- International (Lisle, IL)
- …Overview International is seeking a detail-oriented and motivated Staff Internal Auditor to support the execution of financial, operational, compliance, and ... + Professional certifications (CPA, CIA, CISA) or progress toward certification preferred , but not required. + Strong analytical, problem-solving, and communication… 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 ... and governmental references, specialty society guidance, industry trends and paid claims data, the New Opportunity Consultant identifies areas where claim… more
- 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 ... leadership skills to guide their team in delivering superior claims edits. The Senior Manager will meet regularly with...with clients to assist in their interpretation of Lyric's claim edits while using our software. The Senior Manager's… more
- Warner Music Group (New York, NY)
- …WMG label for the audit concerned; + Assist with the review and analysis of audit claims submitted by the auditor in question, as well as the relevant provisions ... including, without limitation, tracking audit notifications, reviewing and analyzing the claims contained in the audit reports we receive, making recommendations to… more
- 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
- Sedgwick (Indianapolis, IN)
- …college or university preferred . Major in accounting field strongly preferred . Certified Public Accountant (CPA), Certified Internal Auditor (CIA) or ... certified Information Systems Auditor (CISA) designation preferred . Experience: Four (4) years of related experience or equivalent combination of education and… 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 ... day shifts (United States of America) **Job Description:** **JOB SUMMARY** The Claims Auditor is responsible for performing payment, procedural accuracy,… more
- Robert Half Accountemps (Boston, MA)
- Description Job Title: Medical Claims Auditor - RN Auditor Location: Massachusetts - 90% Remote Job Type: 1 Year Contract - Potential for Perm Hire Hours: 40 ... 1, 2025 Job Description We are seeking a qualified Auditor with healthcare experience to support Program Integrity activities...perform onsite audits (1-4 times per month) + Evaluate claims and provider documentation for compliance and accuracy +… 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
