- HCA Healthcare (Nashville, TN)
- …CA market area Do you want to join an organization that invests in you as a ** Claim Auditor ** ? At Work from Home, you come first. HCA Healthcare has committed ... make a difference. We are looking for a dedicated Claim Auditor like you to be a...part of our team. **Job Summary and Qualifications** The Claims Auditor will serve as a Subject… more
- Martin's Point Health Care (Portland, ME)
- …Position Summary: Under the supervision of the Director of Health Plan Operations, the Claims Auditor II will perform the following job functions: + Audit ... are on a mission to transform our health care system while creating a healthier community. Martin's Point employees...Development and Processing: The Auditor II will be responsible for developing and processing… more
- 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
- Commonwealth of Pennsylvania (PA)
- …operating expenditures, fixed asset reviews, i ndirect cost allocation plan reviews and claims validation. Among these functions the Field Auditor will be ... Field Auditor 2 (Local Government) - Allegheny County Support...This position has the opportunity to evaluate the agency's system of record keeping and controls to ensure compliance… more
- Henry Ford Health System (Troy, MI)
- Reporting to the Manager, Revenue Integrity, the Revenue Integrity Auditor must have a comprehensive understanding of medical terminology, coding, charge entry, and ... healthcare revenue cycle processes. The Revenue Integrity (RI) Auditor provides support for timely, accurate and inclusive charge capture, coding, billing functions… more
- Mohawk Valley Health System (New Hartford, NY)
- Internal Auditor (Hybrid) Department: LEGAL AND COMPLIANCE Job Summary The Internal Auditor - Compliance will oversee the internal and external compliance audits ... for the Mohawk Valley Health System ("MVHS") audit and compliance function under the guidance...of the compliance program across the organization. The Internal Auditor - Compliance will identify areas to be audited… more
- City of Eugene (Eugene, OR)
- …build credibility among diverse audiences, and instill public confidence in the complaint system . The responsibilities of the Police Auditor are broad in scope ... Police Auditor Print (https://www.governmentjobs.com/careers/eugene/jobs/newprint/4710124) Apply Police Auditor Salary $125,798.40 - $169,811.20 Annually… more
- Chesapeake Regional Healthcare (Chesapeake, VA)
- …+ Ensure accuracy and integrity of charge data prior to billing interface and claims submission + Utilize a computerized encoding system to facilitate accurate ... and procedural information from the record using ICD-10-CM and CPT-4/HCPCS classification systems . Utilize a computerized encoding system to facilitate accurate… more
- New York State Civil Service (Syracuse, 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
- BayCare Health System (NC)
- …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
- Office of Inspector General (Oklahoma City, OK)
- …10% of academic credit can be based on pass/fail or similar non-traditional grading systems . TO CLAIM SUPERIOR ACADEMIC ACHIEVEMENT (SAA): YOU MUST HAVE A ... involves program and financial audits. The incumbent, a professional auditor trainee, works with a team leader in a...DEGREE. THE DEGREE MUST BE CONFERRED. YOU CAN NOT CLAIM SAA WHILE STILL PURSUING A BACHELOR'S DEGREE UNLESS… more
- Office of Inspector General (Oklahoma City, OK)
- …10% of academic credit can be based on pass/fail or similar non-traditional grading systems . TO CLAIM SUPERIOR ACADEMIC ACHIEVEMENT (SAA): YOU MUST HAVE A ... position primarily involves program audits. The incumbent, a professional auditor trainee, works with a team leader in a...DEGREE. THE DEGREE MUST BE CONFERRED. YOU CAN NOT CLAIM SAA WHILE STILL PURSUING A BACHELOR'S DEGREE UNLESS… more
- UPMC (Pittsburgh, PA)
- UPMC Health Plan is looking for an Intermediate Clinical Auditor /Analyst to join the Quality Assurance team! This role will work standard daylight hours, Monday - ... however, this role may work remotely. The Intermediate Clinical Auditor /Analyst is an integral part of the Quality Assurance...procedural and diagnosis codes have been used appropriately on claims . This role also acts as a SME for… more
- City of Detroit (Detroit, MI)
- …existing policies, practices, and workflows. Examine and evaluate financial and information systems , recommending controls to ensure system reliability and data ... 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)
- …with us today! **Responsibilities** **Job Summary / Purpose** The Sr Coding Compliance Auditor is responsible for reviewing chart notes for proper coding with an ... met at the highest level. The Sr Coding Compliance Auditor 's primary focus will be to facilitate and ensure...other portion of time focused on provider communication, and claims denial resolutions. Communicates denial trends to leadership and… more
- HCA Healthcare (Nashville, TN)
- …following regulatory requirements, in order to resolve edits or exceptions detected during system processing of the claim in Patient Accounting, SSI or the ... hours volunteering in our communities. As a Revenue Integrity Auditor RN with Parallon you can be a part...observation + Understanding of Revenue Cycle Pro, 3M Coding system and 3M Coding Resources + Working knowledge of… more
- Bon Secours Mercy Health (Cincinnati, OH)
- …assessment reports, internal quality control reviews, internal and external third party claims payment peer analysis systems to detect provider-billing trends, ... review of Bon Secours Mercy Health coding, billing and claims processing policies and procedures for the development of...+ Assists in auditing and investigations requested by the System Director, Compliance. + Assists in the development of… more
- Office of Inspector General (Alexandria, VA)
- …Evaluations Audit Oversight Division. In this position, you will serve as a Supervisory Auditor under a Program Director and will be responsible to perform broad and ... law; Or A certificate as Certified Public Accountant or a Certified Internal Auditor , obtained through written examination; Or Completion of the requirements for a… more
- BlueCross BlueShield of North Carolina (NC)
- **Job Description** The Auditor will be responsible for auditing processed claims , customer inquiries and membership processing in compliance with one of the ... on audits of third-party administrators (TPA) and external audits. + Audit company systems and processes that support Claims , Customer Inquiries, and Membership… more
- US ARMY HUMAN RESOURCES COMMAND (DRU) (Fort Knox, KY)
- Summary About the Position: Serve as a Senior Auditor perform audit readiness, distribute and monitor the workload, provide advice and assistance to lower graded ... and separate essential from nonessential data. (3) Experience serve as an auditor responsible for providing local commands and higher echelons with detailed… more