- Blanchard Valley Hospital (Findlay, OH)
- … required or achieved within 9 months or CPMA (Certified Professional Medical Auditor ) certification required or achieved within 9 months. Knowledge of medical ... by clinical documentation. Coordinate with the Professional Coding Integrity Auditor /Educator to research coding questions from offices, departments, and providers.… more
- University Hospital New Jersey (Newark, NJ)
- …Data Quality Auditor /Educator is to ensure the consistent processing of claims and collection of data to optimize DRG reimbursement and produce quality data ... or RHIT certified preferred. CCS required. If not CCS certified, must obtain the CCS certification from AHIMA within sixty (60) days of the date of hire, or within… more
- ChristianaCare (Wilmington, DE)
- ChristianaCare is searching for a Corporate Compliance & Privacy Auditor to join the team.This position will execute moderate-to-complex level audits and participate ... RHIT) Equivalent experience of 5+ years' experience in provider auditing, claims auditing, compliance auditing, quality assurance, and/or recovery auditing Coding … more
- Northeast Georgia Health System, Inc (Oakwood, GA)
- …Minimum Job QualificationsLicensure or other certifications: CPC and/or CCS-P Coding Certification . CPMA, CEMC or other Nationally recognized healthcare auditing ... certification required at hire, or required to obtain within...concerns, and make plans for processes/procedures.Assists with submission of charges/ claims during high volume and/or end of month. Assists,… more
- Blanchard Valley Hospital (Findlay, OH)
- …support optimal and accurate charge processes; collaborate with CDI Specialist, Claims Resolution Specialist, Revenue Integrity Auditor , Revenue Integrity ... appropriate resources, as needed, to resolve. Duty 2: Support resolution of claim -scrubber edits (Quadax) resulting from charges entered by the Revenue Integrity… more
- HCA Healthcare (Campbell, CA)
- …with purpose and integrity. We care like family! Jump-start your career as a(an) Claim Auditor today with HCA Healthcare. **Benefits** HCA Healthcare, offers a ... **_Note: Eligibility for benefits may vary by location._** Come join our team as a(an) Claim Auditor . We care for our community! Just last year, HCA Healthcare… more
- Shaw Industries Inc (Bainbridge, GA)
- …Green Belt or Black Belt certification or the ability to obtain. + Lead Auditor certification or the ability to obtain. + Advanced Excel knowledge and strong ... quality related problems and reduce plant off quality. + Oversee quality claims management for suppliers and customers. + Participate in new product development… more
- The Gleason Works (Rochester, NY)
- …Licenses or Registrations: + Lean Six Sigma - Black Belt + Quality Engineer certification + ISO Auditor certification + Project Management Professional ... supplier management and development + Leads facilitation of warranty claims Preferred Education/Training/Experience: + Bachelor's degre5+ years of experience,… more
- Iowa Department of Administrative Services (Des Moines, IA)
- … certification of Certified Public Accountant (CPA), Certified Internal Auditor (CIA) and/or Certified Fraud Examiner (CFE). Military veterans are encouraged ... Auditor /Program Coordinator (CSC) Print (https://www.governmentjobs.com/careers/iowa/jobs/newprint/4511086) Apply ...succession planning and trusteeships for attorneys, and manages the claims process related to the theft of client funds.… more
- New York State Civil Service (Albany, NY)
- NY HELP No Agency SUNY System Administration Title Internal Auditor Occupational Category Financial, Accounting, Auditing Salary Grade NS Bargaining Unit M/C - ... entities.Internship experience in accounting or auditing and interest in obtaining certification (CPA, CIA, or CGFM).Familiarity with Pentana auditing software or… more
- State of Georgia (Fulton County, GA)
- …the minimum qualifications, meet one or more of the following: . Audit experience in medical claims and/or claims data. . Certification as a CPA or a CFE ... Investigative Auditor - Medicaid Fraud Georgia - Fulton -...an accounting degree as well as auditing experience, medical claims and/or claims data. Certification … more
- Hackensack Meridian Health (Hackensack, NJ)
- …as a leader of positive change. The **Diagnosis Related Group (DRG) Auditor ** is responsible for auditing clinical documentation that supports code assignment for ... includes compliance with the Conditions of Participation for CMS. The DRG auditor is responsible for ensuring coding accuracy, coding consistency and efficiency in… more
- Sharp HealthCare (San Diego, CA)
- …Time** Other; Certified Health Care Compliance (CHC) - Compliance Certification Board; Certified Clinical Documentation Specialist (CCDS) - Various-Employee provides ... and employer business practices. **What You Will Do** The Compliance Coding Auditor is responsible for the administration of the Sharp HealthCare's (SHC's)… more
- Rising Medical Solutions (Milwaukee, WI)
- …offices, providers, and case managers nationwide, RISING provides comprehensive medical claims solutions to our valued clients: insurance carriers, Fortune 1000 ... + Being the best, not the biggest The Role: The Senior Medical Bill Auditor will maximize savings for clients by accurately analyzing and processing medical bills… 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 ... * Work consistently and thoroughly on DNFB and PFS claim edits worklists to ensure timely completion within policies...and manage documentation * Experience in medical chart and claims audits * Familiarity with auditing practices and procedures… more
- Highmark Health (Jefferson City, MO)
- …and ensures compliance with DRG/APC structure and regulatory requirements. Performs periodic claim form reviews to check code transfer accuracy from the abstracting ... as assigned. **QUALIFICATIONS:** Minimum + High school diploma / GED + Certification from American Academy of Professional Coders (AAPC) or American Health… more
- US ARMY HUMAN RESOURCES COMMAND (DRU) (Fort Knox, KY)
- …Additional information about transcripts is in this document. Basic Requirement for Auditor : A. Degree: Bachelor's degree (or higher degree) in accounting; or a ... OR (2) A certificate as Certified Public Accountant or a Certified Internal Auditor , obtained through written examination; OR (3) Completion of the requirements for… more
- 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 East Tennessee's top-performing ... to ensure compliance. + Reviews information from third party payers relative to claims charging, coding, and billing in order to ensure compliance. + Performs… more
- Covenant Health Inc. (Knoxville, TN)
- …to ensure compliance. + Reviews information from third party payers relative to claims charging, coding, and billing in order to ensure compliance. + Performs ... to meet the standards for achievement of the below indicated license and/or certification as required by the issuing authority. Minimum Experience: Three (3) to five… more
- UCLA Health (Los Angeles, CA)
- …and maintaining a safe and fair learning and work environment. As a Professional Auditor and Trainer, you will help further our mission by providing all UCLA Health ... audits and projects, perform regulatory research, investigations, participate in the claims review process. * Perform Quality Assurance reviews. * Raise instances… more
