• Payment Integrity Auditor II

    Premera Blue Cross (Mountlake Terrace, WA)
    …wide claim payment accuracy strategy through conducting claim audits, identifying trends in coding errors, and informing coding education material for ... accuracy and appropriateness of charges. + Identify trends or patterns in provider coding errors and assist in developing provider education . + Evaluate and… more
    Premera Blue Cross (09/24/25)
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  • Compliance Auditor

    Ochsner Health (New Orleans, LA)
    …This job assists with maintaining an effective auditing and compliance program . Independently completes assignments, manages projects, performs audits, and ensures ... audits and presents oral and written conclusions to the Lead Nurse Auditor and department management. Educates and assists employees in applying and improving… more
    Ochsner Health (09/26/25)
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  • Revenue Compliance Auditor

    Hartford HealthCare (Hartford, CT)
    …become part of Connecticut's most comprehensive healthcare network. The Revenue Compliance Auditor contributes to the success of the Office of Compliance and ... Integrity (OCI) by executing clinical documentation, coding and billing audits as assigned or scheduled. The...billing audits as assigned or scheduled. The Revenue Compliance Auditor performs independent reviews to assess compliance with federal,… more
    Hartford HealthCare (07/30/25)
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  • Payment Integrity Auditor I

    Premera Blue Cross (Mountlake Terrace, WA)
    …serve through our Healthsource blog: https://healthsource.premera.com/ . As a **Payment Integrity Auditor I** , you will support the overall objectives of the ... claim audits to identify improper payments due to billing errors, coding discrepancies, and policy non-compliance. Audits include reviewing medical records, applying… more
    Premera Blue Cross (09/24/25)
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  • Quality Auditor & Educator

    AdventHealth (Daytona Beach, FL)
    …Daytona Beach, FL 32117 **The role you'll contribute:** The inpatient or outpatient coding team Quality Auditor (QA)/Educator supports the operations of the ... staff. They will review medical records and documentation for coding accuracy, providing feedback, and delivering additional education...Associates degree in HIM field or completion of a coding certificate program Five (5) or more… more
    AdventHealth (08/07/25)
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  • Provider Services Auditor

    St. Luke's University Health Network (Allentown, PA)
    …Services Auditor performs audits as part of the Documentation and Coding Compliance Program for professional services billed by providers employed with ... + Coordinates, schedules, and meet with providers to perform education for the professional service documentation and coding...in Excel spreadsheet format and through an auditing software program . + Is a resource to the coding… more
    St. Luke's University Health Network (09/04/25)
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  • Claims Auditor (Remote - WI or MN)

    Marshfield Clinic (Marshfield, WI)
    …to support the most exciting missions in the world!** **Job Title:** Claims Auditor (Remote - WI or MN) **Cost Center:** 682891379 SHP-Claims **Scheduled Weekly ... (United States of America) **Job Description:** **JOB SUMMARY** The Claims Auditor is responsible for performing payment, procedural accuracy, turnaround time,… more
    Marshfield Clinic (09/23/25)
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  • Claims and Call Auditor (Call Center QC)

    CHS (Clearwater, FL)
    **Overview** ** ** **Claims and Call Auditor (Call Center QC) - Clearwater, FL** ** ** **Summary** The Claims & Call Auditor audits processed medical insurance ... + Reviews Current Procedural Terminology (CPT) and Healthcare Common Procedure Coding System (HCPCS) to determine proper category for benefit code determination.… more
    CHS (09/13/25)
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  • Corporate Responsibility Auditor Senior

    SSM Health (MO)
    …PRIMARY RESPONSIBILITIES + Initiates development and maintenance of compliance program , including compliance awareness education , implementation and maintenance ... **Worker Type:** Regular **Job Highlights:** Exciting opportunity for an Corporate Responsibility Auditor Senior role SSM Health! Preferred RN background is a plus.… more
    SSM Health (08/23/25)
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  • Claims Auditor (Remote)

    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 team leader ... mental health and Medicare + Detailed knowledge of ICD-10 and CPT codes and coding protocols + Excellent oral and written communications skills + Team player with… more
    WTW (09/26/25)
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