- Sedgwick (Fayetteville, NC)
- …Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Claims Compliance Auditor | Dedicated Client | Liability & Auto experience ... preferred | Remote **Experience** **Five (5) years claims management experience or equivalent combination of education and experience required. Two (2) years of… more
- Humana (Raleigh, NC)
- …Coding Quality Team is looking is an experienced and well-grounded medical coding auditor to quality review the inpatient hospital claims for proper ... this role, you will conduct quality reviews of coding processes within the Claims Cost Management organization, including offshore and vendor partners, with a focus… more
- Humana (Raleigh, NC)
- …about 340+ senior focused primary care centers in 15 states. The Regulatory Compliance team that supports the PCO is responsibility to assess, investigate, audit and ... validate the mitigation of compliance risk across the organization. This team ensures that...(related to billing, coding, collections for Medicare and Medicaid claims ) + Experience with Auditing and monitoring of healthcare… more