- 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 ... Development and Processing: The Auditor II will be responsible for developing and processing...verbally or through written communications, regarding questions related to claims , claims audits or other matters directed… more
- HCA Healthcare (Nashville, TN)
- … like you to be a part of our team. **Job Summary and Qualifications** The Claims Auditor will serve as a Subject Matter Expert (SME) in medical claims ... an organization that invests in you as a **Claim Auditor ** ? At Work from Home, you come first....primary function to ensure examiner payment accuracy of all claims processing including analysis of support services fulfillment colleagues'… more
- Erie 2-Chautauqua-Cattaraugus BOCES (Randolph, NY)
- Internal Claims Auditor Randolph Academy 336 Main Street Randolph , NY 14772 Classified - Position - Other (Classified) Job Number 3300050038 Start Date Open ... Date 11/08/2024 Closing Date Internal Claims Auditor (Part-Time) The Internal Claims Auditor 's primary goal is to approve the monthly warrants and… more
- Centers Plan for Healthy Living (Staten Island, NY)
- Claims Auditor 75 Vanderbilt Ave, Staten Island, NY 10304, USA Req #1153 Tuesday, November 5, 2024 Centers Plan for Healthy Living's goal is to create 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
- Robert Half Accountemps (Alhambra, CA)
- …for verifying, rectifying, and finalizing edits in the Patient Accounting System or claims editing system. The Chart Auditor will occasionally conduct insurance ... audits in conjunction with chosen payer auditors as per contract stipulations. This role will also involve communication within the hospital concerning charge disputes, charge capture, and pending documentation. Key Responsibilities: * Collaborate with various… more
- USAA (Tampa, FL)
- …what makes us so special! **The Opportunity** As a dedicated **Senior Auditor ,** you'll perform internal audit assignments. Identify problems for resolution in ... audit test work timely and with high quality. + Executes and may lead as Auditor in Charge (AIC) for audit engagements throughout the audit life cycle, to include… more
- USAA (Tampa, FL)
- …of what makes us so special! **The Opportunity** As a dedicated **Staff Auditor ,** you'll perform assignments related to Bank Fraud Management and Dispute Operations ... program assignments timely and professionally with guidance and support from the Auditor -in-Charge (AIC) in support of the annual audit plan and audit priorities.… more
- Medical Mutual of Ohio (OH)
- …**_and/or_** **_hospital bill auditing experience._** **Responsibilities** **Medicare Clinical Auditor ** + **Audits outpatient, inpatient and professional claims ... recovery staff.** + **Performs other duties as assigned.** **Senior Medicare Clinical Auditor ** + **Audits outpatient, inpatient and professional claims from a… more
- City of Eugene (Eugene, OR)
- Police Auditor Print (https://www.governmentjobs.com/careers/eugene/jobs/newprint/4710124) Apply Police Auditor Salary $125,798.40 - $169,811.20 Annually ... Benefits + Questions General Statement of Duties The Police Auditor is an employee of the City of Eugene...monitoring of investigations and reviews of risk and tort claims ; makes recommendations to the Police Department or the… 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
- Danfoss (Searcy, AR)
- …process + Responsible for driving customer return investigations including warranty and processing claims . + Internal auditor for ISO 9001 and internal quality ... management system. Understand and lead plant toward IATF 16949 compliance. + Lead projects to improve product reliability and quality for internal and supplied product. + Support supplier resourcing projects through PPAP requirements and other requirements for… 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
- 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
- State of Georgia (Fulton County, GA)
- Investigative Auditor - Medicaid Fraud Georgia - Fulton - Atlanta (https://careers.georgia.gov/jobs/52416/other-jobs-matching/location-only) Hot ... Attorney General Department of Law Medicaid Fraud - Investigative Auditor *To move forward in the recruiting process ALL...more of the following: . Audit experience in medical claims and/or claims data. . Certification as… 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
- General Motors (Columbus, OH)
- …worksite unless directed by their manager. **The Role** The individual Dealer Auditor reviews the administration of General Motors policies and procedures as ... Service Agreement. This review may include dealership practices relative to sales incentive claims and dealer objective program payouts. These claims must comply… 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
- Sherman Associates, Inc. (Duluth, MN)
- …This is a Sherman Associates owned Marriott International, Inc 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
- 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
- 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
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