- 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 ... claim audits to identify improper payments due to billing errors, coding discrepancies, and policy non-compliance. Audits include reviewing medical records, applying… more
- Molina Healthcare (Bellevue, WA)
- …and services billed under Institutional and non-institutional claims. * Validates coding , updating and maintaining benefit plans, provider contracts, fee schedules ... principles and state specific policies and regulations to identify incorrect coding , abuse and fraudulent billing practices, waste, overpayments, and processing… more
- Providence (WA)
- …investigation and correction of fraudulent and/or abusive billing and coding practices; coordination of recovery of overpayments related to fraudulent ... and/or abusive billing and coding practices; and providing education related to coding...Investigator (AHFI) upon hire. + Certification as an Internal Auditor or Healthcare Compliance certification upon hire. + Clinical… more
- YMCA of Greater Seattle (Seattle, WA)
- …monthly spend-downs, validate federal and state invoices for allowability and coding , and maintain the grants compliance and reporting calendar. + Maintain ... and approv e of all federal and state invoices for allowability, correct coding , GAAP and Uniform Grant Guidance compliance, and complete support prior to submission… more
- Molina Healthcare (Everett, WA)
- …Healthcare claim audits including, but not limited to; vendor, focal, audit the auditor . Confirm that documentation is clear and concise to ensure accuracy in ... specific policies and regulations in order to identify incorrect coding , abuse and fraudulent billing practices, waste, overpayments, and...& ABILIITIES:** + Minimum 2 years as an operational auditor for at least one core operations function +… more
- Coinbase (Olympia, WA)
- …importance of controls, an effective control environment, and the role of Internal Auditor . * Promote new ideas / innovative means of executing projects and internal ... Google Suite or MS Excel, Word and PowerPoint. * Basic scripting experience in coding languages such as Python, Ruby, etc. *Nice to haves:* * Professional Internal… more
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