• Quality Auditor

    Cleveland-Cliffs Inc. (Bowling Green, KY)
    …a division of Cleveland-Cliffs Tooling and Stamping, has an immediate opportunity for a Quality Auditor in our Bowling Green, Kentucky stamping facility. The ... Quality Auditor is responsible for the final...Quality Auditor is responsible for the final stages of the...+ 2 years of related work experience in a quality environment + Ability to communicate effectively, both written… more
    Cleveland-Cliffs Inc. (06/05/25)
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  • Inpatient DRG Quality Auditor

    Humana (Frankfort, KY)
    … Quality Team is looking is an experienced and well-grounded medical coding auditor to quality review the inpatient hospital claims for proper reimbursement, ... and help us put health first** In this role, you will conduct quality reviews of coding processes within the Claims Cost Management organization, including offshore… more
    Humana (07/25/25)
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  • Auditor /Staff Auditor /Senior…

    PPL Corporation (Louisville, KY)
    …are based off the entry and intermediate levels. The Senior level Auditor may have additional responsibilities which include working with minimal guidance, mentoring ... to address areas identified as needing improvement + Prepares quality and timely workpapers supporting the results of audit-related...customers Qualifications **_This position may be filled at the Auditor , Staff Auditor or Senior Auditor… more
    PPL Corporation (07/29/25)
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  • Internal Auditor , Senior

    Elevance Health (Louisville, KY)
    **Internal Auditor , Senior** **Location:** This role requires associates to be in-office 1-2 days per week, fostering collaboration and connectivity, while providing ... accommodation is granted as required by law. The **Internal Auditor , Senior** is responsible for conducting financial/operationalaudits, internal control… more
    Elevance Health (07/24/25)
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  • Internal Auditor - Remote

    Prime Therapeutics (Frankfort, KY)
    …fuels our passion and drives every decision we make. **Job Posting Title** Internal Auditor - Remote **Job Description** The staff Internal Auditor supports the ... business processes and internal audit methodologies. The staff Internal Auditor plays a key role in identifying control gaps,...new ideas and work collaboratively to provide the highest quality of care and service to our members. If… more
    Prime Therapeutics (08/01/25)
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  • HCC Risk Adjustment Auditor - Full Time…

    Datavant (Frankfort, KY)
    …for healthcare. **What We're Looking For:** As an HCC (Hierarchical Condition Category) Auditor you will review medical records that have been coded in a ... You Will Do:** + Audit coded charts assigned by quality supervisor per the client guidelines + Ability to...a diagnosis level + Answer rebuttals entered on the auditor by coders and or auditors + Participate in… more
    Datavant (08/01/25)
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  • DRG Coding Auditor

    Elevance Health (Louisville, KY)
    **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 (07/22/25)
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  • Diagnosis Related Group Clinical Validation…

    Elevance Health (Louisville, KY)
    **Diagnosis Related Group Clinical Validation Auditor -RN** **Virtual:** This role enables associates to work virtually full-time, with the exception of required ... granted as required by law. The **Diagnosis Related Group Clinical Validation Auditor -RN** is responsible for auditing inpatient medical records to ensure clinical… more
    Elevance Health (08/01/25)
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  • Coding Auditor Educator

    Highmark Health (Frankfort, KY)
    …and retrospective coding audit activities. Reviews medical records to determine data quality and accuracy of coding, billing and documentation related to DRGs, APCs, ... processes as it relates to the DRG/APC and other clinical data quality management factors. With technical direction and assistance from management, designs and… more
    Highmark Health (05/09/25)
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  • Finance Auditor

    CDR Maguire (Frankfort, KY)
    The Finance Auditor plays a key role in the financial oversight of non-congregate sheltering operations by conducting final audits of hotel invoice packets. This ... errors or trends and provide feedback to hotel auditors or leadership for quality improvement. + Stay current on contract billing requirements, rate changes, and… more
    CDR Maguire (07/12/25)
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