- 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
- Centers Plan for Healthy Living (Staten Island, NY)
- Claims Auditor 75 Vanderbilt Ave, Staten...keep up to date with departmental changes in conducting quality reviews. + Ensure the consistent use of current ... Responsible for the auditing functions of Centers Plan for Healthy Living (CPHL) claims . Collaborates with other Health plan departments and Management to ensure … more
- USAA (Tampa, FL)
- …position. **What you'll do:** + Independently executes audit test work timely and with high quality . + Executes and may lead as Auditor in Charge (AIC) for audit ... what makes us so special! **The Opportunity** As a dedicated **Senior Auditor ,** you'll perform internal audit assignments. Identify problems for resolution in… 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 ... 5:15 PM Pacific + Description + Benefits + Questions General Statement of Duties The Police Auditor is an employee of the City of Eugene and is one of three directly… 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 ... US Steel Tower, however, this role may work remotely. The Intermediate Clinical Auditor /Analyst is an integral part of the Quality Assurance and Operational… 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 ... across the medical group. The Hierarchical Condition Category (HCC) Quality program was developed by CMS to promote ...met at the highest level. The Sr Coding Compliance Auditor 's primary focus will be to facilitate and ensure… 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...of Georgia by providing legal representation of the highest quality to the agencies, officers and employees of state… more
- Hackensack Meridian Health (Hackensack, NJ)
- …ensuring coding accuracy, coding consistency and efficiency in filing of inpatient claims . Collaborates with the Clinical Documentation Quality Liaison to assist ... as a leader of positive change. The **Diagnosis Related Group (DRG) Auditor ** is responsible for auditing clinical documentation that supports code assignment for… 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
- Elevance Health (Morristown, NJ)
- …applicable state(s). + Requires a minimum of 10 years of experience in claims auditing, quality assurance, or clinical documentation improvement, and a minimum ... **Diagnosis Related Group Clinical Validation Auditor -RN** **Location:** This position will work a hybrid...Specializes in review of Diagnosis Related Group (DRG) paid claims . **How you will make an impact:** + Analyzes… more
- Fallon Health (Worcester, MA)
- …Founded in 1977 in Worcester, Massachusetts, Fallon Health delivers equitable, high- quality , coordinated care and is continually rated among the nation's top ... health plans for member experience, service, and clinical quality . We believe our individual differences, life experiences, knowledge, self-expression, and unique… more
- 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 and ... to Sarbanes-Oxley), risk-based audits, and consulting engagements. The Senior Internal Auditor will participate in cross-functional projects with IT Audit, Risk… more
- ManpowerGroup (Madison, AL)
- …a leading company in the automotive manufacturing industry, is seeking a Parts Logistics Auditor to join their team. As a Parts Logistics Auditor , you will ... logistics, inventory management, and internal controls. **Job Title:** Parts Logistics Auditor **Location:** Remote **Pay Range:** $55 - $70/hour **What's the Job?**… more
- Sedgwick (Knoxville, TN)
- …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 ... + Performs other duties as assigned. + Supports the organization's quality program(s). + Travels as required. **Education & Licensing** Bachelor's degree… 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 ... in accounting or auditing courses of appropriate type and quality . This can include up to 6 hours of...certificate as Certified Public Accountant or a Certified Internal Auditor , obtained through written examination; Or Completion of the… more
- Government Publishing Office (Washington, DC)
- …complete Generally Accepted Government Auditing Standards audits that are of high quality , accurate, relevant to customers, and conform to OIG policies, legal ... and within the prescribed timeframes. Advise and assist the Supervisory Auditor in developing and recommending audit and other oversight policies, procedures… more
- UPMC (Pittsburgh, PA)
- …ICD-10-CM-PCD and DRG assignment appropriateness to ensure consistency and efficiency in claims processing, data collection, and quality reporting. + Conduct ... **UPMC Corporate Finance is hiring a full-time Compliance Auditor , Intermediate. This position will be based out of Forbes Tower in Pittsburgh, PA. This position… more