- Cognizant (Olympia, WA)
- ** Claims Auditor ** ( remote ) This is a remote position open to any qualified applicant that lives in the United States. **Summary:** Our Cognizant ... to perform the following duties and work as part of our established claims adjudication team. We are seeking highly motivated healthcare professionals with auditing… more
- WTW (Chicago, IL)
- **Description** As a Lead Auditor you will apply your audit, project management and client management skills to lead client audits. You will serve as the team leader ... will review discrepancy issues identified by field auditors, re-adjudicate claims , resolve open issues, and draft the final report....work in a "hybrid" style, with a mix of remote , in-person and in-office interactions dependent on the needs… more
- Robert Half Accountemps (Boston, MA)
- Description Job Title: Medical Claims Auditor - RN Auditor Location: Massachusetts - 90% Remote Job Type: 1 Year Contract - Potential for Perm Hire ... 1, 2025 Job Description We are seeking a qualified Auditor with healthcare experience to support Program Integrity activities...perform onsite audits (1-4 times per month) + Evaluate claims and provider documentation for compliance and accuracy +… more
- Humana (Boise, ID)
- …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
- Sedgwick (Buffalo, NY)
- …Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Attorney Auditor ** **This is a fully remote position, and candidates residing ... 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
- CareFirst (Baltimore, MD)
- …for systematic investigations of a specific area of operations (ie, claims , customer service, enrollment) within the organization. Incumbent conducts a variety ... to negotiate effective solutions to audit issues. + Knowledge of all claims , service and enrollment processing systems. + Excellent communication skills (verbal and… 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 Tampa Bay area. **Position Details:** + **Location:** Fully Remote (must reside in the state of Florida, Georgia,...The Inpatient Coding Auditor performs inpatient encounter audits and evaluates compliance related… more
- UPMC (Pittsburgh, PA)
- …full time position working Monday through Friday daylight hours and will be fully remote .. The Clinical Auditor /Analyst is an integral part of the Risk ... UPMC Health Plan has an exciting opportunity for a Risk Adjustment Clinical Auditor /Analyst position in the Medicare department. This is a… more
- Insight Global (South Jordan, UT)
- Job Description Insight Global is seeking a DRG Validation Auditor for one of our clients to sit 100% remote . This person should have an extensive background in ... is responsible for auditing inpatient medical records and generating high-quality recoverable claims for the benefit of our client and their clients. They are… more
- Centene Corporation (Cheyenne, WY)
- …**Position Purpose:** Audit medical record coding to ensure high dollar claims are processed appropriately and to identify training needs. Ensure department ... field or equivalent experience. 2+ years of medical billing, coding, or claims processing experience. Knowledge of billing practices for hospitals, physicians and/or… more