- Elevance Health (Winston Salem, NC)
- ** Claims Auditor I** **Virtual:** This role enables associates to work virtually full-time, with the exception of required in-person training sessions, providing ... employment, unless an accommodation is granted as required by law._ The ** Claims Auditor ** **I** is responsible for pre and post payment and adjudication audits… more
- Elevance Health (Winston Salem, NC)
- ** Claims Auditor Senior** **Location :** This role enables associates to work virtually full-time, with the exception of required in-person training sessions, ... for employment, unless an accommodation is granted as required by law._ The ** Claims Auditor Senior** is responsible for auditing of high dollar claims … more
- Sedgwick (Raleigh, NC)
- …Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Attorney Auditor ** **This is a fully remote position, and candidates residing in any ... United States are encouraged to apply. As an Attorney Auditor at Sedgwick, you'll have the opportunity to take...other roles.** **Sedgwick is the world's leading risk and claims administration partner, which helps clients thrive by navigating… more
- Elevance Health (Winston Salem, NC)
- **Clinical Provider Auditor II** **Supports the Payment Integrity line of business** **Hybrid 1** : This role requires associates to be in-office **1-2** days per ... recover, eliminate and prevent unnecessary medical-expense spending. The **Clinical Provider Auditor II** is responsible for identifying issues and/or entities that… more
- Elevance Health (Winston Salem, NC)
- **Clinical Provider Auditor II** This role requires associates to be in-office **1 - 2** days per week, fostering collaboration and connectivity, while providing ... recover, eliminate and prevent unnecessary medical-expense spending. The Clinical Provider Auditor II is responsible for identifying issues and/or entities that may… more
- BayCare Health System (Raleigh, NC)
- …7:00 AM to 3:30 PM + **Days:** Monday - Friday The Inpatient Coding Auditor is a full-time remote position. _Sign on bonuses available!_ Responsibilities + The ... Inpatient Coding Auditor performs inpatient encounter audits and evaluates compliance related...Performs special audits for specific issues within facility Inpatient claims . + Acts as the Liaison for coding issues… more
- Highmark Health (Raleigh, NC)
- …Professional Coder (CPC), Certified Outpatient Coder (COC), Certified Professional Medical Auditor (CPMA) + 5 years with hospital or physician coding and/or ... and communication skills Preferred + Associate's Degree + 3 years with claims processing and data management + Past auditing and strong education/training background… more
- Humana (Raleigh, NC)
- …cycle management (related to billing, coding, collections for Medicare and Medicaid claims ) + Experience with Auditing and monitoring of healthcare records + Must ... be able to work core business hours on EST time between (9am-5pm). + Willingness to travel up to 10% to conduct audits at site locations. + Ability to manage multiple or competing priorities and meet deadlines + Must be passionate about contributing to an… more
- BD (Becton, Dickinson and Company) (Four Oaks, NC)
- …Ensure compliance with quality systems, including holds, product disposition, intracompany claims , QMS audits, and metric data analysis. + Regulatory Compliance: Act ... Industry-recognized certification in a quality system element (eg, ASQ Certified Quality Auditor ) is preferred. **Knowledge and Skills** + Self-motivated and able to… more
- BD (Becton, Dickinson and Company) (Four Oaks, NC)
- …products with a focus on minimizing Zero Escape incidents. + Oversee intracompany claims and drive the resolution process. + Conduct and handle QMS Audits, ensuring ... in a Quality System Element or specialty (eg, ASQ Certified Quality Auditor ) is highly desirable. + Experience as a designated representative preferred. **Knowledge… more