- Elevance Health (Mason, OH)
- …methodology, including case rate and per diem, generating highly complex audit findings recoverable claims for the benefit of the Company , for all lines of ... **DRG Coding Auditor Principal** _Virtual: This role enables associates to...letter writing) on lower level auditors. + Identifies new claim types by identifying potential claims outside… more
- Elevance Health (Mason, OH)
- …** is responsible for auditing inpatient medical records and generating high quality recoverable claims for the benefit of the company , for all lines of ... **DRG CODING AUDITOR ** **Location** : _This position will work virtually._...and documentation purposes (eg, letter writing). + Identifies new claim types by identifying potential claims outside… more
- Elevance Health (Mason, OH)
- …using medical charts, medical notes, and provider contracts. + Verifies dollar amount on claim is correct in claims system and writes report of the findings ... **Provider Auditor ** _This position will work a hybrid model...itemized bills and providers contracts to ensure that a claim is paid in accordance with the contract, provider… more
- Sedgwick (Cleveland, OH)
- …Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Attorney Auditor ** **This is a fully remote position, and candidates residing in any ... United States are encouraged to apply. As an Attorney Auditor at Sedgwick, you'll have the opportunity to take...Be a part of a rapidly growing, industry-leading global company known for its excellence and customer service. +… more
- Humana (Columbus, OH)
- …Coding Quality Team is looking is an experienced and well-grounded medical coding auditor to quality review the inpatient hospital claims for proper ... this role, you will conduct quality reviews of coding processes within the Claims Cost Management organization, including offshore and vendor partners, with a focus… more
- Elevance Health (Mason, OH)
- **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
- Highmark Health (Columbus, OH)
- ** Company :** Allegheny Health Network **Job Description :** **GENERAL OVERVIEW:** Performs all related internal, concurrent, prospective and retrospective coding ... and ensures compliance with DRG/APC structure and regulatory requirements. Performs periodic claim form reviews to check code transfer accuracy from the abstracting… more
- Humana (Columbus, OH)
- …cycle management (related to billing, coding, collections for Medicare and Medicaid claims ) + Experience with Auditing and monitoring of healthcare records + Must ... for a bonus incentive plan. This incentive opportunity is based upon company and/or individual performance. **Description of Benefits** Humana, Inc. and its… more
- Elevance Health (Columbus, OH)
- **Performance Quality Analyst III ( Claims ** ) **Location** : This role requires associates to be in-office 1 days per week, fostering collaboration and connectivity, ... locations may be considered. The **Performance Quality Analyst III ( Claims ** ) is responsible for driving service quality excellence...you will make an impact** : + Acts as auditor in charge for audits and special projects, producing… more
- Elevance Health (Independence, OH)
- …and audit schedule. + Reviews, negotiates, and approves scope presented by external auditor . + For implementation audits, ensures the claims system is coded ... Audit Facilitator** is responsible for managing the process for claims and customer service audits/quality control reviews, including implementation audits,… more