- ChristianaCare (Wilmington, DE)
- …or RHIT) Equivalent experience of 5+ years' experience in provider auditing, claims auditing, compliance auditing, quality assurance, and/or recovery auditing ... ChristianaCare is searching for a Corporate Compliance & Privacy Auditor to join the team.This position will execute moderate-to-complex level audits and participate… 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 _Note: This posted position is 1 of… more
- Universal Health Services (Riverside, CA)
- …guidelines and requirements. 2. Daily track and report both financial and clerical claims processing errors in the auditor Access database program, and report ... for you to thrive and continue your professional development. Quality Healthcare is our passion, improving lives is our...and receive care. SUMMARY: Responsible for auditing and training claims staff on all Managed Care claims … more
- Centers Plan for Healthy Living (Staten Island, NY)
- Claims Auditor 75 Vanderbilt Ave, Staten...keep up to date with departmental changes in conducting quality reviews. + Ensure the consistent use of current ... Responsible for the auditing functions of Centers Plan for Healthy Living (CPHL) claims . Collaborates with other Health plan departments and Management to ensure … more
- State of Maine, Bureau of Human Resources (Augusta, ME)
- UC Quality Assurance Auditor Augusta , Maine , United States | Audit | Full-time Apply by: June 17, 2024 Apply with Linkedin Apply Department of Labor - Bureau ... our team! We currently have an opening for a Quality Assurance Auditor (QAA) in our Benefit... Measurement is auditing paid and denied UI benefit claims . Responsibilities include in-depth reviews of sampled claims… 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
- 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 ... will involve working in collaboration with appropriate Health Plan departments including Quality Improvement, Claims , and Medical Directors as needed to… more
- Elevance Health (Houston, TX)
- **Performance Quality Auditor I** **Location:** This is a remote position. The ideal candidate will live within 50 miles of an Elevance Health PulsePoint office ... location. The **Performance Quality Auditor I** is responsible for evaluating...Included are processes related to enrollment and billing and claims processing, as well as customer service written and… more
- HCA Healthcare (Campbell, CA)
- …and integrity. We care like family! Jump-start your career as a(an) Claim Auditor today with HCA Healthcare. **Benefits** HCA Healthcare, offers a total rewards ... by location._** Come join our team as a(an) Claim Auditor . We care for our community! Just last year,...function is to ensure examiner payment accuracy of all claims processing including analysis of support services fulfillment colleagues'… 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...Included are processes related to enrollment and billing and claims processing, as well as customer service written and… 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...of Georgia by providing legal representation of the highest quality to the agencies, officers and employees of state… more
- Peace Corps (Washington, DC)
- …Audit Unit and reports to the Assistant Inspector General for Audit. The Auditor is responsible for conducting performance and financial audits and reviews of Peace ... Act of 1978, as amended, (IG Act). Responsibilities The Auditor performs the following major duties: Serves as an...and the location of employment in your resume. Qualification claims will be subject to verification. Specialized Experience: This… more
- Hackensack Meridian Health (Hackensack, NJ)
- …ensuring coding accuracy, coding consistency and efficiency in filing of inpatient claims . Collaborates with the Clinical Documentation Quality Liaison to assist ... as a leader of positive change. The **Diagnosis Related Group (DRG) Auditor ** is responsible for auditing clinical documentation that supports code assignment for… more
- Tennessee Comptroller of the Treasury (Nashville, TN)
- Auditor : Financial/TennCare This role focuses on examining, analyzing, and reviewing records, financial statements, claims data, and cost reports for providers ... The Comptroller of the Treasury is recruiting for a full-time Auditor : Financial/TennCare position in the Division of State Audit's Tenncare/Medicaid Section.… more
- Sharp HealthCare (San Diego, CA)
- …and employer business practices. **What You Will Do** The Compliance Coding Auditor is responsible for the administration of the Sharp HealthCare's (SHC's) ... audit program. The position provides oversight and maintenance of a high- quality , effective, best practices coding, billing, and reimbursement audit compliance… more
- Oak Orchard Health (Brockport, NY)
- 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 ... a leading, patient-centered organization where professionals come together to improve access to quality health care for all? At Oak Orchard Health, you can grow your… more
- Hawaii Pacific Health (Honolulu, HI)
- …experience and training, as well as internal peer equity. **Position** Coding Auditor - Compliance **Category** Quality **Employment Type** Employee **Location** ... and other caregivers serving Hawai'i and the Pacific Region with high quality , compassionate care. Its four medical centers - Kapi'olani, Pali Momi, Straub… 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 ... will review discrepancy issues identified by field auditors, re-adjudicate claims , resolve open issues, and draft the final report....activities in an accurate and timely fashion + Write quality value-added draft report in a timely manner +… more
- Hackensack Meridian Health (Hackensack, NJ)
- …a leader of positive change. The **Ambulatory Payment Classification (APC) Auditor ** performs all related internal, concurrent, prospective and retrospective coding ... Hackensack Meridian Health (HMH) network. Reviews medical records to determine data quality and accuracy of coding, billing and documentation related to APC's, ICD… more
- Executive Office for US Attorneys and the Office of the US… (Boston, MA)
- …auditing, and understanding complex data, including Centers for Medicare & Medicaid claims data and PPP loan data, and activities of entities and individuals ... Similarly, "accountant" should be interpreted, generally, as "accountant and/or auditor .") OR Combination of education and experience: at least...in accounting or auditing courses of appropriate type and quality . This can include up to 6 hours of… more
