- Boar's Head Brand/Frank Brunckhorst Co., LLC (Sarasota, FL)
- …a training course. + SQF or any other GFSI Scheme certification desired. + Auditor Certification preferred (ie American Society for Quality - Certified HACCP ... COAs, Allergen forms, Weight & Tare, any other product claims , etc.), as applicable. + Perform Food Safety &...Auditor , Certified Quality Auditor , Certified Supplier Quality… more
- Catholic Health Initiatives (Chattanooga, TN)
- …(AAPC) as a Certified Professional Coder (CPC) required. Professional Medical Auditor Certification (CPMA) (CMAS)- preferred but not required. CRC Certification ... **Responsibilities** **Job Summary / Purpose** The Sr Coding Compliance Auditor is responsible for reviewing chart notes for proper coding with an emphasis on… more
- Medical Mutual of Ohio (Brooklyn, OH)
- …required. . Certified Internal Auditor (CIA), Certified Information Systems Auditor (CISA), or other related professional certifications preferred . Technical ... related to Service Organization Controls (SOC1) reports over the Company's claims processing system. . Plans, monitors, and supervises procedures necessary to… 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 various...This position is responsible for all aspects of assigned claim audits, including audit testing and completion of the… more
- LA Care Health Plan (Los Angeles, CA)
- Specialty Health Plans Claims Auditor III Job Category: Accounting/Finance Department: Financial Compliance Location: Los Angeles, CA, US, 90017 Position Type: ... the safety net required to achieve that purpose. Job Summary The Specialty Plans Auditor III is responsible for planning audits and audit work programs that address… more
- Centers Plan for Healthy Living (Staten Island, NY)
- …experience Preferred : Type of Experience Required: 2+ years of claim processing experience with a Medicaid/Medicare Health Plan. Preferred : Experience ... Responsible for the auditing functions of Centers Plan for Healthy Living (CPHL) claims . Collaborates with other Health plan departments and Management to ensure … more
- Axis (New York, NY)
- …and accurate evaluation of claims and litigation in a manner that exceeds auditor expectations. * Preferred candidates will be able to commute to an AXIS ... part in the selection process. Reporting to Head of Primary Casualty Claims and under limited direction, provides technical and administrative supervision to a… more
- Rush University Medical Center (Chicago, IL)
- …model to other coding staff. * Strong communication and organizational skills. ** Preferred Job Qualifications:** * Certified Professional Medical Auditor (CPMA) ... a key role in the Revenue Integrity team, the Auditor & Educator is responsible for conducting reviews of...focused educational programs on the results of auditing, review claim denials pertaining to coding, and implement corrective action… more
- Elevance Health (Tampa, FL)
- …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._...Audit setting or hospital coding or quality assurance environment preferred . + Broad knowledge of medical claims … more
- New York State Civil Service (New York, NY)
- NY HELP Yes Agency State Comptroller, Office of the Title Auditor 1, SG-18, Auditor Trainee 2, (Equated to SG-16), Auditor Trainee 1, (Equated to ... various tests, reviews, reconciliations, analyses and evaluations of accounts, claims , records, and procedures.o Assists in ongoing audit/examination strategy and… more