- Lyric (Newtown Square, PA)
- …coding guidelines with strong leadership skills to guide their team in delivering superior claims edits. The Senior Manager will meet regularly with clients to ... claim edits while using our software. The Senior Manager 's insights will shape how our clients implement our...as a payment, reimbursement or medical policy analyst, medical claims processor, chart auditor /reviewer, or claims… more
- Texas Tech University Health Sciences Center - El Paso (El Paso, TX)
- …and as required by current CMS regulations. Work directly with the Medical Coding Auditor Manager to implement best practices to maximize revenue, improve coding ... and communicate Key Performance Indicator(KPI) requirements as determined by the Medical Coding Auditor Manager + Participate in the development of coding and… more
- Catholic Health Initiatives (Little Rock, AR)
- …all things quality and risk for the value hub. + Through Risk Management/ Auditor Manager , implements a risk adjustment coding department in appropriate Arkansas ... providers to improve documentation and coding practices, for accurate claims submissions and accurate reimbursement. + Continue to work...guidelines for these new processes. + Support the Risk Auditor Manager of closely working with the… more
- State of Colorado (Denver, CO)
- …or potential systems issues, and escalate any further actions to the Auditor V/Audit Manager . Minimum Qualifications, Substitutions, Conditions of Employment & ... CO Job Type Full Time Job Number KAA 9109 Auditor IV 11.25 Department Department of Labor and Employment...not engaging in any prohibited activities and investigating fraudulent claims for benefits, auditors reviewing employer records to ensure… more
- MyFlorida (Tallahassee, FL)
- …candidate will join the Division of State Group Insurance, Program Integrity Unit as an Audit Manager and will serve as an auditor and contract manager for ... the state group insurance program's post payment claims audits and the Pharmacy Benefits Manager compliance audit. This position is essential to managing all… more
- LA Care Health Plan (Los Angeles, CA)
- Financial Compliance Auditor III Claims Job Category: Accounting/Finance Department: Financial Compliance Location: Los Angeles, CA, US, 90017 Position Type: ... to achieve that purpose. Job Summary The Financial Compliance Auditor III Claims is responsible for audits...This position is responsible for all aspects of assigned claim audits, including audit testing and completion of the… 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
- Elevance Health (Hanover, MD)
- …claim identification, and documentation purposes (eg, letter writing). + Identifies new claim types by identifying potential claims outside of the concept ... **DRG CODING AUDITOR ** **_Virtual_** **_: _** _ _ __ This...auditing inpatient medical records and generating high quality recoverable claims for the benefit of the company, for all… more
- The County of Los Angeles (Los Angeles, CA)
- LAW ENFORCEMENT AUDITOR Print (https://www.governmentjobs.com/careers/lacounty/jobs/newprint/4668332) Apply LAW ENFORCEMENT AUDITOR Salary $109,807.68 - ... law enforcement operations. This classification acts as a project manager and is distinguished by its role in providing...No 10 In the execution of the Law Enforcement Auditor duties, you will have to make site visits… more
- City of New York (New York, NY)
- …daily claims reports and the monthly reports which detail claim associated fees to ensure compliance with contractual obligations, regulatory requirements, and ... requirements, and internal policies related to the payment of daily healthcare claims and monthly administrative fees. 2. Claims Data Validation: Verify the… more
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