- 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
- Tennessee Valley Authority (Knoxville, TN)
- …(24-06) - 516581 Job ID:516581Location:KNOXVILLE, TNRegular/Temporary: External - Posting Description Auditor , Level III (24-06) - 516581 Company : Tennessee ... TVA - OIG and open the vacancy announcement for Auditor , Level III (24-06). Please DO NOT hit the...applicant or employee who believes s/he has a discrimination claim (including harassment or retaliation) must contact TVA's Equal… 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 ... vary by location._** Come join our team as a(an) Claim Auditor . We care for our community!...function is to ensure examiner payment accuracy of all claims processing including analysis of support services fulfillment colleagues'… more
- Universal Health Services (Riverside, CA)
- …of management, formally, or informally, either verbally or in writing). 1. Audit the Claim Examiners' batches daily, to ensure all claims were adjudicated in ... 2. Daily track and report both financial and clerical claims processing errors in the auditor Access...registered trademark of UHS of Delaware, Inc., the management company for Universal Health Services, Inc. and a wholly-owned… more
- Randstad US (Duluth, GA)
- hybrid medical claims auditor (6 weeks). + duluth , georgia + posted may 1, 2024 **job details** summary + $20 - $23 per hour + temporary + high school + ... support occupations + referenceAB_4525885 job details Are you an experienced Medical Claims specialist or Revenue Cycle Specialist who is skilled in auditing … more
- Burroughs (Elmhurst, IL)
- Internal Auditor Accounting Elmhurst, United States Apply Description 1 Job Summary: This opportunity will be a hybrid position in the Elmhurst IL. area. The ... Internal Auditor strive s for operational and financial improvement s...service footprint in the gaming industry , client cash claim mitigation support, and any various other defined departmental… more
- Robert Half Accountemps (Los Angeles, CA)
- …and finalizing DNB edits either in the PFS host Patient Accounting system or claims editing system. At times, the Chart Auditor may conduct insurance audits ... in Los Angeles is in the need of Chart Auditor . The Chart Auditor is responsible for...amount defense audits of patient medical records with insurance company representatives to verify documentation to support hospital Completes… more
- WTW (Dallas, TX)
- As a Lead Auditor you will apply your audit, project management and client management skills to lead client audits. You will serve as the team leader and primary ... administrators. You will review discrepancy issues identified by field auditors, re-adjudicate claims , resolve open issues, and draft the final report. You will… more
- Zelis (St. Petersburg, FL)
- Position Overview The Member Services Trainer/ Auditor is a vital role in ensuring service excellence to Open Access Pricing clients and their members. The Trainer/ ... Auditor will be responsible for designing, developing, implementing, and...with experience managing escalated issues As a leading payments company in healthcare, we guide, price, explain, and pay… more
- Elevance Health (Houston, TX)
- …high school diploma or equivalent (GED); minimum 2 years experience with the company in an enrollment and billing, claims and/or customer contact automated ... **Performance Quality Auditor I** **Location:** This is a remote position....Included are processes related to enrollment and billing and claims processing, as well as customer service written and… more
- Oak Orchard Health (Brockport, NY)
- …package that includes Vacation time, Sick time, Personal Days, Floating Holidays, and Company paid holidays! The Healthcare Compliance Auditor is responsible for ... Healthcare Compliance Auditor Brockport, NY (http://maps.google.com/maps?q=300+West+Avenue+Brockport+NY+USA+14420) * Compliance & Risk Description Do you want to be… more
- NJM Insurance (Trenton, NJ)
- Our Commercial Lines department is seeking a Premium Auditor with strong organizational and time management skills. The auditor will be responsible for ... performing audits of Commercial Lines policies in accordance with company , industry and government rules and regulations in order to establish appropriate… more
- Rising Medical Solutions (Milwaukee, WI)
- …rates (UCR), current PPO contracts, coding and bundling guidelines, client instructions, claim history, and company policies and procedures + Achieve production ... offices, providers, and case managers nationwide, RISING provides comprehensive medical claims solutions to our valued clients: insurance carriers, Fortune 1000… more
- Highmark Health (Jefferson City, MO)
- ** Company :** Allegheny Health Network **Job Description :** **GENERAL OVERVIEW:** Performs all related internal, concurrent, prospective and retrospective coding ... and ensures compliance with DRG/APC structure and regulatory requirements. Performs periodic claim form reviews to check code transfer accuracy from the abstracting… 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 ... high dollar amount defense audits of patient medical records with insurance company representatives to verify documentation to support hospital charges. * Validate… more
- Alphabroder (Bridgeport, CT)
- …+ Process customer returns by sorting/inspecting/identifying product and updating items/quantities on claims in IRMS. Determine if claim is complete. Close/post ... update customer returns in FDM4. Determine if a new claim must be entered or if it is necessary...claims . + Adhere to established safety regulations and company policies/procedures. + Serve as a member of the… more
- Elevance Health (Cincinnati, OH)
- **Title: Performance Quality Auditor III** **Location:** This position will work a hybrid model (remote and office). Ideal candidates will live within 50 miles of ... one of our PulsePoint locations. The **Performance Quality Auditor III** will be responsible for evaluating the quality...Included are processes related to enrollment and billing and claims processing, as well as customer service written and… 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 ... ###@covhlth.com || ### Responsibilities Coding Audits/Education + Identifies and evaluates company risk areas and provides coding auditing procedures related to… more
- Insight Global (South Jordan, UT)
- Job Description Insight Global is seeking a Post Payment Auditor to join their client's team in Mexico City. This person is responsible for auditing post payment ... They may also be responsible for reviewing and documenting claims identified by Senior Auditors. They will respond to...is between 18,600-19,000 pesos per month. We are a company committed to creating diverse and inclusive environments where… more
- Performance Contracting, Inc. (Lenexa, KS)
- ** Company Overview** **Performance Contracting Group** is a national employee-owned specialty contractor that offers quality services and products to the commercial, ... fully realize your potential. **Job Description** **PCG** is seeking an **Internal Auditor ** for its' corporate operations based in **Lenexa, Kansas** . This… more
