- Lyric (Newtown Square, PA)
- … editing solution, as a payment, reimbursement or medical policy analyst, medical claims processor, chart auditor /reviewer, or claims edit/denial management ... with clients to assist in their interpretation of Lyric's claim edits while using our software. The Senior Manager's...+ 3+ years of experience managing coding, billing or claims processing professionals + Active AAPC Certified … more
- Lyric (Newtown Square, PA)
- …+ 5 years or more relevant healthcare experience as a medical coder, medical claims processor medical auditor , clinical editing analyst, or payment or medical ... Best in KLAS for Pre-Payment Accuracy and Integrity and is HI-TRUST and SOC2 certified , and a recipient of the 2025 CandE Award for Candidate Experience. Interested… more
- Boar's Head Brand/Frank Brunckhorst Co., LLC (Sarasota, FL)
- …desired. + Auditor Certification preferred (ie American Society for Quality - Certified HACCP Auditor , Certified Quality Auditor , Certified ... CAPAs, Nutritional Documents, COAs, Allergen forms, Weight & Tare, any other product claims , etc.), as applicable. + Perform Food Safety & Product Quality audits at… more
- UPMC (Pittsburgh, PA)
- …Inpatient Coder (CIC) + Certified Evaluation & Management Coder (CEMC) + Certified Professional Medical Auditor (CPMA) + Certified Professional Coder ... **Join UPMC Corporate Compliance as an Intermediate Compliance Auditor !** Are you passionate about ensuring accuracy and compliance in healthcare documentation and… more
- UPMC (Pittsburgh, PA)
- …Inpatient Coder (CIC) + Certified Evaluation & Management Coder (CEMC) + Certified Professional Medical Auditor (CPMA) + Certified Professional Coder ... **Join UPMC Corporate Finance as a Compliance Auditor , Associate!** Are you detail-oriented and passionate about ensuring compliance in healthcare? **UPMC Corporate… more
- Sedgwick (Indianapolis, IN)
- …Major in accounting field strongly preferred. Certified Public Accountant (CPA), Certified Internal Auditor (CIA) or certified Information Systems ... achieve. Newsweek Recognizes Sedgwick as America's Greatest Workplaces National Top Companies Certified as a Great Place to Work(R) Fortune Best Workplaces in… more
- City of New York (New York, NY)
- …license issued by the New York State Education Department; or (C) a valid Certified Internal Auditor certificate issued by the Institute of Internal Auditors ... standard audit procedures examine records and documents that support claims submitted to Medicaid for reimbursement for goods or...a Certified Public Accountant license; or a Certified Internal Auditor certificate, as described in… more
- Highmark Health (Harrisburg, PA)
- … Certified Professional Coder (CPC), Certified Outpatient Coder (COC), Certified Professional Medical Auditor (CPMA) + 5 years with hospital or ... and ensures compliance with DRG/APC structure and regulatory requirements. Performs periodic claim form reviews to check code transfer accuracy from the abstracting… more
- Marshfield Clinic (Marshfield, WI)
- …come together to support the most exciting missions in the world!** **Job Title:** Claims Auditor (Remote - WI or MN) **Cost Center:** 682891379 SHP- Claims ... (United States of America) **Job Description:** **JOB SUMMARY** The Claims Auditor is responsible for performing payment,... has working knowledge of the overall aspects of claim processing, both in and outside of Security Health… more
- Baylor Scott & White Health (Temple, TX)
- **JOB SUMMARY** The Medical Claims Coding Auditor is responsible for the investigation of coding issues and recommendation for correction of the issue. ... Responsible for reviewing and making payment determinations on provider medical claims for Claim Check and iHealth appeals. This position will conduct root cause… more
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