- Molina Healthcare (Bellevue, WA)
- …+ Experience independently reviewing and processing simple to moderately complex High dollar claims and knowledge of all claim types of reimbursements not ... such Stoploss, DRG, APC, RBRVS, FFS applicable for HD Inpatient, Outpatient and Professional claims . + 2+ years of comprehensive claim audits as preference +… more
- Premera Blue Cross (Mountlake Terrace, WA)
- …+ Certified Professional Coder Designation (CPC, CSS, CPMA) or equivalent. ** Preferred Qualifications** + Experience auditing multiple claim types, including ... serve through our Healthsource blog: https://healthsource.premera.com/ . As a **Payment Integrity Auditor II** , you will support the overall objectives of the… more
- Premera Blue Cross (Mountlake Terrace, WA)
- …serve through our Healthsource blog: https://healthsource.premera.com/ . As a **Payment Integrity Auditor I** , you will support the overall objectives of the ... Integrity office. This role is responsible for conducting pre-payment and post-payment claim audits to identify improper payments due to billing errors, coding… more
- Humana (Olympia, WA)
- …Where you Come In Humana is looking for an experienced medical coding auditor to review inpatient hospital claims for proper reimbursement, handle provider ... caring community and help us put health first** The Inpatient Medical Coding Auditor extracts clinical information from a variety of medical records and assigns… more
- Elevance Health (Seattle, WA)
- **Diagnosis Related Group Clinical Validation Auditor -RN (CDI, MS-DRG, AP-DRG and APR-DRG)** **Virtual:** This role enables associates to work virtually full-time, ... required by law. The **Diagnosis Related Group Clinical Validation Auditor ** is responsible for auditing inpatient medical records to...Specializes in review of Diagnosis Related Group (DRG) paid claims . **How you will make an impact:** + Analyzes… more
- Molina Healthcare (Everett, WA)
- …updates/changes within claims processing system . + Experience using claims processing system (QNXT). ** PREFERRED EDUCATION:** Bachelor's Degree or ... equivalent combination of education and experience ** PREFERRED EXPERIENCE:** 3+ years healthcare Medical claims auditing **PHYSICAL DEMANDS:** Working… more
- McKinstry (Seattle, WA)
- …. + Experience in LEAN Manufacturing preferred . + Lean Belt Certification preferred . + SO 9001:2015 Lead Auditor certification. + Working knowledge and ... + Drive continuous improvement projects to reduce defects, rework, and warranty claims , using production quality data to identify and prioritize activities and… more
- City of Edmonds (Edmonds, WA)
- …minutes and reviewing them for accuracy and distributes approved minutes. + Receives Claims for Damages and legal actions against the City. + Responds to research ... and distributes supplements city-wide. + Coordinates elections with the Snohomish County Auditor 's Office to place propositions or measures on the ballot. +… more