- Usaa (Colorado Springs, CO)
- …in Xactimate. Claims Expertise: 4+ years of recent experience in property claims contracts and handling. Quality Assurance Expertise: Prior experience in ... Property Reinspector, you will, within defined guidelines and framework, ensure a quality property repair estimate and valuation product by focusing on targeted… more
- UCLA Health (Los Angeles, CA)
- …career to the next level. You can do all this and more at UCLA Health. The Claims Quality Auditor will be responsible for the daily audit of all examiners ... assigned to the auditor . You will review claims (paid, pending,...maintain statistical data consistent + Maintain departmental production and quality standards Salary Range: $31.51 - $62.64 HourlyQualifications We're… more
- US Tech Solutions (Whittier, CA)
- …: Day** **Next Start date: Immediately** **Contract length: 3 months** **POSITION SUMMARY** The Claims Auditor assists in the Claims Department by analyzing ... procedures, policies and reports; ensures appropriate payment of claims and maintenance of the claims system as necessary. **SPECIFIC SKILLS NEEDED** Knowledge… more
- Cedars-Sinai (Los Angeles, CA)
- …fuels innovation. **Req ID** : 13340 **Working Title** : Outpatient Surgical and Claims Edit Auditor **Department** : CSRC Coding Audit **Business Entity** : ... Award 19 years in a row for providing the highest- quality medical care in Los Angeles. We also were...will I be doing in this role?** The Coding Auditor works under the general direction of the Coding… more
- Molina Healthcare (Albany, NY)
- … department initiatives to improve overall claims function efficiency. + Meets claims audit department quality and production standards. + Completes basic ... JOB DESCRIPTION Job Summary Provides support for claims audit activities including identification of incorrect coding, abuse and fraudulent billing practices, waste,… more
- Centers Plan for Healthy Living (Staten Island, NY)
- …Responsible for the auditing functions of Centers Plan for Healthy Living (CPHL) claims . Collaborates with other Health plan departments and Management to ensure ... claims are processed in accordance with Federal, State and...keep up to date with departmental changes in conducting quality reviews. + Ensure the consistent use of current… more
- Boar's Head Brand/Frank Brunckhorst Co., LLC (Sarasota, FL)
- … Certification preferred (ie American Society for Quality - Certified HACCP Auditor , Certified Quality Auditor , Certified Supplier Quality ... BH Audit Team with performing Food Safety & Product Quality audits at different venues to include but not...COAs, Allergen forms, Weight & Tare, any other product claims , etc.), as applicable. + Perform Food Safety &… more
- Humana (Columbus, OH)
- …evaluation of variable factors. Humana is looking for an experienced medical coding auditor to review inpatient hospital claims for proper reimbursement, handle ... caring community and help us put health first** The Inpatient Medical Coding Auditor extracts clinical information from a variety of medical records and assigns… more
- Elevance Health (Chicago, IL)
- …at least one of the following: AA/AS or minimum of 15 years of experience in claims auditing, quality assurance, or recovery auditing. + Requires at least one of ... **DRG Coding Auditor Principal** **_Virtual: _** _ _ This role...Principal** is responsible for auditing inpatient medical records on claims paid based on Diagnostic Relation Group (DRG) methodology,… more
- Elevance Health (Norfolk, VA)
- … AUDITOR ** is responsible for auditing inpatient medical records and generating high quality recoverable claims for the benefit of the company, for all lines ... **DRG CODING AUDITOR ** **_Virtual_** **_: _** _ _ __ This...AA/AS or minimum of 5 years of experience in claims auditing, quality assurance, or recovery auditing.… more
- Elevance Health (Los Angeles, CA)
- …applicable state(s). + Requires a minimum of 10 years of experience in claims auditing, quality assurance, or clinical documentation improvement, and a minimum ... **Diagnosis Related Group Clinical Validation Auditor -RN (CDI, MS-DRG, AP-DRG and APR-DRG)** **Virtual:** This...Specializes in review of Diagnosis Related Group (DRG) paid claims . **How you will make an impact:** + Analyzes… more
- Sedgwick (Indianapolis, IN)
- …to Work(R) Fortune Best Workplaces in Financial Services & Insurance Internal Auditor **PRIMARY PURPOSE OF THE ROLE:** To perform internal audit procedures under ... + Performs other duties as assigned. + Supports the organization's quality program(s). + Travels as needed. **QUALIFICATIONS** Education & Licensing: Bachelor's… more
- AmeriHealth Caritas (Philadelphia, PA)
- …audit process and communicate the audit outcome to the appropriate persons. The auditor will validate production to ensure that the case is migrated appropriately. ... post-implementation review is completed as the policy outlines. The auditor will be expected to build/run complex queries to...will be expected to build/run complex queries to identify claims affected by the configuration change and analyze all… more
- Army National Guard Units (Camp Murray, WA)
- …Washington National Guard Title 5 Excepted Service Technician position: SUPERVISORY AUDITOR Location: Washington United States Property and Fiscal Office CAMP ... USA Jobs profile name is accurate* Responsibilities A GS-0511-13, SUPERVISORY AUDITOR : Responsible for planning, directing, coordinating, and reviewing daily and… more
- Sharp HealthCare (San Diego, CA)
- …*This is a remote position* **What You Will Do** The Compliance Coding Auditor is responsible for the administration of the Sharp HealthCare's (SHC's) compliance ... audit program. The position provides oversight and maintenance of a high- quality , effective, best practices coding, billing, and reimbursement audit compliance… more
- Covenant Health Inc. (Knoxville, TN)
- Overview Revenue Integrity Auditor Full Time, 80 Hours Per Pay Period, Day Shift Covenant Health Overview: Covenant Health is the region's top-performing healthcare ... and 1,500 affiliated physicians are dedicated to improving the quality of life for the more than two million...+ Reviews information from third party payers relative to claims charging, coding, and billing in order to ensure… more
- Northwell Health (Lake Success, NY)
- …and support proper billing and coding - Audit anesthesia records focusing on quality , completeness, and correctness of claims based on services provided - ... **Req Number** 172252 Surgical Anesthesia Compliance AuditorCompliance Auditor MUST HAVE CPC CERTIFICATON This is a HYBRID position- MUST be in the office located in… more
- Cedars-Sinai (Los Angeles, CA)
- …Best Hospitals. **What you be doing in this role:** The Physician Compliance Auditor is responsible for reviewing and auditing claims , medical records, and ... Award 19 years in a row for providing the highest- quality medical care in Los Angeles. We also were...Teams or other remote meeting platforms. The Physician Compliance Auditor identifies issues and/or risks associated with documentation, coding,… more
- Ontario ARC (Canandaigua, NY)
- …USA | Hourly | 21.60-23.00 per hour | Full Time The Arc Ontario Internal Auditor - Programs Salary: $21.60 - $23.00 Position Overview: We're looking for an Internal ... Auditor to join our team and help ensure our...and run efficiently. In this role, you'll audit billing claims , review Individual Service Plans, conduct site visits, and… more
- Genesis Healthcare (NJ)
- …Shared Savings Program. We help long-term care providers deliver high quality , patient-centered care while achieving measurable improvements in clinical, financial, ... and operational performance. As an Associate Coder/ Auditor , the employee will train to become a Certified...Compliance and Ethics Program, Standard/Code of Conduct, Federal False Claims Act and HIPAA. 2. Provides leadership and support… more
