preferred Qualifications (not required): + One or more of… more
- Elevance Health (Grand Prairie, TX)
- …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...Audit setting or hospital coding or quality assurance environment preferred . + Broad knowledge of medical claims … 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
- AmeriHealth Caritas (Philadelphia, PA)
- …+ Bachelor's Degree preferred + Minimum of 1 year of advanced-level claims experience and auditing experience + Minimum of 3 years of system configuration ... communicate the audit outcome to the appropriate persons. The auditor will validate production to ensure that the case...will be expected to build/run complex queries to identify claims affected by the configuration change and analyze all… more
- Chesapeake Regional Healthcare (Chesapeake, VA)
- Job Summary With direction from the Director, the Nurse Auditor /Revenue Integrity Specialist is responsible for auditing itemized charges versus the patient medical ... record and other applicable hospital documentation, assigning modifiers to appropriate claims , researching edited claims for medical necessity, and advising the… more
- Elevance Health (Richmond, VA)
- **Pharmacy Internal Auditor ** **Location:** This position will work a hybrid model (remote and office). Ideal candidates will live within 50 miles of one of our ... lens, to deliver member-centered, lasting pharmacy care. The **Pharmacy Internal Auditor ** is responsible for driving service quality excellence by evaluating the… more
- State of Georgia (Fulton County, GA)
- Investigative Auditor - Medicaid Fraud Georgia - Fulton - Atlanta (https://careers.georgia.gov/jobs/64128/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
- AdventHealth (Altamonte Springs, FL)
- …that the CPT, ICD-10 and HCPCS codes and modifiers are correct for the selected claims . The Auditor will follow AH policies and procedures for annual audit ... Location: Monday-Friday 9:00am to 5:00pm Remote** **The role you'll contribute:** The Auditor is responsible for reviewing medical record documentation making sure… 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
- Elevance Health (Columbus, GA)
- **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