- Centers Plan for Healthy Living (Staten Island, NY)
- Claims Auditor 75 Vanderbilt Ave, Staten...of identified trends. + Analyzes audit results to recommend system or procedural changes to increase claim ... Responsible for the auditing functions of Centers Plan for Healthy Living (CPHL) claims . Collaborates with other Health plan departments and Management to ensure … more
- Baylor Scott & White Health (Temple, TX)
- … payments with other departments. + Audits claims data to calculate claim adjudicator and system accuracy, and completes statistical reports on findings to ... **JOB SUMMARY** The Claims Quality Review Auditor is HYBRID...- 3 Years of Experience As a health care system committed to improving the health of those we… more
- Medical Mutual of Ohio (OH)
- …DRG,_** **_and/or_** **_hospital bill auditing experience._** **Responsibilities** **Clinical Auditor ** + **Audits outpatient, inpatient and professional claims ... with payment recovery staff.** + **Performs other duties as assigned.** **Sr Clinical Auditor ** + **Audits outpatient, inpatient and professional claims from a… more
- Henry Ford Health System (Troy, MI)
- Reporting to the Manager, Revenue Integrity, the Revenue Integrity (RI) Auditor must have a comprehensive understanding of medical terminology, coding, charge entry, ... and revenue cycle processes. The RI Auditor provides support for timely, accurate and inclusive charge...communications. Works collaboratively with RI Team to identify charge system (including clinical system ) weaknesses, recommends changes… more
- Commonwealth of Pennsylvania (PA)
- …Manager (CGFM) + Certified Internal Auditor (CIA) + Certified Information Systems Auditor (CISA) Legal Requirements: + A conditional offer of employment ... attach a copy of your college transcripts for your claim to be accepted toward meeting the minimum requirements....Certified Internal Auditor (CIA) + Certified Information Systems Auditor (CISA) + None 05 Do… more
- Army National Guard Units (Draper, UT)
- Summary This National Guard position is for a AUDITOR (INDEF) (TITLE 5), the Position Description Number is T5147P01 and is part of the USPFO located in Draper UT ... of new or changed regulations, procedures and analyses of automated systems . Performs complex professional accounting and review activities involving in the… more
- CGI Technologies and Solutions, Inc. (Fairfax, VA)
- **Outpatient Coding Auditor ** **Category:** Analytics and Emerging Digital Technologies **Main location:** United States, Virginia, Fairfax **Position ID:** ... J0924-2003 **Employment Type:** Full Time **Position Description:** The Outpatient Coding Auditor is a member of the CGI Healthcare Compliance Audit Team. The… more
- New York State Civil Service (New York, NY)
- NY HELP Yes Agency Medicaid Inspector General, NYS Office of the Title Auditor 1/ Auditor Trainee 1/ Auditor Trainee 2 (NY HELPS) Occupational Category ... for appointment through NYS HELPS, you must meet the following minimum qualifications: AUDITOR TRAINEE 1:1. Possess a bachelor's degree in accounting, auditing, or… more
- Dignity Health (Phoenix, AZ)
- …pursuit of excellence through scholarly activities. As part of the Dignity Health hospital system DHMG has full access to the staff and all facilities on our ... supervision of the Business Office Leadership, the Revenue Cycle Auditor role is responsible for monitoring the quality of.../ Takebacks *Payment Posting + Ability to determine correct systems to locate pertinent info: *IDX *Medical Records … more
- New York State Civil Service (White Plains, NY)
- NY HELP Yes Agency Taxation & Finance, State Title Auditor 1 (Tax)/ Auditor Trainee 1 (Tax)/ Auditor Trainee 2 (Tax) (NY HELPS) Occupational Category ... Civil Service Law, Rules and Regulations.Special Minimum Qualifications for transfer to Auditor 1 (Tax):A bachelor's degree including or supplemented by 24 semester… more
- Nevada County (Nevada City, CA)
- Accountant- Auditor II - Limited-Term Print (https://www.governmentjobs.com/careers/mynevadacounty/jobs/newprint/4426192) Apply Accountant- Auditor II - ... CA Job Type Limited Term Job Number 2024-0058 Department Auditor -Controller Opening Date 10/01/2024 Closing Date 10/15/2024 8:00 AM...and implement a new Enterprise Resource Planning (ERP) software system . The new ERP software system will… more
- BayCare Health System (GA)
- …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 ... Georgia, or North Carolina. **Responsibilities** + The Inpatient Coding Auditor performs inpatient encounter audits and evaluates compliance related activities… more
- SSM Health (St. Louis, MO)
- …Enhances net revenue by splitting charges that should be presented on separate claims to capture entitled revenue. + Improves claim submissions by reviewing, ... MO-SSM Health Mission Hill **Worker Type:** Regular **Job Highlights:** RN-Clinical Auditor Manager, Care Transformation - Case Management and Social Work 7… more
- Robert Half Accountemps (Issaquah, WA)
- …future loss to client companies. * Leverage internal and external tools to perform auditor routines and manage claim lifecycle. * Perform journal entries to ... Description We are seeking a dedicated Internal Auditor for a client of ours located in...conducting post-payment recovery audits, leading audit-related projects, and presenting claims for review. This role is a 6 month… more
- Elevance Health (Indianapolis, IN)
- **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
- Quality Technology Services, LLC (Atlanta, GA)
- … Auditor (CIA), Certified Public Accountant (CPA), and/or Certified Information Systems Auditor (CISA) + Experience with Workday, Salesforce, or relevant ... closely with QTS Executive and Operations leadership. The Senior Auditor is based at QTS's headquarter in Overland Park,...ERP systems **KNOWLEDGE, SKILLS AND ABILITIES** + Takes ownership of… more
- Army National Guard Units (Springfield, IL)
- …GUARD TITLE 5 EXCEPTED SERVICE POSITION. This National Guard position is for a AUDITOR (TITLE 5), Position Description Number T5147P01 and is part of the IL USPFO, ... National Guard. Responsibilities As a AUDITOR (TITLE 5),GS-0511-11, you will serve as an agent...new or changed regulations, procedures and analyses of automated systems . Utilize professional accounting and audit skills to maintain… 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
- City of Toledo (Toledo, OH)
- Tax Auditor Print (https://www.governmentjobs.com/careers/toledooh/jobs/newprint/1603611) Apply Tax Auditor Salary $55,475.68 - $58,393.92 Annually Location ... of the bookkeeping entry. + Audits returns and refund claims , reviewing all aspects prior to processing refunds. +...the Department of Human Resources at ###. Class Code:Tax Auditor (1373) The City of Toledo provides excellent health… 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