- Humana (Augusta, ME)
- …caring community and help us put health first The Inpatient Medical Coding Auditor extracts clinical information from a variety of medical records and assigns ... codes (eg, ICD-10-CM, CPT) to patient records. The Inpatient Medical Coding Auditor work assignments involve moderately complex to complex issues where the analysis… more
- State of Maine, Bureau of Human Resources (Augusta, ME)
- Staff Auditor I Augusta , Maine , United States | Auditor | Full-time | Partially remote Apply by: Feb. 5, 2025 Apply with Linkedin Apply Department of Health ... days of telework per week with management approval. Core Responsibilities: As a Staff Auditor I you will: * Perform professional audit work under direction of senior… more
- State of Maine, Bureau of Human Resources (Augusta, ME)
- Staff Auditor II Augusta , Maine , United States | Auditor | Full-time | Partially remote Apply by: Feb. 5, 2025 Apply with Linkedin Apply Department of Health ... of telework per week with management approval. Core Responsibilities: As a Staff Auditor II you will: * Perform independent and complex audits of MaineCare Providers… more
- Humana (Augusta, ME)
- …of Humana's strategic and financial objectives. The Senior IT Internal Auditor provides value-added service by evaluating the efficiency and effectiveness of ... Humana's operational processes. The Senior IT Internal Auditor audits information systems technology and applications to ensure that IT controls and are designed and… more
- 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
- Zurich NA (Augusta, ME)
- Premium Audit Auditor II 117003 Zurich North America is hiring an Premium Audit Auditor II to join our team! We are open to hiring talent in one of the following ... Texas, Vermont, Virginia, West Virginia, or Wisconsin. As a Premium Audit Auditor II you will be performing examination of policyholder's accounting and financial… more
- Lumen (Augusta, ME)
- …digitally connect the world and shape the future. **The Role** The Senior SOX Auditor will perform testing of key business process and entity level controls for ... understanding of and request evidence for control operation. The Senior SOX Auditor will gather and evaluate populations for completeness and will create workpapers… more
- Humana (Augusta, ME)
- …caring community and help us put health first** The Compliance Nurse Auditor reviews utilization management activities and documentation to ensure adherence to ... assurance audits in the past 3 years + Experience as a Utilization Management Auditor + Health Plan experience working with large carriers + Proficiency in Microsoft… more
- ISC2 (Augusta, ME)
- …empowers all of our successes. Learn more. **Position Summary** The Staff Internal Auditor plays a crucial role in ensuring ISC2's internal controls over financial, ... operational, and compliance activities. The Staff Internal Auditor will work closely with the internal audit team to conduct audits, evaluate internal controls, and… more
- Lumen (Augusta, ME)
- …connecting the world and shaping the future. **The Role** The Senior IT Auditor will execute IT-focused audits and will support operational internal audit teams when ... IT-related risks are addressed. This role will also assist SOX IT efforts including understanding and evaluating IT processes, risks and controls and executing ITGC testing. Knowledge of and experience in IT audit, SOX control testing, data mining and… more
- Teradata (Augusta, ME)
- …That's why we built the most complete cloud analytics and data platform for AI. By delivering harmonized data, trusted AI, and faster innovation, we uplift and ... empower our customers and our customers' customers to make better, more confident decisions. The world's top companies across every major industry trust Teradata to improve business performance, enrich customer experiences, and fully integrate data across the… more
- City National Bank (Augusta, ME)
- …Magnit Global. You will not be employed by City National Bank. *The Opportunity* The auditor will work within a team and on occasion as an individual contributor on ... where audit responsibilities are assigned. * Assists the Senior Auditor and or Audit Manager in the development of...findings and the conclusions drawn. * Keeps the Senior Auditor and/or Audit Manager abreast of progress, issues and… more
- Highmark Health (Augusta, ME)
- …the quality of work performed consistently meets Institute of Internal Auditor (IIA) and Information Systems Audit and Control Association (ISACA) guidelines.Review ... **LICENSES or CERTIFICATIONS** **Required** + None **Preferred** + Certified Information System Auditor (CISA) + Certified Internal Auditor (CIA) + Certified… more
- J&J Family of Companies (Augusta, ME)
- …specific assignments. + May conduct internal and supplier audits. Certified as a lead auditor in ISO13485:2016 would be an asset. Familiarity with IEC 60601 and IEC ... 62304 is an asset. + Processing, investigating, and completing customer complaints, which could require direct email responses to customers. + Composes technical complaint reports timely and accurately based on reported information and device investigation… more
- Sutherland Global Services (Augusta, ME)
- …on claims needing additional information + Refer problem claims to a Lead and/or auditor for additional review + Make sure that the integrity of the information is ... accurate and kept private according to HIPPA guidelines + Work with specific software + May be assigned special projects We offer: + Salary of $13.50/hour + monthly incentives up to $1500/month + Monthly rewards & recognition programs + Medical, dental and… more
- Hilton (Augusta, ME)
- …owner relations, and more, for all of Hilton's unique brands\! As Manager, QA Auditor , you will support the team that leads our brands with the steadfast goal ... of strengthening and growing the Hilton portfolio\. On the Brands team reporting to Area Manager Quality Assurance, you will perform numerous QA audits and have responsibility for 100 hotels in your territory\. Your main duty is to protect the integrity of the… more
- Humana (Augusta, ME)
- …annual standard and nonstandard supplemental data audit with NCQA and DTS auditor . **Use your skills to make an impact** **Required Qualifications** + Bachelor's ... Degree in any of the following disciplines: Computer Science, Management Information Systems, Math, Statistics or equivalent work experience + Minimum 5 years' experience working with healthcare or lab data + Minimum 3 years of experience in a data focused… more
- 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) **Pay Range** The… more
- 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
- Ryder System (Augusta, ME)
- …Other Certified Information Systems Security Professional (CISSP), Certified Information Systems Auditor (CISA), or Certified in Risk and Information Systems Control ... (CRISC) or Certified Cloud Security Professional (CCSP) credentials or International Association of Privacy Professionals (IAPP) **Travel:** 1-10% **DOT Regulated:** None **Job Category:** Information Security **Compensation Information** : The compensation… more