- 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 ... Security Rules, and foundational healthcare regulations (eg, Anti‑Kickback Statute, False Claims Act, EMTALA). + Intermediate proficiency with Microsoft Excel and… more
- Atlantic Health System (Morristown, NJ)
- …+ Follows up with providers as needed until documentation improves + Assists with claim denial reports to ensure optimal reimbursement + Serves as a resource to the ... Required: * CPC Certification * Minimum 6 months experience in similar role highly preferred * High School Diploma, College a plus * Work Experience in the business… more
- Rush University Medical Center (Chicago, IL)
- …model to other coding staff. * Strong communication and organizational skills. ** Preferred Job Qualifications:** * Certified Professional Medical Auditor (CPMA) ... a key role in the Revenue Integrity team, the Auditor & Educator is responsible for conducting reviews of...focused educational programs on the results of auditing, review claim denials pertaining to coding, and implement corrective action… more
- Indy Gov (Indianapolis, IN)
- …Building, IN Job Type Full Time Job Number 09377 Department Marion County Auditor Opening Date 12/02/2025 Closing Date 12/12/2025 11:59 PM Eastern + Description + ... This position provides first-line customer support and education for taxpayers regarding claims for property tax deductions and credits; requests for property tax… more
- Hartford HealthCare (Farmington, CT)
- …the system.*__* *_Position Summary:_* The Quality Revenue Cycle Billing and Auditor Specialist is responsible for ensuring accuracy, compliance, compliance and ... efficiency withing the billing office. The auditor will implement and maintain an audit and education...for internal or external audits related to billing and claims . Research payer policies from in and out of… more
- Dana-Farber Cancer Institute (Brookline, MA)
- …+ Required: Certified Coder (eg, CCS, CPC, RHIT, or RHIA). + Preferred : CPMA (Certified Professional Medical Auditor ) and/or CHC (Certified in ... services, including coding accuracy, documentation sufficiency, charge capture, modifiers, and claim edits. Audits to be performed are identified based on the… more
- Sherman Associates, Inc. (St. Pete Beach, FL)
- …of success spanning decades, makes Sherman Associates who we are today. The Night Auditor is a key member of the Guest Services team responsible for the overnight ... assisting with all aspects of guest services. The Night Auditor is responsible for ensuring to provide the highest...all Retail transactions for the guest + Issues luggage claims and check guest luggage when requested + Manages… more
- Eaton Corporation (Fayetteville, NC)
- …the assembly. Assist with Field Service Actions as needed. Assist with warranty claim processing. **In this function you will:** A. Support the analysis and solution ... and Line Alerts and training operators for same. C. ISO Lead Auditor : Conduct quality audits of equipment and processes, coordinate audit schedules and… more
- Excellus BlueCross BlueShield (Rochester, NY)
- …in a clear and concise manner. + Analyzes proactive detection reports and claims data to identify red flags/aberrant billing patterns. + Manages cases as assigned, ... discussions with Medical Directors and/or clinical consultants. + Serves as an internal auditor /peer reviewer for new clinical staff, as needed. + Mentors (to others… more
- St. Luke's University Health Network (Allentown, PA)
- …The RN Clinical Review Appeals Specialist retrospectively reviews patient medical records, claims data and coding of all diagnosis and procedure codes to assure ... coding determination made by the government or commercial payors, or their auditor representative. + Facilitate clinical chart reviews to assist with supporting… more