• Claims Specialist, Audit & Contracting

    LogixHealth (Dania, FL)
    …teams to provide cutting-edge solutions that will directly improve the healthcare industry. You'll contribute to our fast-paced, collaborative environment and will ... Preferred: + One to two years related experience + Healthcare industry knowledge + Medical billing experience Benefits at...we have had a clear vision of a better healthcare system and have continually evolved to get there.… more
    LogixHealth (07/11/25)
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  • MassHealth & Medicare Regulatory Compliance…

    Commonwealth Care Alliance (Boston, MA)
    …a related field preferred. Required Experience (must have): * 5+ years in healthcare compliance, regulatory affairs, or claims audit . * Experience working with ... for ensuring CCA's operational compliance with state and federal healthcare regulations, particularly MassHealth (Massachusetts Medicaid) and CMS Medicare… more
    Commonwealth Care Alliance (09/01/25)
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  • Supervisor, Charge Edit and Audit

    Sutter Health (Sacramento, CA)
    …of medical and billing terminology, common procedure terminology, diagnosis codes, healthcare common procedure coding system, and revenue codes. + Knowledge of ... government and/or commercial payer requirements. + Knowledge of Federal, State, and Local regulatory publications and how to access. + Knowledge of Outpatient National Correct Coding Edits. + Demonstrated ability to review a health record and determine… more
    Sutter Health (09/24/25)
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  • Audit Senior (Public)

    Robert Half Finance & Accounting (Albany, NY)
    …responsibilities will include auditing the financials of non-profit, manufacturing, healthcare , and financial services companies. This position is also responsible ... for coaching and developing team members. Requirements Qualified candidates will have a Bachelor's degree in accounting with 1+ years experience in public accounting and be working towards a CPA. If you are interested in this opportunity, contact Jordon… more
    Robert Half Finance & Accounting (09/24/25)
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  • Distribution Coordinator - Kit Audit

    Zimmer Biomet (Englewood, CO)
    …inspect, replenish, and/or ship surgical instrumentation and implants to healthcare facilities with impeccable attention to detail while maintaining inventory ... accuracy. **How You'll Create Impact** + Package product and materials ensuring contents are protected adequately for shipment. + Accurately prepare all necessary shipping documentation, including accurate addresses, and ensure that shipments contain the… more
    Zimmer Biomet (09/23/25)
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  • Quality Assurance Auditor II

    University of Utah (Salt Lake City, UT)
    …identify opportunities for improvement and training within an organization that provides healthcare patient services. Review audit results with medical coding ... **Requisition Number** PRN43151B **Job Title** Medical Coding Quality Auditors ( Healthcare ) **Working Title** Quality Assurance Auditor II **Career Progression… more
    University of Utah (09/23/25)
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  • Accounting Analyst - eviCORE - HYBRID

    The Cigna Group (Franklin, TN)
    …entries and balance sheet reconciliation. + Bachelor's Degree in Accounting, Finance, Audit . + Prior healthcare industry experience strongly preferred. + Strong ... budgeted/forecasted amounts. Additional responsibilities include supporting the year-end financial audit , assisting internal customers understand the variables that drive… more
    The Cigna Group (09/09/25)
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  • Specialist, Config Oversight ( healthcare

    Molina Healthcare (NE)
    …hours will be 7am-3:30pm PST M-F** **Job Summary** Responsible for conducting various healthcare Healthcare claim audits including, but not limited to; vendor, ... focal, audit the auditor. Confirm that documentation is clear and...within the core processing system (QNXT). * Conducts focal healthcare Medical claim audits on samples of processed transactions… more
    Molina Healthcare (09/24/25)
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  • Payment Integrity Auditor II

    Premera Blue Cross (Mountlake Terrace, WA)
    …practices. + Stay informed about changes in coding standards, payer policies, and healthcare regulations, applying them to audit activities. + Contribute to ... Lives** Our purpose, to improve customers' lives by making healthcare work better, is far from ordinary. And so...The Auditor II plays a critical role in identifying audit opportunities, complex analysis, and provider billing investigation. This… more
    Premera Blue Cross (09/24/25)
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  • Director Waste Compliance for Healthcare

    HCA Healthcare (Nashville, TN)
    …Director Waste Compliance and Regulatory Affairs? At HealthTrust, you come first. HCA Healthcare has committed up to $300 million in programs to support our ... on years of service) + Employee Stock Purchase Plan with 10% off HCA Healthcare stock + Family support through fertility and family building benefits with Progyny… more
    HCA Healthcare (09/19/25)
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