- Premera Blue Cross (Mountlake Terrace, WA)
- … processing, provider relations, special investigations unit). + Utilize auditing software and systems to document, track, and analyze claims data. + Stay ... serve through our Healthsource blog: https://healthsource.premera.com/ . As a **Payment Integrity Auditor I** , you will support the overall objectives of the… more
- Blue Cross Blue Shield of Massachusetts (Hingham, MA)
- …documentation. Assures appropriate application of BCBSMA guidelines, policy and procedures, and claims system edits. Conducts provider appeals and consults with ... transform healthcare? Bring your true colors to blue. About the Role: The Professional Auditor is responsible for post-pay review to verify the accuracy of claims… more
- Humana (Boise, ID)
- …Where you Come In Humana is looking for an experienced medical coding auditor to review inpatient hospital claims for proper reimbursement, handle provider ... help us put health first** The Inpatient Medical Coding Auditor extracts clinical information from a variety of medical...the accuracy of provider contract payments in our payer systems , and by ensuring correct claims payment… more
- MAPFRE Insurance (Webster, MA)
- …designation, Certified Internal Auditor (CIA) designation or Certified Information Systems Auditor (CISA) designation preferred + 1-2 years of insurance ... Internal Auditor (Webster or Boston, MA) Date: Sep 22,...industry knowledge ( Claims , Underwriting, Insurance Operations, etc.)An understanding of internal audit… more
- Catholic Health Initiatives (Chattanooga, TN)
- **Job Summary and Responsibilities** **Job Summary / Purpose** The Sr Coding Compliance Auditor is responsible for reviewing chart notes for proper coding with an ... met at the highest level. The Sr Coding Compliance Auditor 's primary focus will be to facilitate and ensure...other portion of time focused on provider communication, and claims denial resolutions. Communicates denial trends to leadership and… more
- UPMC (Pittsburgh, PA)
- …coding/classification systems appropriate for inpatient /outpatient, DRG prospective payment system or office setting E/M codes. + Experience in an academic ... **Join UPMC Corporate Compliance as an Intermediate Compliance Auditor !** Are you passionate about ensuring accuracy and compliance in healthcare documentation and… more
- MyFlorida (Tallahassee, FL)
- TAX AUDITOR II - 73002077 Date: Oct 14, 2025 The State Personnel System is an E-Verify employer. For more information click on our E-Verify Website ... No: 863027 Agency: Department of Revenue Working Title: TAX AUDITOR II - 73002077 Pay Plan: Career Service Position...statements or reports to ensure correct processing of refund claims by the Department. MINIMUM REQUIREMENTS: + Currently employed… more
- Insight Global (South Jordan, UT)
- …valid claim identification and documentation (letter writing). Identifies potential claims outside of the concept where additional recoveries may be available. ... Job Description Insight Global is seeking a DRG Validation Auditor for one of our clients to sit 100%...AP-DRG, and APR-DRG with a broad knowledge of medical claims billing/payment systems provider billing guidelines, payer… more
- Elevance Health (Mendota Heights, MN)
- …preferred. + Broad knowledge of clinical documentation improvement guidelines, medical claims billing and payment systems , provider billing guidelines, payer ... **Diagnosis Related Group Clinical Validation Auditor -RN (CDI, MS-DRG, AP-DRG and APR-DRG)** **Virtual:** This...Specializes in review of Diagnosis Related Group (DRG) paid claims . **How you will make an impact:** + Analyzes… more
- Sedgwick (Indianapolis, IN)
- …Accountant (CPA), Certified Internal Auditor (CIA) or certified Information Systems Auditor (CISA) designation preferred. Experience: Four (4) years of ... to Work(R) Fortune Best Workplaces in Financial Services & Insurance Internal auditor **PRIMARY PURPOSE OF THE ROLE:** To perform internal audit procedures under… more