- FlexStaff (Chappaqua, NY)
- **Req Number** 172252 Surgical Anesthesia Compliance AuditorCompliance Auditor MUST HAVE CPC CERTIFICATON This is a HYBRID position- MUST be in the office located in ... Chappaqua, NY 3 days a week. Surgical Anesthesia Compliance Auditor - Hybrid position- Chappaqua, NY- $100K-$115K Are you passionate about healthcare compliance… more
- GE Aerospace (Hooksett, NH)
- …team at ERAC, a corporate holding of GE Aerospace, as a Reinsurance Auditor and lead audits that drive transparency, innovation, and integrity across reinsurance ... In this high-impact role, you'll deliver sharp insights, adjudicate complex claims , and collaborate across teams using advanced analytics and emerging technology.… more
- Elevance Health (Indianapolis, IN)
- **Provider Auditor ** **Location** : Indiana (required) **Field:** This field-based role enables associates to primarily operate in the field, traveling to client ... unless an accommodation is granted as required by law._ The **Provider Auditor ** conducts on-site reviews of medical charts, medical notes, itemized bills and… more
- City of New York (New York, NY)
- …obligations, regulatory requirements, and internal policies related to the payment of daily healthcare claims and monthly administrative fees. 2. Claims Data ... Validation: Verify the accuracy, completeness, and timeliness of daily healthcare claims payment data submitted by the health plan prior to authorize payment.… more
- New York State Civil Service (New York, NY)
- …HELP No Agency Attorney General, Office of the Title Forensic Auditor : Investigate Complex Medicaid Fraud (6414) Occupational Category Financial, Accounting, ... Division Medicaid Fraud Control Unit - New York City Forensic Accountant/ Auditor Reference No. MFCU_NYC_FAA_6414Application Deadline is December 19, 2025Salary is… more
- University of Southern California (Los Angeles, CA)
- …with current federal coding compliance regulations and guidelines, the Coding Compliance Auditor performs 2nd level review of previously coded accounts to ensure ... AHA Coding Clinic, and CPT Assistant. The Coding Compliance Auditor will also, provide detailed reports, Excel spreadsheets, coding...and Athena IDX in a manner to assure clean claims release for billing in a timely manner. Participate… more
- Bozeman Health (Bozeman, MT)
- …guidelines, payer requirements, HIPAA Privacy and Security Rules, and foundational healthcare regulations (eg, Anti‑Kickback Statute, False Claims Act, EMTALA). ... Position Summary: The Compliance Auditor supports an effective compliance program by planning and executing risk-based audits, monitoring adherence to federal and… more
- Blue Cross Blue Shield of Massachusetts (Boston, MA)
- Ready to help us transform healthcare ? Bring your true colors to blue. As a valued member of the Audit and Risk Management (ARM) team, the Senior Internal Auditor ... reporting and risk-based audits of these areas (eg Enrollment, Premiums, Claims Operations, Provider Enrollment and Pricing, Accounting, and Information Technology… more
- Highmark Health (Harrisburg, PA)
- …Depending on location provides or arranges for education/training of facility healthcare professionals in use of coding guidelines and practices, proper ... Coder (CPC), Certified Outpatient Coder (COC), Certified Professional Medical Auditor (CPMA) + 5 years with hospital or physician...skills Preferred + Associate's Degree + 3 years with claims processing and data management + Past auditing and… more
- Covenant Health Inc. (Knoxville, TN)
- …to ensure compliance. + Reviews information from third party payers relative to claims charging, coding, and billing in order to ensure compliance. + Performs ... inpatient and out-patient and/or physician practice. Good working knowledge of healthcare billing, Medicare/Medicaid billing guidelines, and other Third Party Payor… more