- Robert Half Accountemps (Boston, MA)
- Description Job Title: Medical Claims Auditor - RN Auditor Location: Massachusetts - 90% Remote Job Type: 1 Year Contract - Potential for Perm Hire Hours: 40 ... 1, 2025 Job Description We are seeking a qualified Auditor with healthcare experience to support Program...perform onsite audits (1-4 times per month) + Evaluate claims and provider documentation for compliance and accuracy +… more
- Humana (Boston, MA)
- …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
- MAPFRE Insurance (Webster, MA)
- …adherence to regulatory requirements, and recommending improvements that drive change. The auditor will also use data analytics to support audit procedures, ... Internal Auditor (Webster or Boston, MA) Date: Sep 22,...IIA standards, ensuring organized and well documented works that support audit conclusions + Contribute to audit planning, kickoff,… more
- State of Massachusetts (Boston, MA)
- …General of the Commonwealth, who is appointed by the Governor, Attorney General and Auditor . MGL c. 12A, | 2. The OIG is organized into three bureaus: Specialty ... Policy. The Office of the General Counsel provides legal support across the office related to human resources, procurements,...enforcement state and federal prosecutors. AOI may be investigating claims of public corruption or other wrongdoing in a… more
- Commonwealth Care Alliance (Boston, MA)
- …user acceptance testing, and analyze post production reports for issues + Support collaboration between PI/ Claims and other internal stakeholders related to ... claims management, coding rules and guidelines, and evaluating/analyzing claim outcome results for accurate industry standard coding logic and policies… more