- LogixHealth (Bedford, MA)
- …teams to provide cutting edge solutions that will directly improve the healthcare industry. You'll contribute to our fast-paced, collaborative environment and bring ... issues and appeal if necessary, using software or other resource tools + Prepare audit results and keep department manager current of all findings and audits and… more
- Novant Health (NC)
- Job Summary + The Coding Audit Response Specialist position responds to external and internal audits that include an assessment of ICD-10- CM/PCS, CPT or HCPCS codes ... the accuracy of assignment for Novant Health Facilities as assigned by Corporate Coding Audit Response Lead. + Audits will include but will not be limited to: coding… more
- Novant Health (NC)
- Job Summary + The Coding Audit Response Specialist position responds to external and internal audits that include an assessment of ICD-10- CM/PCS, CPT or HCPCS codes ... the accuracy of assignment for Novant Health Facilities as assigned by Corporate Coding Audit Response Lead. + Audits will include but will not be limited to: coding… more
- Providence (Renton, WA)
- …we must empower them.** **Providence St Joseph Health operates a self-administered claims program for General and Healthcare Professional Liability, Directors ... organizational metrics, and propose opportunity solutions and success replication. Propose monthly audit focus topics to claims leaders based on trending… more
- CHS (Clearwater, FL)
- **Overview** ** ** ** Claims and Call Auditor (Call Center QC) - Clearwater, FL** ** ** **Summary** The Claims & Call Auditor audits processed medical insurance ... medical audits, target audits, re-audits, etc and audits for claims which are in excess of payment authority limits...are in excess of payment authority limits in assigned audit queues. + Listen to and view all recorded… more
- Commonwealth Care Alliance (Boston, MA)
- …billing-related certifications **Required Experience (must have):** + 3+ years in healthcare claims processing, provider reimbursement, or payment integrity. + ... 011250 CCA- Claims Job Description **Position Summary:** Reporting to the...claims systems (eg, Salesforce, Facets) in compliance with audit standards and MassHealth requirements. + Maintain awareness of… more
- Robert Half Management Resources (Phoenix, AZ)
- …and abuse using specialized software and data analysis tools. * Evaluate healthcare claims , medical records, and associated documentation to uncover ... Description Robert Half Management Resources is seeking an experienced Audit Manager to support one of our healthcare clients for an interim part-time project.… more
- TEKsystems (Springfield, MO)
- …Claims , RxClaims, Pharmacy benefits, Health insurance, Claims Analyst, Audit , support, analysis, workflow, claim, Healthcare , Medical Terminology Top ... Skills Details Claims ,RxClaims,Pharmacy benefits,Health insurance, Claims Analyst, Audit ,support,analysis Additional Skills & Qualifications High school… more
- Houston Methodist (Houston, TX)
- …and capture potential revenue opportunities. This position performs quality assurance, detailed claims analysis and medical record reviews of complex claims and ... FUNCTIONS** + Conducts risk-based and baseline reviews of complex and escalated claims or records in a timely manner, evaluates corrective actions and processes… more
- Conduent (Dallas, TX)
- … Auditor CPhT** **Do you have a CPhT certification?** **Would you like to audit pharmacy claims for accuracy?** **About the Role** Conduent Payment Integrity ... performs in depth pharmacy audits on behalf of our healthcare payer clients. As a Pharmacy Claims ...and pharmacy practices. + Responding to pharmacy calls regarding audit results and dealing with clients periodically to report… more
Recent Jobs
-
Key Holder - Full Time - The Cosmetics Company Store - Outlets National Harbor
- The Estee Lauder Companies (Oxon Hill, MD)