- NTT DATA North America (Decatur, IL)
- …when executed as part of an overall sourcing strategy. NTT DATA currently seeks a Claims Auditor to join our team for a remote position. 100% Remote, Client ... of Direct Hire Pay Rate $21-$22/hr **Position Summary:** The Claims Auditor position reports to the Chief... Processing role + Minimum 1 year experience in claims auditing. ** PREFERRED EXPERIENCE:** Communicate in a… more
- Elevance Health (Chicago, IL)
- …claim identification, and documentation purposes (eg, letter writing). + Identifies new claim types by identifying potential claims outside of the concept ... **DRG CODING AUDITOR ** **_Virtual_** **_: _** _ _ __ _This...Audit setting or hospital coding or quality assurance environment preferred . + Broad knowledge of medical claims … more
- Humana (Springfield, IL)
- …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 (Chicago, IL)
- **Diagnosis Related Group Clinical Validation Auditor -RN** **Virtual:** This role enables associates to work virtually full-time, with the exception of required ... granted as required by law. The **Diagnosis Related Group Clinical Validation Auditor -RN** is responsible for auditing inpatient medical records to ensure clinical… more
- International (Lisle, IL)
- Position Overview International is seeking a strategic and analytical Senior Internal Auditor with a strong foundation in internal controls, audit methodologies, and ... Science, or Accounting) + Previous supervisory or team leadership experience strongly preferred + Ability to analyze complex issues, synthesize findings, and think… more
- Humana (Springfield, IL)
- …cycle management (related to billing, coding, collections for Medicare and Medicaid claims ) + Experience with Auditing and monitoring of healthcare records + Must ... and regulations governed by the Department of Insurance and CMS ** Preferred Qualifications** + Compliance regulations knowledge and compliance auditing experience +… more
- Danaher Corporation (Richmond, IL)
- …collaboratively with customers, cross-functional project teams and regulators. + Certifications preferred : Quality Management, Quality Auditor , Lead Auditor , ... complaint handling, adverse event escalation, recall, product classification, and product claims ), execution of field action activities, and ensuring compliance of… more
- Rush University Medical Center (Chicago, IL)
- …model to other coding staff. * Strong communication and organizational skills. ** Preferred Job Qualifications:** * Certified Professional Medical Auditor (CPMA) ... a key role in the Revenue Integrity team, the Auditor & Educator is responsible for conducting reviews of...focused educational programs on the results of auditing, review claim denials pertaining to coding, and implement corrective action… more
- CVS Health (Springfield, IL)
- …This candidate must reside in Illinois or Florida. As a Regional Pharmacy Onsite Auditor , you will be an essential part to the Pharmacy Audit Department at ... role, you will be based from your home and travel onsite to conduct claims audits at pharmacies throughout multiple states by reviewing prescription claims … more
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