- CHS (Clearwater, FL)
- **Overview** ** ** ** Claims and Call Auditor (Call Center QC) - Clearwater, FL** ** ** **Summary** The Claims & Call Auditor audits processed medical ... claims and calls and provides feedback to their Manager . + Maintains up-to-date working knowledge on regulatory requirements...and lifting up to thirty (30) pounds. ** ** ** Claims and Call Auditor (Call Center QC)… more
- Prime Therapeutics (San Diego, CA)
- …passion and drives every decision we make. **Job Posting Title** Onsite Pharmacy Auditor (based in California) **Job Description** The Onsite Pharmacy Auditor ... pharmacy audits and is responsible for the selection and auditing of claims , educating Prime's network pharmacies and driving contract compliance, and supporting… 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 ** **Location** : _This position will work virtually._...auditing inpatient medical records and generating high quality recoverable claims for the benefit of the company, for all… more
- Elevance Health (Miami, FL)
- …using medical charts, medical notes, and provider contracts. + Verifies dollar amount on claim is correct in claims system and writes report of the findings ... **Provider Auditor ** _This position will work a hybrid model...itemized bills and providers contracts to ensure that a claim is paid in accordance with the contract, provider… 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
- Elevance Health (Costa Mesa, CA)
- **Diagnosis Related Group Clinical Validation Auditor -RN** **Virtual:** This role enables associates to work virtually full-time, with the exception of required ... onboarding and skill development. The **Diagnosis Related Group Clinical Validation Auditor ** is responsible for auditing inpatient medical records to ensure… more
- Boar's Head Brand/Frank Brunckhorst Co., LLC (Sarasota, FL)
- …Boars Head Brand. Complete special projects as assigned by the Sr. QA Manager . Job Description: Essential Duties and Responsibilities + Provide advanced super user ... COAs, Allergen forms, Weight & Tare, any other product claims , etc.), as applicable. + Perform Food Safety &...able to attend a training course. + Serve Safe Manager Certification or be able to attend a training… more
- Elevance Health (Hanover, MD)
- **Clinical Provider Auditor I** **Supports Payment Integrity & Behavioral Health** _Location:_ This field-based role enables associates to primarily operate in the ... to improve the delivery of care. The **Clinical Provider Auditor I** is responsible for identifying issues and/or entities...abuse. **How will you make an impact:** + Examines claims for compliance with relevant billing and processing guidelines… more
- Highmark Health (Oklahoma City, OK)
- …and ensures compliance with DRG/APC structure and regulatory requirements. Performs periodic claim form reviews to check code transfer accuracy from the abstracting ... and research related to special projects and providing coverage for coding manager (s). (10%) + Depending on location provides or arranges for education/training of… more
- Boar's Head Brand/Frank Brunckhorst Co., LLC (Brooklyn, NY)
- …you will assist with special projects as directed by the Senior QA Manager . Job Description: Essential Duties and Responsibilities + Conduct Food Safety and Product ... product specifications, allergen forms, weight and tare information, and other product claims , as applicable. + Maintain accurate supplier information in the QMS… more
Recent Jobs
-
IT Developer
- Delta Air Lines, Inc. (Atlanta, GA)
-
Production Test Engineer I, Propulsion
- Amazon (Redmond, WA)
-
Junior Software Engineer
- GliaCell Technologies (Laurel, MD)
-
Solutions Architect - SME
- Guidehouse (Washington, DC)