- 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
- 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 database program, and report all findings to the… more
- Centers Plan for Healthy Living (Staten Island, NY)
- Claims Auditor 75 Vanderbilt Ave, Staten Island, NY 10304, USA Req #1153 Monday, June 3, 2024 Centers Plan for Healthy Living's goal is to create the ultimate ... Responsible for the auditing functions of Centers Plan for Healthy Living (CPHL) claims . Collaborates with other Health plan departments and Management to ensure … 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 + ... + referenceAB_4525885 job details Are you an experienced Medical Claims specialist or Revenue Cycle Specialist who is skilled...or Revenue Cycle Specialist who is skilled in auditing claims ? We are looking for 6 temporary employees to… more
- UCLA Health (Los Angeles, CA)
- …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, and denied) for accuracy, appropriate application of benefits, authorization for services, contract… more
- Commonwealth of Pennsylvania (PA)
- Field Auditor 3 (Local Government) - Allegheny County Support Administration Print (https://www.governmentjobs.com/careers/pabureau/jobs/newprint/4490616) Apply ... Field Auditor 3 (Local Government) - Allegheny County Support Administration...attach a copy of your college transcripts for your claim to be accepted toward meeting the minimum requirements.… more
- New York State Civil Service (New York, NY)
- NY HELP Yes Agency Medicaid Inspector General, NYS Office of the Title Auditor 1/ Auditor Trainee 1/ Auditor Trainee 2 (NY HELPS) Occupational Category ... for appointment through NYS HELPS, you must meet the following minimum qualifications: AUDITOR TRAINEE 1:1. Possess a bachelor's degree in accounting, auditing, or… more
- New York State Civil Service (White Plains, NY)
- NY HELP Yes Agency Taxation & Finance, State Title Auditor 1 (Tax)/ Auditor Trainee 1 (Tax)/ Auditor Trainee 2 (Tax) (NY HELPS) Occupational Category ... Civil Service Law, Rules and Regulations.Special Minimum Qualifications for transfer to Auditor 1 (Tax):A bachelor's degree including or supplemented by 24 semester… more
- New York State Civil Service (Albany, NY)
- NY HELP Yes Agency Mental Health, Office of Title Auditor 1/ Auditor Trainee, Central Office; Occupational Category Financial, Accounting, Auditing Salary Grade ... year of permanent competitive or 55-b/c service as a Auditor Trainee 1, Auditor Trainee 2, or...performing various tests, reviews, reconciliations, and evaluations of accounts, claims , records, and procedures to ensures that transactions are… 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
- State of Maine, Bureau of Human Resources (Augusta, ME)
- …and analyzes claim intake information to ensure proper handling of claims and compliance with mandates. + Writes case summary reports; documents and codes ... UC Quality Assurance Auditor Augusta , Maine , United States |... Measurement is auditing paid and denied UI benefit claims . Responsibilities include in-depth reviews of sampled claims… 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...issues. + Consistently and thoroughly work DNFB and PFS claim edits work lists to ensure timely completion within… more
- UPMC (Pittsburgh, PA)
- **UPMC Health Plan is looking for an Intermediate Clinical Auditor /Analyst to join the Quality Assurance team!** The Intermediate Clinical Auditor /Analyst is an ... to ensure correct DRG procedural and diagnosis codes have been used appropriately on claims . This role also acts as a SME for the department in representing… more
- Nevada County (Nevada City, CA)
- Senior Accountant- Auditor -Limited-Term Print (https://www.governmentjobs.com/careers/mynevadacounty/jobs/newprint/4426196) Apply Senior Accountant- Auditor ... Nevada City, CA Job Type Full Time Job Number 2024-0059 Department Auditor -Controller Opening Date 03/13/2024 Closing Date Continuous + Description + Benefits +… more
- Iowa Department of Administrative Services (Des Moines, IA)
- Auditor /Program Coordinator (CSC) Print (https://www.governmentjobs.com/careers/iowa/jobs/newprint/4511086) Apply Auditor /Program Coordinator (CSC) Salary ... succession planning and trusteeships for attorneys, and manages the claims process related to the theft of client funds....to join our team as a full-time trust accounts auditor / audit program coordinator. This individual will be working… 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 - ... software or other auditing software. Duties Description Job Description:The Internal Auditor is responsible for performing internal audit services to further advance… more
- Elevance Health (Plano, TX)
- **Clinical Medical Records Auditor ** A proud member of the Elevance Health family of companies, Paragon Healthcare brings over 20 years in providing life-saving and ... home setting. **Location:** Plano, Texas The **Clinical Medical Records Auditor ** is responsible for the audit and review of...review of medical record documentation for the support of claim payments. **How You Will Make an Impact** Primary… 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
- 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 ... Attorney General Department of Law Medicaid Fraud - Investigative Auditor *To move forward in the recruiting process ALL...more of the following: . Audit experience in medical claims and/or claims data. . Certification as… more