- CHS (Clearwater, FL)
- **Overview** ** ** ** Claims and Call Auditor (Call Center QC) - Clearwater, FL** ** ** **Summary** The Claims & Call Auditor audits processed medical ... accuracy, and work with the MPS Call Center Manager/Supervisor/Team Lead and analyze the data for training purposes. +...and lifting up to thirty (30) pounds. ** ** ** Claims and Call Auditor (Call Center QC)… more
- Elevance Health (Overland Park, KS)
- ** Claims Auditor I** **Virtual:** This role...is designed to advance our strategy but will also lead to personal and professional growth for our associates. ... employment, unless an accommodation is granted as required by law._ The ** Claims Auditor ** **I** is responsible for pre and post payment and adjudication audits… more
- WTW (Chicago, IL)
- **Description** As a Lead Auditor you will apply your audit, project management and client management skills to lead client audits. You will serve as the ... administrators. You will review discrepancy issues identified by field auditors, re-adjudicate claims , resolve open issues, and draft the final report. You will… more
- City of New York (New York, NY)
- …a high level to ACS' Senior leadership, auditees and stakeholders. Responsibilities for the Lead Auditor /Supervisor will include but may not be limited to: - ... with vendor contract and/or financial auditing, and auditing of claims for payment to assess their validity on a...who are currently serving permanently in the title of Lead Auditor /Supervisor or reachable on the … more
- Elevance Health (Richmond, VA)
- **DRG CODING AUDITOR ** **_Virtual_** **_: _** _ _ __ This role enables associates to work virtually full-time, with the exception of required in-person training ... recover, eliminate and prevent unnecessary medical-expense spending. The **DRG CODING AUDITOR ** is responsible for auditing inpatient medical records and generating… more
- Elevance Health (Hanover, MD)
- **Diagnosis Related Group Clinical Validation Auditor -RN (CDI, MS-DRG, AP-DRG and APR-DRG)** **Virtual:** This role enables associates to work virtually full-time, ... required by law. The **Diagnosis Related Group Clinical Validation Auditor ** is responsible for auditing inpatient medical records to...Specializes in review of Diagnosis Related Group (DRG) paid claims . **How you will make an impact:** + Analyzes… more
- Elevance Health (Indianapolis, IN)
- **Clinical Provider Auditor II** **Location:** _Hybrid1:_ This role requires associates be in the office 1-2 days per week, fostering collaboration and connectivity, ... is granted as required by law. The **Clinical Provider Auditor II** is responsible for identifying issues and/or entities...abuse. **How you will make an Impact:** + Examines claims for compliance with relevant billing and processing guidelines… more
- Elevance Health (Tampa, FL)
- **Clinical Provider Auditor II** **Supports the Payment Integrity line of business** **Hybrid 1** : This role requires associates to be in-office **1-2** days per ... recover, eliminate and prevent unnecessary medical-expense spending. The **Clinical Provider Auditor II** is responsible for identifying issues and/or entities that… more
- Elevance Health (Columbus, OH)
- **Provider Auditor ** **Location** : Ohio **Field:** This field-based role enables associates to primarily operate in the field, traveling to client sites or ... unless an accommodation is granted as required by law._ The **Provider Auditor ** conducts on-site reviews of medical charts, medical notes, itemized bills and… more
- FlexStaff (Chappaqua, NY)
- **Req Number** 165727 FlexStaff Compliance Auditor - Hybrid position- Chappaqua, NY- $105K *THIS IS A HYBRID POSITION- YOU MUST RESIDE LOCALLY* Are you passionate ... a meaningful impact? FlexStaff is seeking a detail-oriented and experienced Compliance Auditor to join our client's dynamic team! This hybrid position offers the… more