• Inpatient DRG Quality Auditor

    Humana (Augusta, ME)
    …a full-time, remote/work-from-home position. **Description** The Inpatient Medical Coding Auditor extracts clinical information from medical records and assigns ... Quality Team is looking is an experienced and well-grounded medical coding auditor to quality review the inpatient hospital claims for proper reimbursement, handle… more
    Humana (03/04/25)
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  • Coding Auditor I - (Inpatient)

    Baylor Scott & White Health (Augusta, ME)
    **JOB SUMMARY** The Coding Auditor 1 is proficient in various types of coding and is responsible for performing coding quality audits and providing feedback to ... coders. The Coding Auditor 1 utilizes the International Classification of Disease (ICD-10-CM/PCS),...year of the experience should be as a coding auditor : Registered Health Information Administrator (RHIA) Registered Health Information… more
    Baylor Scott & White Health (02/06/25)
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  • Staff Auditor II

    State of Maine, Bureau of Human Resources (Augusta, ME)
    Staff Auditor II Augusta , Maine , United States | Auditor | Full-time | Partially remote Apply by: March 31, 2025 Apply with Linkedin Apply Department of Health ... variety of training opportunities to its staff. ABOUT THE POSITION: As a Staff Auditor II you will: + Perform independent and complex audits of MaineCare Providers… more
    State of Maine, Bureau of Human Resources (02/03/25)
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  • Staff Auditor I

    State of Maine, Bureau of Human Resources (Augusta, ME)
    Staff Auditor I Augusta , Maine , United States | Auditor | Full-time | Partially remote Apply by: March 31, 2025 Apply with Linkedin Apply Department of Health ... variety of training opportunities to its staff. ABOUT THE POSITION: As a Staff Auditor I you will: + Perform professional audit work under direction of senior… more
    State of Maine, Bureau of Human Resources (02/03/25)
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  • Premium Audit Auditor II

    Zurich NA (Augusta, ME)
    Premium Audit Auditor II 117370 What can go right when...referral.** Zurich North America is hiring a Premium Audit Auditor II to join our team! We are open ... to hiring talent in one of the following locations: Alabama, Arkansas, Connecticut, Delaware, Florida, Georgia, Illinois, Indiana, Iowa, Kansas, Kentucky, Louisiana, Maine, Maryland, Massachusetts, Michigan, Minnesota, Mississippi, Missouri, Nebraska, New… more
    Zurich NA (02/12/25)
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  • Senior IT Internal Auditor (Remote)

    SANS Institute (Augusta, ME)
    …and pragmatic approach (People). **Summary of Position** The Senior IT Internal Auditor will assess and evaluate the effectiveness and efficiency of the ... are mitigated, and identifying opportunities for improvements. The Senior IT Internal Auditor will work closely with senior management and IT departments to… more
    SANS Institute (01/31/25)
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  • Internal Audit Staff Auditor I - Remote

    Ryder System (Augusta, ME)
    …related area required . Certified Public Accountant, Certified Information Systems Auditor , and/or a Certified Internal Auditor Certification (preferred) ... **Travel** 5 - 10 % **Job Category:** Internal Audit **Compensation Information** : The compensation offered to a candidate may be influenced by a variety of factors, including the candidate's relevant experience; education, including relevant degrees or… more
    Ryder System (01/30/25)
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  • Coding Auditor Educator

    Highmark Health (Augusta, ME)
    …Professional Coder (CPC), Certified Outpatient Coder (COC), Certified Professional Medical Auditor (CPMA) + 5 years with hospital or physician coding and/or ... auditing, as well as, education techniques and methods. (Internal transfer and promotion candidates may have a minimum of 3 years experience) + In-depth knowledge of ICD CM, ICD PCS and CPT/HCPCS coding systems. Must be proficient in DRG/APC structure,… more
    Highmark Health (02/07/25)
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  • Operational Auditor - Internal Controls

    ISC2 (Augusta, ME)
    …empowers all of our successes. Learn more. **Position Summary** The Operational Auditor plays a crucial role in ensuring ISC2's internal controls over financial, ... operational, and compliance activities. This individual will work closely with the internal audit team to conduct audits, evaluate internal controls, and identify opportunities for process improvement. **Responsibilities** * Assists in the planning, execution,… more
    ISC2 (12/21/24)
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  • Security Advisor

    Nelnet (Augusta, ME)
    …by an accredited certification body) **Audit certifications:** + ISACA Certified Information Systems Auditor ( **CISA** ) + GIAC Systems and Network Auditor ( ... **GSNA** ) + Certified **ISO 27001 Lead Auditor ** or **Internal Auditor ** (when issued by an accredited certification body) + **IRCA ISMS Auditor or higher**… more
    Nelnet (03/08/25)
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  • Staff Security Program Manager (GRC)

    EDB (Augusta, ME)
    …**What will give you an edge:** + Certified Information Security Auditor (CISA) or Certified Information Systems Security Professional (CISSP) certifications + ... Experience with Hyperproof GRC Platform and Jira + Project Management certification **Compensation Range (DOE/Location)= $170-$190k base salary + annual variable bonus** EDB is committed to supporting our employees' overall well being by offering a range of… more
    EDB (03/12/25)
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  • Director, IT SOX Compliance

    Amentum (Augusta, ME)
    …professional certification is required, such as Certified Information Systems Auditor (CISA), Certified information systems security professional (CISSP), Certified ... Information Security Manager (CISM), Certified in Risk and Information Security Controls (CRISC). + Experience with controls design, controls, audit, or risk (ie, IT controls testing, internal audits, operational audits, advisory/consulting/compliance). +… more
    Amentum (03/04/25)
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  • Senior Analyst - Quality Assurance and Improvement…

    Lincoln Financial Group (Augusta, ME)
    …profession. + Licensing and/or certification: Certified Public Accountant, Certified Internal Auditor , Certified Fraud Examiner (at least one required) + Ability to ... work with others in a team environment. + Demonstrated ability to identify and recommend process improvements. + Demonstrated strong relationship management skills with internal clients (eg senior management, peers and colleagues); proven ability to develop… more
    Lincoln Financial Group (03/04/25)
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  • Special Investigation Unit Manager Clinical…

    CVS Health (Augusta, ME)
    …Certification - Certified Professional Biller (CPB), Certified Professional Medical Auditor (CPMA), Certified Outpatient Coder (COC), Certified Risk Adjustment Coder ... (CRC) Licensed Clinical Social Worker (LCSW) Licensed Independent Social Worker (LISW) Licensed Master Social Worker (LMSW) **Education** Bachelor, Associates Degree or work equivalent Certification as a Certified Professional Coder (CPC) **Anticipated Weekly… more
    CVS Health (12/25/24)
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  • Vice President Finance

    Sedgwick (Augusta, ME)
    …and procedures are implemented and followed to achieve efficient operations and meet auditor requirements. + Acts as a resource and emissary for clients through ... attending Board meetings, assisting with strategic planning, financial analyses, benchmarking, and other strategies. + Takes ownership of accounting and reporting needs for a national pooling organization. + Plans, organizes, and reports financial status and… more
    Sedgwick (12/18/24)
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