- 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
- Molina Healthcare (Buffalo, NY)
- …updates/changes within claims processing system . + Experience using claims processing system (QNXT). ** PREFERRED EDUCATION:** Bachelor's Degree or ... equivalent combination of education and experience ** PREFERRED EXPERIENCE:** 3+ years healthcare Medical claims auditing **PHYSICAL DEMANDS:** Working… more
- Howmet Aerospace (City Of Industry, CA)
- …US Permanent Resident (ie. Green Card Holder), Political Asylee, or Refugee Preferred Qualifications * Internal auditor certifications (AS9100 or ASQ CQA/CQI) ... identify root causes and drive resolutions * Handle customer claims and rejections through quality portals * Accurately log...a plus * SAE or similar inspection certifications preferred * High School diploma or GED preferred… 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
- Elevance Health (Louisville, KY)
- …and Experiences** : + WGS Commercial Claims processing experience strongly preferred . + Experience/knowledge with local claim processing. + Understanding of ... Included are processes related to enrollment and billing and claims processing, as well as customer service written and...you will make an impact:** + Assists higher level auditor /lead on field work as assigned and acts as… 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
- 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
- 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