• Investigative Auditor - Medicaid

    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 ... Sign Up for Job Alerts Office of the Attorney General Department of Law Medicaid Fraud - Investigative Auditor *To move forward in the recruiting process ALL… more
    State of Georgia (10/30/24)
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  • Medicaid Fraud Control Unit…

    Idaho Division of Human Resources (Boise, ID)
    Medicaid Fraud Control Unit Investigative Auditor , OAG Posting Begin Date: 2024/10/17 Posting End Date: 2024/12/20 Category: Audit Sub Category: Program ... Primary Duties: The successful applicant for the the Investigative Auditor position will be assigned to the Attorney General's... position will be assigned to the Attorney General's Medicaid Fraud Control Unit (MFCU). The federally… more
    Idaho Division of Human Resources (10/18/24)
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  • Senior Internal Auditor - Growing…

    Fallon Health (Worcester, MA)
    …be the leading provider of government-sponsored health insurance programs-including Medicare, Medicaid , and PACE (Program of All-Inclusive Care for the Elderly)- in ... 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… more
    Fallon Health (09/15/24)
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  • Coding Off Auditor -Edu

    Covenant Health Inc. (Knoxville, TN)
    Overview Inpatient Auditor and Educator Full Time, 80 Hours Per Pay Period, Day Shift Covenant Health Overview: Covenant Health is the region's top-performing ... by CMS and the OIG via the Federal Register, fraud alerts, OIG advisory opinions, and other publications relative...ICD-10 and ICD-10-PCS coding to ensure compliance with Medicare, Medicaid guidelines and other insurance payers and to optimize… more
    Covenant Health Inc. (11/05/24)
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  • Coding Auditor -Edu-Clinic

    Covenant Health Inc. (Knoxville, TN)
    …all information published by CMS and the OIG via the Federal Register, fraud alerts, OIG advisory opinions, and other publications relative to coding, billing and ... CPT coding, modifiers and billing processes to ensure compliance with Medicare, Medicaid guidelines and other insurance payers and to maximize reimbursement. +… more
    Covenant Health Inc. (10/09/24)
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  • Special Investigative Unit Auditor , IN…

    McLaren Health Care (Indianapolis, IN)
    We are looking for a Special Investigative Unit Auditor to join us in leading our organization forward. McLaren Integrated HMO Group (MIG), a division of McLaren ... the State of Indiana and Centers for Medicare and Medicaid Services to bring you the Hoosier Healthwise and...for conducting comprehensive investigations of reported, alleged or suspected fraud involving the full range of products for assigned… more
    McLaren Health Care (11/06/24)
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  • Audit Evaluation & Review Analyst - 1

    MyFlorida (Miami, FL)
    …Summary: This position is in the Office of the Attorney General within the Medicaid Fraud Control Unit in Miami, Florida and involves auditing complex ... of a Certified Public Accountant (CPA) or Certified Internal Auditor (CIA) certificate can substitute for one (1) year...evidence gathered in accordance with the Agency's and the Medicaid Fraud Control Unit's (MFCU) standard operating… more
    MyFlorida (10/13/24)
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  • Snt Monitoring Supervisor

    City of New York (New York, NY)
    …CHANGE. The Office of Liens and Trusts (OLT) is responsible for protecting against fraud and recovering Cash Assistance and Medicaid pursuant to SSL 104, 104-b, ... Job Description APPLICANTS MUST BE PERMANENT IN THE MANAGEMENT AUDITOR CIVIL SERVICE TITLE OR BE PERMANENT IN A...excess resources to shelter their assets and qualify for Medicaid . The SNT Program monitors over 2,000 first party… more
    City of New York (08/14/24)
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  • Compliance Analyst/Educator, URMC

    University of Rochester (Rochester, NY)
    …presentations to educate and train faculty, residents and staff on reimbursement, fraud and abuse and other healthcare related compliance issues and Medicare and ... Medicaid requirements. Acts as a resource on billing, coding...(CPC), Certified Professional Biller (CPB) or Certified Professional Medical Auditor (CPMA), Certified Outpatient Coder (COC), or Certified Professional… more
    University of Rochester (10/29/24)
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