- 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 ... 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 up to $300… 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
- 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 ... with high quality. + Executes and may lead as Auditor in Charge (AIC) for audit engagements throughout the...of a degree. + 4 years of audit, financial, insurance , banking, information technology or related business and/or leadership… 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 - ... 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
- NJM Insurance (Trenton, NJ)
- … Industry Experience + APA ( Associate in Premium Auditing) + CIPA ( Certified Insurance Premium Auditor ) + ARM ( Associate in Risk Management ) + CPCU ... Our Commercial Lines department is seeking a Premium Auditor with strong organizational and time management skills. The auditor will be responsible for… more
- Catholic Health Initiatives (Chattanooga, TN)
- …Assistance Program (EAP) for you and your family Health/Dental/Vision Insurance Flexible spending accounts Voluntary Protection: Group Accident, Critical Illness, ... with us today! **Responsibilities** **Job Summary / Purpose** The Sr Coding Compliance Auditor is responsible for reviewing chart notes for proper coding with an… 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
- 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
- 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)
- **Diagnosis Related Group Clinical Validation Auditor -RN** **Location:** This position will work a hybrid model (remote and office). Ideal candidates will live ... one of our PulsePoint locations. The **Diagnosis Related Group Clinical Validation Auditor ** is responsible for auditing inpatient medical records to ensure clinical… 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
- MyFlorida (Tampa, FL)
- TAX AUDITOR III - 79001090 Date: Nov 19, 2024 The State Personnel System is an E-Verify employer. For more information click on our E-Verify Website ... Requisition No: 841674 Agency: Business and Professional Regulations Working Title: TAX AUDITOR III - 79001090 Pay Plan: Career Service Position Number: 79001090… 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
- Fallon Health (Worcester, MA)
- …we strive to be the leading provider of government-sponsored health insurance programs-including Medicare, Medicaid, and PACE (Program of All-Inclusive Care for ... all aspects of audits following departmental standards and procedures. **The Internal Auditor will perform or assist in the following:** + Supports the internal… more
- Robert Half Accountemps (Alhambra, CA)
- …in the Patient Accounting System or claims editing system. The Chart Auditor will occasionally conduct insurance audits in conjunction with chosen payer ... Description We are currently seeking a meticulous Chart Auditor responsible primarily for verifying, rectifying, and finalizing edits… more