- 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: Nov 22,...industry knowledge ( Claims , Underwriting, Insurance Operations, etc.)An understanding of internal audit… 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
- 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
- MD Anderson Cancer Center (Houston, TX)
- …Coordinate appeal or audit processes and maintain appropriate follow-up on appealed/audited claims . * Update and document patient accounting system accurately ... As a *Nurse Defense Auditor * in our *Hospital Billing & Collections* department,...* Analyze invoices and accounts in the patient accounting system to prepare for appeals of third-party payer denials.… more
- Elevance Health (Washington, DC)
- …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
- Highmark Health (Harrisburg, PA)
- …to resolve issues and provide advice on new programs. Provides guidance to system entities in response to external coding audits conducted by the Medicare ... the ICD-CM, ICD-PCS, CPT and HCPCS Level II code and modifier systems , missed secondary diagnoses and procedures and ensures compliance with DRG/APC structure… 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
- Sharp HealthCare (San Diego, CA)
- **Facility:** System Services **City** San Diego **Department** **Job Status** Regular **Shift** Day **FTE** 1 **Shift Start Time** **Shift End Time** Certified ... remote position* **What You Will Do** The Compliance Coding Auditor is responsible for the administration of the Sharp...coding or professional E/M coding in the following coding systems : ICD-10-CM/PCS, DRG, CPT& HCPCs, and/or E/M CPT. **Preferred… more
- Covenant Health Inc. (Knoxville, TN)
- Overview Revenue Integrity Auditor Full Time, 80 Hours Per Pay Period, Day Shift Covenant Health Overview: Covenant Health is the region's top-performing healthcare ... in Knoxville, Covenant Health is a community-owned integrated healthcare delivery system and the area's largest employer. Our more than 11,000 employees,… 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 ... and Coding and billing experience #LI-AW1 At Atlantic Health System , our promise to our communities is; Anyone who...we are one of the leading non-profit health care systems in the nation. Our facilities and sites of… more