- Humana (Cheyenne, WY)
- …of our caring community and help us put health first** The Nurse Auditor 2 performs clinical audit/validation processes to ensure that medical record documentation ... is complete, compliant and accurate to support optimal reimbursement. The Nurse Auditor 2 work assignments are varied and frequently require interpretation and… more
- Community Health Systems (Franklin, TN)
- (This role is Hybrid in the Franklin, TN area) The Invoice Auditor assists in managing complex accounts payable processes, ensuring compliance with financial ... policies, tax regulations, and internal controls. This position is responsible for processing high-volume invoices, reconciling discrepancies, and optimizing accounts payable operations using Oracle Cloud ERP. The Specialist II also collaborates with vendors,… more
- Datavant (Honolulu, HI)
- …educational and life experiences to realize our bold vision for healthcare. As an Auditor , HCC Risk Adjustment Coder, you will review medical records to identify and ... code diagnoses using a standardized system, ensuring accurate representation of patient conditions for risk adjustment and reimbursement purposes. You will play a critical role in translating clinical documentation into precise codes that reflect the… more
- WTW (Oklahoma City, OK)
- **Description** As a Field Auditor , you will apply your medical claims audit, project management and claim processing and auditing experience to perform self-insured ... client audits. You will serve as a team member on audits, evaluate claims for accuracy and identify potential errors and issues. **The Responsibilities** + Understand self-insured client's plan designs + Audit claims using the administrators claims system to… more
- Stryker (Portage, MI)
- The Senior IT Auditor will be responsible for planning and executing IT audits, including but not limited to SOX, operational, management consulting, and special ... internal audit projects. In this capacity, the Senior IT Auditor will execute and document procedures in accordance with professional standards and provide… more
- Elevance Health (Washington, DC)
- **Clinical Provider Auditor II** **Supports the Payment Integrity line of business** **Virtual:** This role enables associates to work virtually full-time, with the ... recover, eliminate and prevent unnecessary medical-expense spending. The **Clinical Provider Auditor II** is responsible for identifying issues and/or entities that… more
- Stryker (Detroit, MI)
- …Are you interested in improving risk management, controls, and governance processes? As a member of our Assurance and Risk Advisory (ARA) function, you will play a ... key role in delivering value to the business and supporting strategic objectives. You'll join a dynamic, global team that drives impact through customer focus and innovation. As a Senior Risk Analyst, you are responsible for executing audits and testing… more
- R1 RCM (Chicago, IL)
- …one that promotes patient satisfaction and improves financial performance. As our DRGV Auditor II, your primary role will be auditing inpatient cases for DRG ... systems to validate the accounts. Opportunity for growth includes a client facing Lead Auditor role and an internally facing Mentor role. **Every day in this role… more
- Marriott (Pottsville, PA)
- …Pottsville, PA 17901) Division: ONVO Hours Per Week: 40 Job Description Front Desk Agent/Night Auditor We are seeking a Front Desk Agent serve as the face of our ... business and senior management's connection with our guests. We're looking for a friendly individual who genuinely enjoys being around people and who can manage multiple tasks at once. We have flexible shifts to fit your schedule! Available hours include: 7:00… more
- Highmark Health (Helena, MT)
- …Professional Coder (CPC), Certified Outpatient Coder (COC), Certified Professional Medical Auditor (CPMA) + 5 years with hospital or physician coding and/or ... auditing, as well as, education techniques and methods. (Internal transfer and promotion candidates may have a minimum of 3 years experience) + In-depth knowledge of ICD CM, ICD PCS and CPT/HCPCS coding systems. Must be proficient in DRG/APC structure,… more