• Attorney Auditor

    Sedgwick (Annapolis, MD)
    …provided to insurance carriers, corporate legal departments and government entities. The auditor will apply client specified billing guidelines and/or Generally ... Fortune Best Workplaces in Financial Services & Insurance Attorney Auditor As an Attorney Auditor at Sedgwick,...**ESSENTIAL RESPONSIBILITIES** + Ability to understand and apply clients' billing guidelines and standards. + Work with client to… more
    Sedgwick (04/09/25)
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  • Diagnosis Related Group Clinical Validation…

    Elevance Health (Hanover, MD)
    **Diagnosis Related Group Clinical Validation Auditor -RN** **Virtual:** This role enables associates to work virtually full-time, with the exception of required ... onboarding and skill development. The **Diagnosis Related Group Clinical Validation Auditor ** is responsible for auditing inpatient medical records to ensure… more
    Elevance Health (05/22/25)
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  • Pharmacy Claims Auditor - Remote

    Prime Therapeutics (Annapolis, MD)
    …passion and drives every decision we make. **Job Posting Title** Pharmacy Claims Auditor - Remote **Job Description** The Pharmacy Claims Auditor is responsible ... with department procedures and objectives Educate participating pharmacies on Prime's billing requirements and appropriate billing practices in alignment with… more
    Prime Therapeutics (05/22/25)
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  • Clinical Provider Auditor I - Maryland…

    Elevance Health (Hanover, MD)
    **Clinical Provider Auditor I** **Supports Payment Integrity & Behavioral Health** _Location:_ This field-based role enables associates to primarily operate in the ... and insightful analytics to improve the delivery of care. The **Clinical Provider Auditor I** is responsible for identifying issues and/or entities that may pose… more
    Elevance Health (05/07/25)
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  • Professional Coding Auditor & Educator…

    Trinity Health (Silver Spring, MD)
    **Employment Type:** Full time **Shift:** **Description:** **Job Title:** Coding Auditor and Educator (Remote) **Employment Type:** Full-Time **Shift:** Days ... DC and Baltimore, MD. **Description:** + Monday-Friday The Professional Coding Auditor Educator performs medical record audits including but not limited to… more
    Trinity Health (05/02/25)
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  • Coding Auditor Educator

    Highmark Health (Annapolis, MD)
    …activities. Reviews medical records to determine data quality and accuracy of coding, billing and documentation related to DRGs, APCs, CPTs and HCPCS Level II code ... which supports compliant coding. Interacts with external consultants regarding billing , coding and/or documentation and evaluates their recommendations and/or… more
    Highmark Health (05/09/25)
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  • Periop Nurse Auditor - Quality Safety Risk

    Trinity Health (Germantown, MD)
    …Type:** Full time **Shift:** Day Shift **Description:** **Job Title:** Periop Nurse Auditor - Quality Safety Risk **Employment Type:** Full time / Day Shift ... and monthly reports for quality measurement - Supports Charge Auditors with daily supply/ billing issues - Manages OR/Endo Supply inventory in Epic - Communicate with… more
    Trinity Health (04/17/25)
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  • Sr. Director Compliance & Training

    Johns Hopkins University (Baltimore, MD)
    …liaison to external auditing activities by the federal government, the university's external auditor , or third-party insurers as related to billing compliance. + ... Office of Compliance Professional Fee Services and is responsible for all billing compliance and training programs for Johns Hopkins Medicine's clinical care… more
    Johns Hopkins University (04/16/25)
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  • Night Audit- William F. Bolger Center

    ARAMARK (Potomac, MD)
    **Job Description** The **Night Auditor ** is responsible for balancing the hotel?s daily financial transactions, running end-of-day reports, and handling front desk ... accounting teams + Prepare folios for departing guests and assist with any billing questions + Communicate important shift information to the morning team +… more
    ARAMARK (05/16/25)
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