- LA Care Health Plan (Los Angeles, CA)
- …health plans contracted with LA Care. This role works closely with the Supervisor and/or Lead Auditor on identification and resolution of issues in a timely and ... Financial Compliance Auditor III Claims Job Category: Accounting/Finance Department: Financial Compliance Location: Los Angeles, CA, US, 90017 Position Type:… more
- CHS (Clearwater, FL)
- **Overview** ** ** ** Claims and Call Auditor (Call Center QC) - Clearwater, FL** ** ** **Summary** The Claims & Call Auditor audits processed medical ... accuracy, and work with the MPS Call Center Manager/Supervisor/Team Lead and analyze the data for training purposes. +...and lifting up to thirty (30) pounds. ** ** ** Claims and Call Auditor (Call Center QC)… more
- New York State Civil Service (Albany, NY)
- NY HELP Yes Agency Agriculture & Markets, Department of Title Auditor 1 or Trainee (NY HELPS) Occupational Category Other Professional Careers Salary Grade 18 ... State Department of Agriculture and Markets is seeking two Auditor 1 or Trainees to work in Albany. The...integrity of the tax credit mid-year advance and year-end claims . Duties and responsibilities include but are not limited… more
- Mohawk Valley Health System (Utica, NY)
- SUPV CODING AUDITOR & EDUCATOR Department: MEDICAL GROUP ADMINISTRATION Job Summary The Supervisor Coding Audit and Education is responsible for overseeing medical ... and education initiatives within the Medical Group. This role supervises Coding Auditor & Educators and conducts coding audits, ensuring adherence to national… more
- Elevance Health (Woburn, MA)
- **DRG CODING AUDITOR ** **Location** : _This position will work virtually._ _Alternate locations may be considered._ The **DRG CODING AUDITOR ** is responsible for ... auditing inpatient medical records and generating high quality recoverable claims for the benefit of the company, for all...is designed to advance our strategy but will also lead to personal and professional growth for our associates.… 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
- Elevance Health (MD)
- **Clinical Provider Auditor Senior** **Supports Payment Integrity line of business** _Lo_ _cation: This is a field position expected to be in clinic 60% of the time ... eliminate and prevent unnecessary medical-expense spending. The **Clinical Provider Auditor Senior** is responsible for identifying issues and/or entities that… more
- Elevance Health (Miami, FL)
- **Provider Auditor ** _This position will work a hybrid model (remote and office), 1 time per week. The Ideal candidate will live within 50 miles of one of our ... to recover, eliminate and prevent unnecessary medical-expense spending. The **Provider Auditor ** conducts on-site reviews of medical charts, medical notes, itemized… more
- Ross Stores, Inc. (Dublin, CA)
- …conflicts\. * Tie out Landlord receivable balances by isolating overcharges, audit claims , misapplied checks, and unpaid charges\. * Contribute to the development ... implementation of the proprietary lease audit/administration software \(PD Sitelink\) enhancements\. Lead user acceptance testing process\. * Act as primary contact… more
- Axis (New York, NY)
- …accurate evaluation of claims and litigation in a manner that exceeds auditor expectations. *Preferred candidates will be able to commute to an AXIS office, we ... part in the selection process. Reporting to Head of Primary Casualty Claims and under limited direction, provides technical and administrative supervision to a… more