- 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
- Idaho Division of Human Resources (Boise, ID)
- Criminal Investigator or Investigative Auditor , OAG, Criminal Law Division Posting Begin Date: 2025/10/22 Category: Criminology Sub Category: Investigative Work ... Hourly Description State of Idaho Opportunity Criminal Investigator or Investigative Auditor , Criminal Law Division, Office of the Attorney General Closing Date:… more
- 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 and… more
- Dallas Behavioral Healthcare Hospital (Desoto, TX)
- …CPC-Payer, Certified Interventional Radiology Cardiovascular Coder (CIRCC) and Certified Professional Medical Auditor (CPMA) + Experience: A minimum ... to to assign procedure,diagnosis codes for insurance billing, review claims data, research and corresponds with insurance companies in...in an effort to obtain accurate reimbursement for healthcare claims . . Duties include but are not limited to:… 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
- 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
- Commonwealth Care Alliance (Boston, MA)
- … Professional Coder (CPC) + Certified Inpatient Coder (CIC) + Certified Professional Medical Auditor (CPMA) **Desired Education (nice to have):** + ... all of the required certification OR willing to get certified within 1 year of employment - + ...claims management, coding rules and guidelines, and evaluating/analyzing claim outcome results for accurate industry standard coding logic… more
- Bozeman Health (Bozeman, MT)
- Position Summary: The Compliance Auditor supports an effective compliance program by planning and executing risk-based audits, monitoring adherence to federal and ... business, accounting, or related field. + Professional certification (eg, Certified in Healthcare Compliance (CHC), Certified Professional Compliance… more
- Aramco Services Company (Houston, TX)
- OVERVIEW: This position serves as the in-charge auditor on large, complex and sensitive internal auditing assignments. Audits are directed at reviewing internal ... researches evidence/documents to analyze the overall fact pattern of claim and synthesize data into a professional report with...work of several assistants, including some who will be certified public accountants. Must possess good work habits, a… more
- Dana-Farber Cancer Institute (Brookline, MA)
- … Certified Coder (eg, CCS, CPC, RHIT, or RHIA). + Preferred: CPMA ( Certified Professional Medical Auditor ) and/or CHC ( Certified in Healthcare Compliance) ... services, including coding accuracy, documentation sufficiency, charge capture, modifiers, and claim edits. Audits to be performed are identified based on the… more