- 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
- UCLA Health (Los Angeles, CA)
- …an exciting new direction. You can do all this and more at UCLA Health. The Claims Quality Auditor serves as the primary point of contact for submission and ... on a key role within a world-class, award-winning health system . Ensure the efficient delivery of award-winning patient care....Microsoft Word and Excel. + Good working knowledge of claims adjudication systems . UCLA Health welcomes all… more
- Centers Plan for Healthy Living (Staten Island, NY)
- …including basic analysis of identified trends. + Analyzes audit results to recommend system or procedural changes to increase claim accuracy and/or identify ... Responsible for the auditing functions of Centers Plan for Healthy Living (CPHL) claims . Collaborates with other Health plan departments and Management to ensure … more
- New York State Civil Service (Albany, NY)
- NY HELP Yes Agency Taxation & Finance, State Title Auditor 1 (Tax)/ Auditor Trainee 1 (Tax)/ Auditor Trainee 2 (Tax) (NY HELPS) Occupational Category ... City Albany State NY Zip Code 12227 Duties Description Auditor 1 (Tax) performs on-site field audits and examinations...and advocate disputed cases at BCMS conferences and Small Claims Hearings. May participate at hearings as a witness… more
- Elevance Health (Chicago, IL)
- …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._...quality assurance environment preferred. + Broad knowledge of medical claims billing/payment systems provider billing guidelines, payer… 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
- BayCare Health System (NC)
- …7:00 AM to 3:30 PM + **Days:** Monday - Friday The **Inpatient** **Coding Auditor ** is a full-time remote position. This team member must currently reside in ... _Sign on bonuses available!_ **Responsibilities** + The Inpatient Coding Auditor performs inpatient encounter audits and evaluates compliance related activities… more
- Chesapeake Regional Healthcare (Chesapeake, VA)
- …. Ensure accuracy and integrity of charge data prior to billing interface and claims submission . Utilize a computerized encoding system to facilitate accurate ... and procedural information from the record using ICD-10-CM and CPT-4/HCPCS classification systems . Utilize a computerized encoding system to facilitate accurate… more
- Elevance Health (Tampa, FL)
- …reviews using medical charts, medical notes, and provider contracts. + Verifies dollar amount on claim is correct in claims system and writes report of the ... **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
- Humana (Annapolis, MD)
- …**Where you Come In** Humana is looking for an experienced medical coding auditor to review inpatient hospital claims for proper reimbursement, handle provider ... help us put health first The Inpatient Medical Coding Auditor extracts clinical information from a variety of medical...the accuracy of provider contract payments in our payer systems , and by ensuring correct claims payment… more