- Axis (New York, NY)
- …taking part in the selection process. **Job Description: Reinsurance Transactional Auditor ** **How does this role contribute to our collective success?** **1. ... Accuracy and Data Integrity** + Verifies the accuracy of reported premiums, claims , and reserves. + Identifies discrepancies in ceded premium calculations or loss… more
- Highmark Health (Oklahoma City, OK)
- …(Outpatient): Certified Professional Coder (CPC), Certified Outpatient Coder (COC), Certified Professional Medical Auditor (CPMA) + 5 years with hospital or ... related internal, concurrent, prospective and retrospective coding audit activities. Reviews medical records to determine data quality and accuracy of coding,… more
- New York State Civil Service (Syracuse, NY)
- …HELP No Agency Attorney General, Office of the Title Forensic Auditor : Investigate Healthcare Fraud (6390) Occupational Category Financial, Accounting, Auditing ... resolve a Medicaid fraud investigation involving Medicaid overpayments for "up-coded" medical services. Minimum Qualifications Qualifications: * A minimum of a… more
- Health Advocates Network (Coral Springs, FL)
- …group of clinicians to ensure the documentation is clinically sufficient before claims are submitted to insurance companies for payment. Prioritize workloads to ... ensure expedited cases are processed within defined timelines. Review medical information such as lab reports, provider visit notes,...to read patent records and decode + Expertise in medical terminology + Knowledge of DME Products for Diabetics… more
- Bon Secours Mercy Health (Cincinnati, OH)
- …Assists in the review of Bon Secours Mercy Health coding, billing and claims processing policies and procedures for the development of compliance internal monitors ... periodic review and analysis of Bon Secours Mercy Health hospital claims denial reports, operational assessment reports, internal quality control reviews, internal… more
- Ascension Health (Kalamazoo, MI)
- …Remote, Monday - Friday day shifts with flexibility + **Facility:** Ascension Medical Group + **Location:** Kalamazoo, MI **Benefits** Paid time off (PTO) Various ... the time of the offer._ **Responsibilities** Perform periodic and ongoing audits of claims to ensure accuracy of coding and billing, and sufficiency of supporting… more
- Ross Stores, Inc. (Dublin, CA)
- …conflicts\. * Tie out Landlord receivable balances by isolating overcharges, audit claims , misapplied checks, and unpaid charges\. * Contribute to the development ... developmental disability, sex \(which includes pregnancy, childbirth, breastfeeding and medical conditions related to pregnancy, childbirth or breastfeeding\), veteran… more
- Ascension Health (Jacksonville, FL)
- **Details** + **Department:** Ascension Medical Group + **Schedule:** Full-Time, Days Mon. - Fri. 8AM-5PM + **Hospital:** Ascension St. Vincent's + **Location:** ... the time of the offer._ **Responsibilities** Perform periodic and ongoing audits of claims to ensure accuracy of coding and billing, and sufficiency of supporting… more
- McLaren Health Care (Shelby Township, MI)
- …specialists, validating the coding specialist is accurately abstracting data into medical record systems, following coding guidelines, and relevant federal and other ... and efficiency in physician documentation, code assignment, data collection, and claims processing. 3. Performs retrospective, random, and focused audits of coding… more
- Lineage Logistics (Edwardsville, KS)
- …the plant to determine and ensure meet company standards + Report damages and claims to inventory control + Arrange stock parts in a specific order for assembly ... and local law. Benefits Lineage provides safe, stable, reliable work environments, medical , dental, and basic life and disability insurance benefits, 401k retirement… more