- International (Lisle, IL)
- Position Overview International is seeking a detail-oriented and motivated Staff Internal Auditor to support the execution of financial, operational, compliance, ... and professional standards. + Draft preliminary audit findings and support management in developing actionable, value-added recommendations. + Collaborate with… 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...perform onsite audits (1-4 times per month) + Evaluate claims and provider documentation for compliance and accuracy +… 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 ... timely and accurate feedback on claim quality as measured by compliance with company and...and impacting bottom-line results + Maximize value to the claims department through planned partner relationships designed to foster… 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 audits… 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 ... analyze and compile supporting information. This role will also execute and support audit-related projects, best practices in identifying audit trends, and business… more
- Centers Plan for Healthy Living (Staten Island, NY)
- …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 ... 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)
- JOB DESCRIPTION Job Summary Provides support for claims audit activities including identification of incorrect coding, abuse and fraudulent billing practices, ... waste, overpayments, and claims processing errors. **Essential Job Duties** + Audits the...errors. **Essential Job Duties** + Audits the adjudication of claims using standard principles, and state-specific regulations to identify… more
- Louisiana Department of State Civil Service (Baton Rouge, LA)
- AUDITOR 1/2/3 Print (https://www.governmentjobs.com/careers/louisiana/jobs/newprint/5162783) Apply AUDITOR 1/2/3 Salary $3,345.00 - $6,566.00 Monthly Location ... 11:59 PM Central + Description + Benefits + Questions About this Job Auditor 1/2/3 Office of Workers Compensation Location: East Baton Rouge Parish Office of… more
- City of New York (New York, NY)
- …of Medicaid Providers. Utilize standard audit procedures examine records and documents that support claims submitted to Medicaid for reimbursement for goods or ... Job Description APPLICANTS MUST BE PERMANENT IN THE MANAGEMENT AUDITOR CIVIL SERVICE TITLE OR BE PERMANENT IN A COMPARABLE TITLE ELIGIBLE FOR 6.1.9 TITLE CHANGE. IF… more
- Molson Coors Beverage Company (Milwaukee, WI)
- …with indirect tax audits as requested, including compilation of documents requested by auditor . + Support the multistate team with miscellaneous projects as ... processing Sales and Use tax returns, providing guidance and support to sales and use tax inquiries, providing technical...in the Vertex software, as well as processing Distributor claims . This position reports to the GBS Record to… more
- MAPFRE Insurance (Webster, MA)
- …adherence to regulatory requirements, and recommending improvements that drive change. The auditor will also use data analytics to support audit procedures, ... Internal Auditor (Webster or Boston, MA) Date: Nov 22,...IIA standards, ensuring organized and well documented works that support audit conclusions + Contribute to audit planning, kickoff,… more
- The County of Los Angeles (Los Angeles, CA)
- LAW ENFORCEMENT AUDITOR Print (https://www.governmentjobs.com/careers/lacounty/jobs/newprint/4668332) Apply LAW ENFORCEMENT AUDITOR Salary $109,807.68 - ... audit process. Interviews department personnel and gathers evidence to support and ensure audit results are appropriate and sufficient....No 10 In the execution of the Law Enforcement Auditor duties, you will have to make site visits… more
- AutoZone, Inc. (Memphis, TN)
- **Job Description** The Associate Auditor , Audit Recovery, will be required to: + Utilize analytical and forensic email review skills to audit Merchandising ... funding/negotiations). 3rd Party vendors to recover less than 20% behind Associate Auditor .\ + Negotiate and communicate flawlessly with Merchandising and Vendors to… 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
- Elevance Health (San Juan, PR)
- …technology and business operations services for health plans. **Performance Quality Auditor I** **Location:** This role requires associates to be in-office [2] ... week, fostering collaboration and connectivity, while providing flexibility to support productivity and work-life balance. This approach combines structured office… more
- Humana (Springfield, IL)
- …and diagnosis coding for services rendered is complete, compliant and accurate to support optimal reimbursement. The Nurse Auditor 2 work assignments are varied ... of our caring community and help us put health first** The Nurse Auditor 2 performs clinical audit/validation processes to ensure that medical record documentation… more
- Boar's Head Brand/Frank Brunckhorst Co., LLC (Sarasota, FL)
- Hiring Company: Delicatessen Services Co., LLC Overview:Supervise and support with the development and rollout of Tracegains and other QMSs. Responsible for ... maintaining accurate data, providing analytical reports, and providing advanced support to QMS users. Support the BH...COAs, Allergen forms, Weight & Tare, any other product claims , etc.), as applicable. + Perform Food Safety &… more
- FlexStaff (Chappaqua, NY)
- **Req Number** 172252 Surgical Anesthesia Compliance AuditorCompliance Auditor MUST HAVE CPC CERTIFICATON This is a HYBRID position- MUST be in the office located in ... Chappaqua, NY 3 days a week. Surgical Anesthesia Compliance Auditor - Hybrid position- Chappaqua, NY- $100K-$115K Are you passionate about healthcare compliance and… more
- Aston Carter (Sioux Falls, SD)
- Job Title: Compliance AuditorJob Description The Compliance Auditor will play a crucial role in supporting compliance leadership by assisting in the creation and ... licensing requirements, conducting internal audits, and performing risk assessments. The auditor will also manage vendor risk processes, recommend policy updates,… more
- BayCare Health System (Tampa, FL)
- …AM to 3:30 PM + **Days:** Monday - Friday The **Inpatient** **Coding Auditor ** is a full-time remote position. _Sign on bonuses available!_ **Responsibilities** + ... The Inpatient Coding Auditor performs inpatient encounter audits and evaluates compliance related...Performs special audits for specific issues within facility Inpatient claims . + Acts as the Liaison for coding issues… more