- 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...verbally or through written communications, regarding questions related to claims , claims audits or other matters directed… more
- Elevance Health (MD)
- **Clinical Provider Auditor II ** **Supports Payment Integrity & Behavioral Health** _Lo_ _cation: This position will work a hybrid model (remote and office). The ... to improve the delivery of care. The **Clinical Provider Auditor II ** is responsible for identifying issues...abuse. **How you will make an impact:** + Examines claims for compliance with relevant billing and processing guidelines… more
- Nuvance Health (Danbury, CT)
- …(SACO) Physician Audit & Billing, the Senior Inpatient Professional Auditor providesHospital Inpatient and Outpatient coding, billing, and documentation auditing ... and State guidelines. Ensure correct DRG and APC assignments for Institutional claims . 2. Maintains confidentiality of protected health information and other forms… more
- UCLA Health (Los Angeles, CA)
- Description As the Medicare Advantage Risk Adjustment Provider Documentation Trainer and Auditor , you will be an expert in risk adjustment coding and documentation, ... required + Detailed knowledge and understanding of ICD-10, CPT and CPT ( II ), and HCPCS coding systems required + Knowledge of Medicare Advantage STARS/HEDIS… more
- Ventura County (Ventura, CA)
- …+ Learns to calculate and analyze (Accountant I) or calculates and analyzes (Accountant II ) Incurred but not Reported medical claims based on system generated ... period. + Learns to review and reconcile (Accountant I) or reviews and reconciles (Accountant II ) bond claims to verify that charges for the project on the… more
- San Diego Youth Services (San Diego, CA)
- San Diego Youth Services JOB ANNOUNCEMENT Accountant II San Diego Youth Services seeks an Accountant II in the Fiscal Department to be based at the ... CONTEXT OF THE POSITION This position is primarily responsible for contract claims preparation, financial analysis, and fiscal support. The job involves preparing… more
- Ventura County (Ventura, CA)
- …need, proficiency levels by exam are $.69 per hour (Level I), $1.00 per hour (Level II ), or $1.32 per hour (Level III). + Vacation Leave Accrual Rate - New regular, ... program area; + Receives, reviews and verifies credit card bank statements, claims , invoices, and payroll documents for authorization of expenditures, accuracy of… more
- Ventura County (Ventura, CA)
- …proficiency levels by exam are $.69 per hour (Level I), $1.00 per hour (Level II ), or $1.32 per hour (Level III). + Flexible Workweek/Telework Schedule - We support ... clerical staff in assigned program area. + Receives, reviews and verifies claims , invoices, and payroll documents for authorization of expenditures, accuracy of… more
- The County of Los Angeles (Los Angeles, CA)
- …requirements for Federal, State, and/or Special Programs to determine if claims for reimbursement conform to applicable rules and regulations and result ... Health Services or Mental Health, departmental administration and by the Auditor -Controller when necessary. Writes policy and procedure manuals pertinent to… more
- Winterset Community School District (Winterset, IA)
- …all funds. Keep accurate accounting records for all funds. + Ensure that all claims are approved and merchandise received; create and prepare a list for board ... approval; pay and distribute all claims approved by the board. + Reconcile all bank...accounting procedures within the district to ensure compliance with auditor standards. + Maintain appropriate records for all school… more
- Trinity Health (Livonia, MI)
- …to coordinate with THMG Revenue Cycle Site Operations, Professional Billing, Auditor , and Educators, EPFS, and Professional Revenue Integrity educational materials ... Must possess a comprehensive knowledge of CPT, ICD-10-CM (ICD-9-CM) and HCPCS level II coding guidelines, along with CCI edits and Medicare claims processing… more