• Insurance Internal Auditor

    ManpowerGroup (New York, NY)
    Jefferson Wells is seeking an experienced **Insurance Auditor with Life Claims ** expertise to join our team. The successful candidate will be responsible for ... compliance with company policies, industry standards, and regulatory requirements. The auditor will analyze the claims documentation and processes, identify… more
    ManpowerGroup (07/12/25)
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  • Specialty Health Plans Auditor III

    LA Care Health Plan (Los Angeles, CA)
    Specialty Health Plans Auditor III Job Category: Accounting/Finance Department: Financial Compliance Location: Los Angeles, CA, US, 90017 Position Type: Full Time ... Mission: LA Care's mission is to provide access to quality health care for Los Angeles County's vulnerable and...achieve that purpose. Job Summary The Specialty Health Plans Auditor III is responsible all aspects of planning, execution,… more
    LA Care Health Plan (07/06/25)
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  • DRG Coding Auditor

    Elevance Health (Grand Prairie, TX)
    … AUDITOR ** is responsible for auditing inpatient medical records and generating high quality recoverable claims for the benefit of the company, for all lines ... **DRG CODING AUDITOR ** **_Virtual_** **_: _** _ _ _​_ _This...AA/AS or minimum of 5 years of experience in claims auditing, quality assurance, or recovery auditing.… more
    Elevance Health (07/22/25)
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  • Onsite Pharmacy Auditor (based…

    Prime Therapeutics (San Diego, CA)
    …passion and drives every decision we make. **Job Posting Title** Onsite Pharmacy Auditor (based in California) **Job Description** The Onsite Pharmacy Auditor ... and is responsible for the selection and auditing of claims , educating Prime's network pharmacies and driving contract compliance,...+ 2 years of work experience in audit or quality assurance + 1 year of work experience in… more
    Prime Therapeutics (06/28/25)
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  • Compliance Auditor , Intermediate (Cemc,…

    UPMC (Pittsburgh, PA)
    …ICD-10-CM, CPT, and HCPCS codes to ensure consistency and efficiency in claims processing, data collection, and quality reporting. . **Regulatory Compliance:** ... **Join UPMC Corporate Compliance as an Intermediate Compliance Auditor !** Are you passionate about ensuring accuracy and compliance in healthcare documentation and… more
    UPMC (07/11/25)
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  • Diagnosis Related Group Clinical Validation…

    Elevance Health (Denver, CO)
    …applicable state(s). + Requires a minimum of 10 years of experience in claims auditing, quality assurance, or clinical documentation improvement, and a minimum ... **Diagnosis Related Group Clinical Validation Auditor -RN** **Virtual:** This role enables associates to work...Specializes in review of Diagnosis Related Group (DRG) paid claims . **How you will make an impact:** + Analyzes… more
    Elevance Health (08/01/25)
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  • Compliance Coding Auditor

    Sharp HealthCare (San Diego, CA)
    …and employer business practices. **What You Will Do** The Compliance Coding Auditor is responsible for the administration of the Sharp HealthCare's (SHC's) ... audit program. The position provides oversight and maintenance of a high- quality , effective, best practices coding, billing, and reimbursement audit compliance… more
    Sharp HealthCare (07/13/25)
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  • Compliance Auditor , Associate

    UPMC (Pittsburgh, PA)
    …and DRG assignment appropriateness to ensure consistency and efficiency in claims processing, data collection, and quality reporting. + **Post-Audit ... **Join UPMC Corporate Finance as a Compliance Auditor , Associate!** Are you detail-oriented and passionate about...Finance** is looking for a dedicated and meticulous **Compliance Auditor , Associate** to join our team. This role is… more
    UPMC (07/24/25)
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  • Internal Auditor

    New York State Civil Service (Albany, NY)
    NY HELP No Agency SUNY System Administration Title Internal Auditor Occupational Category Financial, Accounting, Auditing Salary Grade NS Bargaining Unit M/C - ... SUNY campuses, employees, and students to advance SUNY's mission of providing high- quality , affordable higher education for all.Across a wide range of roles, from… more
    New York State Civil Service (06/24/25)
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  • Coding Off Auditor -Edu

    Covenant Health Inc. (Knoxville, TN)
    Overview Inpatient Coding Auditor and Educator, Centralized Coding Full-Time, 80 Hours per pay period, Day Shift Covenant Health Overview: Covenant Health is East ... staff. Serves as a resource to coders, CDI staff, Quality and Case Managers, Decision Support and physician office...+ Reviews information from third party payers relative to claims charging, coding, and billing in order to ensure… more
    Covenant Health Inc. (07/25/25)
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