- Northeast Georgia Health System, Inc (Oakwood, GA)
- …including ICD-9/ICD10/CPT/HCSPCS and other third-party payer codes. CEQAs ensure the medical necessity of services, compliance with other documentation, coding and ... (3) years experience coding and/or auditing Multi-Specialty records required; Medical Terminology or Anatomy course required. Demonstrated experience in conducting… more
- Blanchard Valley Hospital (Findlay, OH)
- …certification required or achieved within 9 months or CPMA (Certified Professional Medical Auditor ) certification required or achieved within 9 months. Knowledge ... by clinical documentation. Coordinate with the Professional Coding Integrity Auditor /Educator to research coding questions from offices, departments, and providers.… 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 + ... occupations + referenceAB_4525885 job details Are you an experienced Medical Claims specialist or Revenue Cycle Specialist...and importing into Sharefile. This position will be a hybrid role located in Duluth, GA. This position will… more
- Elevance Health (Cincinnati, OH)
- …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
- Iowa Department of Administrative Services (Des Moines, IA)
- …personnel. Including all aspects of the pre-audit function for the agency's expense claims . + Knowledge of rules and regulations, with which those daily decisions ... relevant to each type of document being pre-audited, is required. + Ensure claims are checked for compliance according to Pre-Audit rules, State Accounting Policy… more
- Iowa Department of Administrative Services (Des Moines, IA)
- …Security Law, Administrative Rules, and policies. + Explain decisions issued on claims by UISC and Administrative Law Judge's, Appeal Board, and the courts ... optional deferred compensation retirement plan. + Flexible Spending Accounts for medical and dependent care. + Free Life and Long-term Disability Insurance… more
- State of Colorado (Denver, CO)
- …mentor, focusing on investigating and litigating civil violations of Medicaid False Claims Acts at the state and federal levels, and multi-state investigations and ... and litigation unit consisting of six attorneys, thirteen sworn investigators, a forensic auditor , a paralegal, a nurse analyst, and a program assistant. The mission… more
- Ventura County (Ventura, CA)
- …analyze (Accountant I) or calculates and analyzes (Accountant II) Incurred but not Reported medical claims based on system generated claim lag reports to provide ... for some positions. + Telework Schedule - A remote hybrid telework schedule may be available for some positions....up to $23,530 annually to offset the purchase of medical , dental, and/or vision insurance for you and your… more
- Ventura County (Ventura, CA)
- …by offering compressed work (eg, 9/80 or 4/10 workweek) and remote hybrid telework schedules for most positions subject to organizational needs and satisfactory ... flexible credit allowance of up to $23,530 annually to offset the purchase of medical , dental, and/or vision insurance for you and your dependents. + Employee only -… more
- Ventura County (Ventura, CA)
- …by offering compressed work (eg, 9/80 or 4/10 workweek) and remote hybrid telework schedules for some positions subject to organizational needs and satisfactory ... up to $23,530 annually to offset the purchase of medical , dental, and/or vision insurance for you and your...in assigned program area. + Receives, reviews and verifies claims , invoices, and payroll documents for authorization of expenditures,… more
- The Hershey Company (Hershey, PA)
- * Location:* Hershey, PA * Work location*: On-site hybrid . * Summary:* Administer all aspects of employee leaves and absences in accordance with Company policy ... for serving as primary contact for all inquiries regarding Family and Medical Leave Act (FMLA), short-term disability (STD), long-term disability (LTD), Workers… more
- UCLA Health (Los Angeles, CA)
- …Certified Risk Adjustment (CRC) coder AAPC certification, and Certified Professional Medical Auditor (CPMA) certifications from AAPC (to obtain CPMA ... Note: Position is onsite with the consideration of flexible hybrid Take on an important leadership role within an...of HCC models V24 and V28 + Familiarity with claims and encounter data processes + Experience conducting mock… more
- Blue Cross Blue Shield of Massachusetts (Boston, MA)
- …is exposed. + Create meaningful partnership with Operations team (IT and Claims ) to including consistent participation in staff meetings and other business meetings ... or more of the following certifications preferred: + Certified Internal Auditor (CIA) + Certification in Control Self-Assessment (CCSA) Minimum Education… more
