• Compliance Coding Auditor

    Sharp HealthCare (San Diego, CA)
    …Day **FTE** 1 **Shift Start Time** **Shift End Time** Other; Certified Clinical Documentation Specialist (CCDS) - Various-Employee provides certificate; Certified ... and employer business practices. **What You Will Do** The Compliance Coding Auditor is responsible for the administration of the Sharp HealthCare's (SHC's)… more
    Sharp HealthCare (07/13/25)
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  • Litigation and Investigations Auditor

    CACI International (Latham, NY)
    Litigation and Investigations Auditor Job Category: Finance and Accounting Time Type: Full time Minimum Clearance Required to Start: Public Trust Employee Type: ... US * * * **The Opportunity:** Are you a ** Certified Public Accountant (CPA)** with a sharp eye for...investigative matters. We are seeking a **Litigation and Investigations Auditor ** to support trial and investigative teams with complex… more
    CACI International (07/11/25)
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  • Attorney Auditor

    Sedgwick (Annapolis, MD)
    …achieve. Newsweek Recognizes Sedgwick as America's Greatest Workplaces National Top Companies Certified as a Great Place to Work(R) Fortune Best Workplaces in ... Financial Services & Insurance Attorney Auditor ** **This is a fully remote position, and...other roles.** **Sedgwick is the world's leading risk and claims administration partner, which helps clients thrive by navigating… more
    Sedgwick (07/09/25)
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  • Diagnosis Related Group Clinical Validation…

    Elevance Health (Seattle, WA)
    **Diagnosis Related Group Clinical Validation Auditor -RN** **Virtual:** This role enables associates to work virtually full-time, with the exception of required ... Friday 8AM -5PM (local time) The **Diagnosis Related Group Clinical Validation Auditor ** is responsible for auditing inpatient medical records to ensure clinical… more
    Elevance Health (07/17/25)
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  • Auditor : Financial/TennCare

    Tennessee Comptroller of the Treasury (Nashville, TN)
    Auditor : Financial/TennCare This role focuses on examining, analyzing, and reviewing records, financial statements, claims data, and cost reports for providers ... The Comptroller of the Treasury is recruiting for a full-time Auditor : Financial/TennCare position in the Division of State Audit's Tenncare/Medicaid Section.… more
    Tennessee Comptroller of the Treasury (05/24/25)
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  • Inventory Auditor 1

    Alphabroder (Middleboro, MA)
    …+ Process customer returns by sorting/inspecting/identifying product and updating items/quantities on claims in IRMS. Determine if claim is complete. Close/post ... update customer returns in FDM4. Determine if a new claim must be entered or if it is necessary...transfers). + Putaway product that has been processed through claims . + Adhere to established safety regulations and company… more
    Alphabroder (05/23/25)
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  • Auditor

    Amentum (Albany, NY)
    …on individuals, business entities, and assets. + Analyze large and complex healthcare claims datasets to identify fraud, waste, and abuse patterns. + Design and run ... trends and patterns. + Extract and manipulate federal health claims data using CMS tools such as OnePI, STARS,...facility credentials/authorization at this work location. + Must be Certified Public Accountant. MBA or equivalent in accounting or… more
    Amentum (07/08/25)
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  • Medicare/Medicaid Claims Editing Specialist

    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
    Commonwealth Care Alliance (05/28/25)
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  • Coding Auditor

    AnMed Health (Anderson, SC)
    …SPECIFIC DUTIES MAY INCLUDE: + Conduct pre-submission review of a minimum of five claims per provider on an annual basis + Conduct pre-submission review of a minimum ... of five claims and meet with all new AnMed providers within...Required: + High school diploma or GED required + Certified professional coder (CPC) certification required + Minimum of… more
    AnMed Health (06/22/25)
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  • Coding Auditor Professional - Remote…

    McLaren Health Care (Shelby Township, MI)
    …and efficiency in physician documentation, code assignment, data collection, and claims processing. 3. Performs retrospective, random, and focused audits of coding ... in surgical and outpatient procedural coding is required. * Certified in at least one of the following: +...CIC, CHONC, etc.) o AMAC Certification such as ROCC (Radiation Oncology Certified Coder) _Preferred:_ * _1 year audit… more
    McLaren Health Care (06/04/25)
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