- 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
- Elevance Health (Hanover, MD)
- **DRG CODING AUDITOR ** **Location** : _This position will work virtually._ _Alternate locations may be considered._ The **DRG CODING AUDITOR ** is responsible for ... quality assurance environment preferred. + Broad knowledge of medical claims billing /payment systems provider billing guidelines, payer reimbursement policies, … more
- Elevance Health (Hanover, MD)
- **Clinical Provider Auditor Senior** **Supports Payment Integrity line of business** _Location:_ This field-based role enables associates to primarily operate in the ... eliminate and prevent unnecessary medical-expense spending. The **Clinical Provider Auditor Senior** is responsible for identifying issues and/or entities that… more
- 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
- 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
- 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
- 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
- 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
- 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