- 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 ... to Sarbanes-Oxley), risk-based audits, and consulting engagements. The Senior Internal Auditor will participate in cross-functional projects with IT Audit, Risk… more
- 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 ... in accordance with contractual and regulatory obligations + Solicit documentation to support pharmacy claim submission by conducting telephonic, fax or email… 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: ... County's vulnerable and low-income communities and residents and to support the safety net required to achieve that purpose....to achieve that purpose. Job Summary The Financial Compliance Auditor III Claims is responsible for various… 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...first day of employment. + Retirement Savings: We will support you as you save for your future. +… 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 ... teams to match the unique strengths of each individual, tiered roles to support the advancement, and with opportunities for cross-training and education, CPHL is the… more
- Robert Half Accountemps (Los Angeles, CA)
- …near Los Angeles is seeking a detail-oriented and experienced Medical Clinical Trial Claims Auditor . This role involves meticulous oversight and auditing of ... claims related to our clinical trials to ensure compliance...technology, marketing and creative, legal, and administrative and customer support roles. Robert Half works to put you in… more
- State of Michigan (Lansing, MI)
- Auditor 9-12 (Office of Commission Audits) Print (https://www.governmentjobs.com/careers/michigan/jobs/newprint/4779563) Apply Auditor 9-12 (Office of ... entities and processes; audits/risk assessments of bridge authorities, contractor claims ; and special assignments and investigations. In addition, may assist… 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
- 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
- ManpowerGroup (Vienna, VA)
- Our client, is seeking a Bank and Corporate Owned Life Insurance (BOLI/COLI) Auditor to join their team. As a Bank and Corporate Owned Life Insurance (BOLI/COLI) ... Auditor , you will be part of the Audit Services...policies. + Conduct thorough audits of life and death claims to verify accuracy, completeness, and compliance with company… 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
- City of New York (New York, NY)
- …guides our work providing City agencies with the critical resources and support needed to succeed, including: - Recruiting, hiring, and training City employees. ... of them all. It's an opportunity to provide impactful support , quality customer service, and help protect the future...and Compliance Services seeks to hire a Vendor Contract Auditor to coordinate, monitor and conduct reviews of audit… more
- Robert Half Accountemps (Los Angeles, CA)
- …for verifying, rectifying, and finalizing edits in the Patient Accounting System or claims editing system. The Chart Auditor will occasionally conduct insurance ... accounts monthly. * Work consistently on DNFB and PFS claim edits worklists to ensure timely completion. * Provide... edits worklists to ensure timely completion. * Provide support to the Director of Revenue Analysis and Director… more
- Catholic Health Initiatives (Chattanooga, TN)
- …benefits that complement work/life balance. **We offer the following benefits to support you and your family:** Free Membership to our Care@Work program supporting ... with us today! **Responsibilities** **Job Summary / Purpose** The Sr Coding Compliance Auditor is responsible for reviewing chart notes for proper coding with an… 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
- Hackensack Meridian Health (Hackensack, NJ)
- …team members. Here, competitive benefits are just the beginning. It's also about how we support one another and how we show up for our community. Together, we keep ... as a leader of positive change. The **Diagnosis Related Group (DRG) Auditor ** is responsible for auditing clinical documentation that supports code assignment for… more
- Elevance Health (Hanover, MD)
- **Clinical Provider Auditor I** **Supports Payment Integrity & Behavioral Health** _Lo_ _cation: This is a field position expected to be in clinic 60% of the time ... use disorder management, a comprehensive employee assistance program, work/life support , specialty programs for autism and depression, and insightful analytics… more
- Sedgwick (Knoxville, TN)
- …an opportunity to do something meaningful, each and every day. It's having support for your mental, physical, financial and professional needs. It means sharpening ... 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
- BayCare Health System (Tampa, FL)
- …7:00 AM to 3:30 PM + **Days:** Monday - Friday The **Inpatient** **Coding Auditor ** is a full-time remote position. This team member must currently reside in ... _Sign on bonuses available!_ **Responsibilities** + The Inpatient Coding Auditor performs inpatient encounter audits and evaluates compliance related activities… more
- MyFlorida (Jacksonville, FL)
- TAX AUDITOR III - 79001082 Date: Jan 16, 2025...their family members have given to our country and support the hiring of returning service members and military ... Requisition No: 845042 Agency: Business and Professional Regulations Working Title: TAX AUDITOR III - 79001082 Pay Plan: Career Service Position Number: 79001082… more