- Sharp HealthCare (San Diego, CA)
- …*This is a remote position* **What You Will Do** The Compliance Coding Auditor is responsible for the administration of the Sharp HealthCare's (SHC's) compliance ... the following coding systems: ICD-10-CM/PCS, DRG, CPT& HCPCs, and/or E/M CPT. ** Preferred Qualifications** + Other : Strong background in in ICD-10-CM/PCS coding,… more
- Highmark Health (Harrisburg, PA)
- …communication skills Preferred + Associate's Degree + 3 years with claims processing and data management + Past auditing and strong education/training background ... and ensures compliance with DRG/APC structure and regulatory requirements. Performs periodic claim form reviews to check code transfer accuracy from the abstracting… more
- Ontario ARC (Canandaigua, NY)
- …USA | Hourly | 21.60-23.00 per hour | Full Time The Arc Ontario Internal Auditor - Programs Salary: $21.60 - $23.00 Position Overview: We're looking for an Internal ... Auditor to join our team and help ensure our...and run efficiently. In this role, you'll audit billing claims , review Individual Service Plans, conduct site visits, and… more
- Jack Henry & Associates (Birmingham, AL)
- IT Internal Auditor (Early-career level) General information Press space or enter keys to toggle section visibility JobID 16512 Position Level Individual Contributor ... Position Type Regular Travel Requirements 10% Workplace Type Hybrid Preferred Location Birmingham, AL Additional Locations Allen, TX, Cedar...love to meet you. We are seeking an IT auditor to assist with our controls testing. This individual… 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
- Healthfirst (NY)
- …provider claims , pre-payments and post-payments including high-dollar and specialized claims across multiple lines of business, claim types and products.** ... to ensure the quality of the network.** + **Review and investigate claims and encounters for medical, facility, pharmacy, dental and vision services including… more
- International (Lisle, IL)
- …Overview International is seeking a detail-oriented and motivated Staff Internal Auditor to support the execution of financial, operational, compliance, and ... + Professional certifications (CPA, CIA, CISA) or progress toward certification preferred , but not required. + Strong analytical, problem-solving, and communication… more
- Blue Cross Blue Shield of Massachusetts (Boston, MA)
- …member of the Audit and Risk Management (ARM) team, the Senior Internal Auditor will lead and execute a variety of financial, operational, and risk-based audits ... reporting and risk-based audits of these areas (eg Enrollment, Premiums, Claims Operations, Provider Enrollment and Pricing, Accounting, and Information Technology… more
- Dignity Health (Rancho Cordova, CA)
- …Under the supervision of the Business Office Leadership, the Business Office Auditor role is responsible for monitoring the quality of work performed within ... Requires: + Knowledge of physician billing regulations + Understanding of professional claims and billing procedures + Knowledge of Federal and State regulations… more
- St. Luke's University Health Network (Allentown, PA)
- …of a patient's ability to pay for health care. The Network Provider Services Auditor performs audits as part of the Documentation and Coding Compliance Program for ... medical record documentation for completeness and accuracy to support billed claims . + Generate provider reports through billing software. + Coordinates, schedules,… more