• Medical Claim Lead Auditor (Remote)

    WTW (Houston, TX)
    **Description** As a Medical Claim Lead Auditor , you will apply your audit, project management and client management skills to lead client audits. You will serve ... activities in an accurate and timely fashion + Write quality value-added draft report in a timely manner +...high level of claims administration knowledge, including experience with medical , dental, mental health and Medicare + Detailed knowledge… more
    WTW (01/08/26)
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  • Medical Claim Field Auditor (Remote)

    WTW (Houston, TX)
    **Description** As a Medical Claim Field Auditor , you will apply your medical claims audit, project management and claim processing and auditing experience ... to improve work processes and methods in pursuit of quality output and service delivery + Role will be...professional and facility claims administration knowledge, including experience with medical , dental, mental health and Medicare + Must have… more
    WTW (01/08/26)
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  • Compliance Auditor (FT- 1.0, Day Shift)

    Bozeman Health (Bozeman, MT)
    …compliance with applicable laws, regulations, payer rules, and internal policies. + Reviews medical and billing records for coding accuracy and medical ... Position Summary: The Compliance Auditor supports an effective compliance program by planning and executing risk-based audits, monitoring adherence to federal and… more
    Bozeman Health (01/01/26)
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  • Corporate Responsibility Auditor Senior

    SSM Health (MO)
    …**Worker Type:** Regular **Job Highlights:** Exciting opportunity for an Corporate Responsibility Auditor Senior role SSM Health! Preferred RN background is a plus. ... **Job Summary:** Join our mission-driven team as a Corporate Responsibility Auditor Senior, where your expertise in compliance and healthcare coding and billing… more
    SSM Health (01/15/26)
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  • Senior Healthcare Auditor

    University of Washington (Seattle, WA)
    …**Desired Qualifications** . Master's Degree in business, accounting or related discipline . Medical coding knowledge or experience . RN or equivalent provider ... **Job Description** The senior healthcare auditor is responsible for the completion of internal...Washington/UW Medicine which include the School of Medicine, two medical centers (3 locations), a physician practice group, community… more
    University of Washington (10/31/25)
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  • Quality Review Auditor

    US Tech Solutions (Columbia, SC)
    …of document management. + Serves as expert resource on methodology and procedures for medical records and coding issues. **Experience:** + 3 years medical ... + Performs validation reviews of Diagnosis Related Groups (DRG), Adaptive Predictive Coding (APC), and Never Events (inexcusable outcomes in a healthcare setting)… more
    US Tech Solutions (12/19/25)
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  • Compliance Auditor - SRS

    Sharp HealthCare (San Diego, CA)
    …Administrative Contractor) requirements. **Required Qualifications** + 3 Years experience auditing coding and medical record documentation in an ambulatory care ... guidelines and procedures to assist in provider's understanding of requirements for medical documentation and coding .Performs training for new providers with… more
    Sharp HealthCare (11/18/25)
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  • Compliance Nurse Auditor

    Saint Francis Health System (Tulsa, OK)
    …Emergency Medical Treatment Labor Act (EMTALA), Discharge Planning, and Quality . Provides independent evaluations and assists with the maintenance of operational ... apply.** Full Time Days Job Summary: The Compliance Nurse Auditor assists with and supports the compliance program activities...Saint Francis Health System (SFHS). This role supports clinical coding and billing audit functions as well as the… more
    Saint Francis Health System (12/23/25)
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  • Revenue Integrity Nurse Auditor

    Childrens Hospital of The King's Daughters (Chesapeake, VA)
    …MS Office and other health record management systems. + Knowledge of quality management methodologies, medical record documentation, compliance requirements and ... + GENERAL SUMMARY + The Revenue Integrity Nurse Auditor is responsible for the auditing and compliance...regulations and trends in denials of services due to medical necessity or appropriateness of services. + Conducts compliance,… more
    Childrens Hospital of The King's Daughters (10/23/25)
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  • Claims Auditor

    US Tech Solutions (Whittier, CA)
    …system as necessary. **SPECIFIC SKILLS NEEDED** Knowledge of HMO/or IPA operations; medical terminology; ICD-10, RVS, and CPT coding knowledge; knowledge of ... date: Immediately** **Contract length: 3 months** **POSITION SUMMARY** The Claims Auditor assists in the Claims Department by analyzing procedures, policies and… more
    US Tech Solutions (12/20/25)
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