- New York State Civil Service (Syracuse, NY)
- NY HELP No Agency Attorney General, Office of the Title Forensic Auditor : Support Healthcare Fraud Investigations (6342) Occupational Category Financial, ... Experience with statistical sampling and/or advanced statistical training.* Knowledge of the healthcare industry and medical coding concepts (CPT, ICD-9 / 10, DRGs)… more
- Baylor Scott & White Health (Temple, TX)
- **JOB SUMMARY** The Claims Quality Review Auditor is HYBRID position accountable for auditing various claims to ensure quality and accuracy to related benefit ... payments, contract interpretation, and compliance with policies and procedures and regulatory guidelines. Makes recommendations to improve quality, workflow processes, policies and procedures. **ESSENTIAL FUNCTIONS OF THE ROLE** + Tracks and trends audits in… more
- Fallon Health (Worcester, MA)
- …a key role in auditing risks identified in the organization. The Senior Internal Auditor plays a key role in implementing the annual audit plan. The Senior Internal ... Auditor conducts audits and related projects (financial, operational, and...the organization. 3 days on-site **Responsibilities** **The Senior Internal Auditor will work under the direction of the Audit… more
- Fallon Health (Worcester, MA)
- …all aspects of audits following departmental standards and procedures. **The Internal Auditor will perform or assist in the following:** + Supports the internal ... and management action plans by working under the direction of the Lead Auditor or Audit Manager. + Prepare detailed work papers for each project assigned.… more
- The Cigna Group (Philadelphia, PA)
- … industry and/or public accounting experience including 1+ years of in-charge/senior auditor experience. + Knowledge of healthcare industry and audit experience ... and memberships for ongoing professional growth. The Senior Internal Auditor will be: + Empowered to lead the execution...vitality of those we serve. Through our divisions Cigna Healthcare and Evernorth Health Services, we are committed to… more
- Robert Half Management Resources (Los Angeles, CA)
- Description We are in search of a meticulous Sr. Auditor to join our healthcare team in Los Angeles, California. The role involves auditing various aspects of ... our healthcare operations, including hospital departments, billing issues, and charge...years of experience in a similar role within the healthcare , hospitals, or social assistance sector * Knowledge and… more
- UNIVERSAL Technologies, LLC (Albany, NY)
- …human services, or related field. + Minimum of 2 years of experience as a Healthcare Compliance Analyst, Auditor , Care Manager, or Medicaid Provider, in a role ... UNIVERSAL Technologies is hiring a Healthcare Compliance Analyst for a hybrid role in...Fingerprint-based Background Check and sign an NDA. Position: The Healthcare Compliance Analyst will collaborate with team members to… more
- University of Washington (Seattle, WA)
- …Nursing + Certification in at least one of the following: certified healthcare chart auditor , certified professional in utilization review(or utilization ... management or healthcare management), certified case manager, certified documentation specialist, certified coder, certified professional medical auditor +… more
- Great River Health (West Burlington, IA)
- …of the following credentials: RHIA, RHIT, CPC, COC + Certified Professional Medical Auditor (CPMA), Certified Healthcare Chart Auditor (CHCA) or equivalent ... certification required after two years of employment + Strong computer experience/knowledge + Good working knowledge of medical terminology + Knowledge of laws, government regulations, CMS and agency rules Benefits: We are excited to offer an aggressive… more
- GE HealthCare (Chicago, IL)
- …the GEHC Audit Committee. Reporting to the Business Audit Manager, Senior Business Auditor will interact with key process owners and colleagues across GE ... Healthcare . In role, you will also be responsible for...added recommendations across the organization. As a Senior Business Auditor , you will gain a robust understanding of the… more
- Brockton Hospital (Brockton, MA)
- …a focus on government payers, including Medicare and Medicaid. Collaborate with SHC's Healthcare 's Compliance Auditor to meet audit plan objectives. + Works with ... Signature Healthcare is Southeastern Massachusetts' premier local provider of...services. We are comprised of the award-winning not-for-profit Signature Healthcare Brockton Hospital; Signature Medical Group (SMG), a multi-specialty… more
- Molina Healthcare (Los Angeles, CA)
- …will work remotely anywhere in the US.** **Job Summary** The Sr Auditor , Delegation Oversight will independently perform audits of multi-delegated functions with ... for this position, please apply through the intranet job listing. Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare … more
- State of Colorado (Denver, CO)
- Senior IT Auditor Print (https://www.governmentjobs.com/careers/colorado/jobs/newprint/4673578) Senior IT Auditor Salary $99,300.00 - $105,000.00 Annually ... and consulting services across the entire CU system. The Senior IT Auditor is responsible for planning and executing audit, investigative, and consultative… more
- Integra LifeSciences (Princeton, NJ)
- …you to do important work that creates change and shapes the future of healthcare . Thinking differently is what we do best. To us, change equals opportunity. Every ... and making headway to help improve outcomes. The Staff Auditor uses operational and technical skills to support the...to support the Internal Audit Department's objectives. The Staff Auditor is assigned to a schedule of internal audits,… more
- Sharp HealthCare (San Diego, CA)
- …coder. + 2 Years experience working as a HCC risk adjustment coding auditor . + Experience with medical billing and with medical terminology. + Certified Professional ... on CPT, HCPCS and diagnosis coding in an ambulatory setting. Sharp HealthCare is an equal opportunity/affirmative action employer. All qualified applicants will… more
- Sacramento Behavioral Healthcare Hospital (Santa Rosa, CA)
- POSITION TITLE: Payroll Auditor REPORTS TO (TITLE): Controller DESCRIPTION OF POSITION: Responsible for validating employee timecards, preparing payroll audit ... School diploma or equivalent required. Bachelor's degree preferred. . 2 years healthcare experience in accounting and/or payroll highly desired. . General knowledge… more
- Henry Ford Health System (Troy, MI)
- Reporting to the Manager, Revenue Integrity, the Revenue Integrity (RI) Auditor must have a comprehensive understanding of medical terminology, coding, charge entry, ... and revenue cycle processes. The RI Auditor provides support for timely, accurate and inclusive charge...analytical and problem solving skills. + Certification in related healthcare field. + RN or RHIA, RHIT, CCS or… more
- Federal Reserve Bank (Minneapolis, MN)
- …to effectively communicate audit results and recommendations with support from Auditor in charge and/or Audit management. + Performs audits and coordinates ... of secondary resource audit areas, and System level activities. + As Auditor -in-Charge, provides effective support to department management in the areas of staff… more
- Veterans Affairs, Veterans Health Administration (Tuscaloosa, AL)
- Summary This is an internal auditor position located in the Resources Management Service Line. The incumbent serves as an auditor for the Tuscaloosa VA Medical ... not limited to: Following Generally Accepted Government Auditing Standards (GAGAS), the auditor participates in the research and survey phases of the audit/assist by… more
- The City of Houston (Houston, TX)
- CITY AUDITOR (EXE LEV) Print (https://www.governmentjobs.com/careers/houston/jobs/newprint/4569866) Apply CITY AUDITOR (EXE LEV) Salary $180,409.58 - ... ESSENTIAL FUNCTIONS The Office of the City Controller is seeking a City Auditor to direct, organize, plan, and manage internal audit activities throughout the City,… more