- Molina Healthcare (AZ)
- JOB DESCRIPTION Job Summary Provides support for claims audit activities including identification of incorrect coding, abuse and fraudulent billing practices, waste, ... overpayments, and claims processing errors. **Essential Job Duties** + Audits the...errors. **Essential Job Duties** + Audits the adjudication of claims using standard principles, and state-specific regulations to identify… more
- Humana (Phoenix, AZ)
- …Where you Come In Humana is looking for an experienced medical coding auditor to review inpatient hospital claims for proper reimbursement, handle provider ... caring community and help us put health first** The Inpatient Medical Coding Auditor extracts clinical information from a variety of medical records and assigns… more
- DoorDash (Tempe, AZ)
- …company's bottom line. The team is divided into three separate subgroups: Actuarial, Claims Operations, and Risk Management & Mitigation. We are looking for forward ... DoorDash. About the Role We are seeking an experienced claims specialist who will be a member of DoorDash's...The Covey tool has been reviewed by an independent auditor . Results of the audit may be viewed here:… more
- Molina Healthcare (Scottsdale, AZ)
- …Healthcare claim audits including, but not limited to; vendor, focal, audit the auditor . Confirm that documentation is clear and concise to ensure accuracy in ... auditing of critical information on claims ensuring adherence to business and system requirements of...& ABILIITIES:** + Minimum 2 years as an operational auditor for at least one core operations function +… more
- CVS Health (Phoenix, AZ)
- …Client Audit team in a Manager role. This is a client-facing auditor position that is responsible for coordinating, managing, tracking, reviewing, researching, and ... of exceptions identified during the audit process, specifically related to pharmacy claims . This includes having a working knowledge base around pharmacy claim… more
- DoorDash (Tempe, AZ)
- …of DoorDash operations through adjudication of background checks and insurance claims , investigation of safety incidents, and implementation of quality measures for ... 29, 2024. The Covey tool has been reviewed by an independent auditor . Results of the audit may be viewed here: Covey (https://getcovey.com/nyc-local-law-144) About… more