- Elevance Health (Independence, OH)
- ** Claims Auditor II** **Location :** This role enables associates to work virtually full-time, with the exception of required in-person training sessions, ... an accommodation is granted as required by law._ The ** Claims Auditor II** is responsible for audits...various aspects of the claim including eligibility, pre-authorization, and medical necessity. + Contacts others to obtain any necessary… more
- Elevance Health (Mason, OH)
- ** Claims Auditor I** **Virtual:** This role enables associates to work virtually full-time, with the exception of required in-person training sessions, providing ... an accommodation is granted as required by law._ The ** Claims Auditor ** **I** is responsible for pre...claim including eligibility, system coding and pricing, pre-authorization, and medical necessity. + Contacts others to obtain any necessary… more
- CGI Technologies and Solutions, Inc. (Cleveland, OH)
- …and quality management program. **Your future duties and responsibilities:** 1. Reviews medical records to identify recovery opportunities on claims for ... **OP Coding Auditor ** **Category:** Analytics and Emerging Digital Technologies **Main...Healthcare Compliance, Outpatient Coding Team, with responsibility for reviewing medical records to determine the accuracy of coding and… 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...opportunities. + A diverse and comprehensive benefits offering including medical , dental vision, 401K and PTO. + Wellness benefits… more
- Elevance Health (Mason, OH)
- …spending. The **DRG CODING AUDITOR ** is responsible for auditing inpatient medical records and generating high quality recoverable claims for the benefit ... **DRG CODING AUDITOR ** **_Virtual_** **_: _** _ _ __ This...or quality assurance environment preferred. + Broad knowledge of medical claims billing/payment systems provider billing guidelines,… more
- City of Columbus (Columbus, OH)
- Income Tax Auditor I - EXAM Print (https://www.governmentjobs.com/careers/columbusoh/jobs/newprint/5048861) Apply Income Tax Auditor I - EXAM Salary $28.43 - ... position Job Type Full-time Job Number 25-0660-C1 Department 22 Columbus City Auditor Division Division of Income Tax Opening Date 08/20/2025 Closing Date 9/15/2025… more
- Elevance Health (Mason, OH)
- …experience preferred. + Broad knowledge of clinical documentation improvement guidelines, medical claims billing and payment systems, provider billing ... -5PM (local time) The **Diagnosis Related Group Clinical Validation Auditor ** is responsible for auditing inpatient medical ...you will make an impact:** + Analyzes and audits claims by integrating medical chart coding principles,… more
- Elevance Health (Columbus, OH)
- …Payment Integrity, is determined to recover, eliminate and prevent unnecessary medical -expense spending. The **Clinical Provider Auditor II** is responsible ... **Clinical Provider Auditor II** **Supports the Payment Integrity line of...prevention and control. + Reviews and conducts analysis of claims and medical records prior to payment… more
- Elevance Health (Mason, OH)
- …formerly Payment Integrity, is determined to recover, eliminate and prevent unnecessary medical -expense spending. The Clinical Provider Auditor II is responsible ... **Clinical Provider Auditor II** This role requires associates to be...prevention and control. + Reviews and conducts analysis of claims and medical records prior to payment… more
- Elevance Health (Columbus, OH)
- …for employment, unless an accommodation is granted as required by law._ The **Provider Auditor ** conducts on-site reviews of medical charts, medical notes, ... **Provider Auditor ** **Location** : Ohio **Field:** This field-based role...+ Schedules review with provider, analyzes data to select claims to be reviewed, conducts review using medical… more