- HCA Healthcare (Nashville, TN)
- …dollars to charitable organizations. Apply Today! **Job Summary and Qualifications** The ** Claims Auditor ** primary function is to ensure examiner payment ... care like family! Jump-start your career as a Claim Auditor today with Work from Home. **Benefits** Work from...accuracy of all claims processing including analysis of support services fulfillment colleagues'… more
- Elevance Health (Denver, CO)
- **DRG CODING AUDITOR ** **_Virtual_** **_: _** _ _ __ This role enables associates to work virtually full-time, with the exception of required in-person training ... recover, eliminate and prevent unnecessary medical-expense spending. The **DRG CODING AUDITOR ** is responsible for auditing inpatient medical records and generating… more
- Elevance Health (Atlanta, GA)
- **Diagnosis Related Group Clinical Validation Auditor -RN (CDI, MS-DRG, AP-DRG and APR-DRG)** **Virtual:** This role enables associates to work virtually full-time, ... -5PM (local time) The **Diagnosis Related Group Clinical Validation Auditor -RN (CDI, MS-DRG, AP-DRG and APR-DRG)** is responsible for...Specializes in review of Diagnosis Related Group (DRG) paid claims . **How you will make an impact:** + Analyzes… more
- Elevance Health (MD)
- **Clinical Provider Auditor II** **Supports the Payment Integrity line of business** **Location: Must be located in Maryland.** This field-based role enables ... recover, eliminate and prevent unnecessary medical-expense spending. The **Clinical Provider Auditor II** is responsible for identifying issues and/or entities that… more
- Independent Health (Buffalo, NY)
- …fosters growth, innovation and collaboration. **Overview** The Quality Assurance Auditor will perform monitoring, oversight, and quality assurance reviews/audits of ... during the quality assurance process to ensure resolution. The Quality Assurance Auditor will analyze, document, and report on results to business stakeholders and… more
- CareFirst (Baltimore, MD)
- …for systematic investigations of a specific area of operations (ie, claims , customer service, enrollment) within the organization. Incumbent conducts a variety ... of systems and/or procedures used to review the effectiveness of Q/A efforts. Lead and participate in the completion of validating the accuracy of audits accordance… more
- The County of Los Angeles (Los Angeles, CA)
- …Angeles County, CA Job Type Full time Job Number S6616B Department AUDITOR -CONTROLLER Opening Date 10/20/2025 + Description + Benefits + Questions Position/Program ... Information DEPARTMENT OF AUDITOR -CONTROLLER EXAM NUMBER: S6616B FILING INFORMATION: We are accepting...tools and other materials, and include serving as the lead operator and providing relevant training and troubleshooting assistance.… more
- Sedgwick (Nashville, TN)
- …Defines, prepares, reviews and analyzes monthly reports. + Prepares audit lead schedules for outside audit firms. **QUALIFICATIONS** Bachelor's degree or equivalent ... in accounting field preferred. Certified Public Accountant (CPA), Certified Internal Auditor (CIA) or Certified Information Systems Auditor (CISA) certification… more
- Johns Hopkins University (Baltimore, MD)
- …+ Represent department on assigned Institutional committees + Mentor and guide internal auditor staff in the execution of their assigned projects. + Demonstrate a ... Associate Directors, Executive Director Operational Audits, and Chief Audit Officer. + Lead and/or direct work of audit staff regarding review of scope statements,… more
- Excellus BlueCross BlueShield (Rochester, NY)
- …in a clear and concise manner. + Analyzes proactive detection reports and claims data to identify red flags/aberrant billing patterns. + Manages cases as assigned, ... discussions with Medical Directors and/or clinical consultants. + Serves as an internal auditor /peer reviewer for new clinical staff, as needed. + Mentors (to others… more