Healthcare Auditor

Coding Auditor Role at TTS Technologies100% Remote OpportunityContract to Hire PositionAbout the JobAs a Coding Auditor at TTS Technologies, you will play a critical role in ensuring the accuracy and integrity of outpatient coding and auditing for various medical specialties.Key ResponsibilitiesAudit and analyze medical coding systems to ensure compliance...

Job Title: Clinical AuditorZelis is seeking a skilled Clinical Auditor to join our team. As a Clinical Auditor, you will be responsible for conducting thorough reviews of healthcare claims to ensure compliance with medical guidelines and regulations.Key Responsibilities:Conduct in-depth reviews of healthcare claims to identify potential errors or...

Job Title: Clinical AuditorAt Zelis, we are seeking a highly skilled Clinical Auditor to join our team. As a Clinical Auditor, you will be responsible for conducting in-depth reviews of medical claims to ensure compliance with accepted medical guidelines and clinical criteria.Key Responsibilities:Conduct thorough reviews of medical claims to identify...

Job Title: Clinical AuditorZelis is seeking a skilled Clinical Auditor to join our team. As a Clinical Auditor, you will be responsible for conducting thorough reviews of healthcare claims to ensure compliance with medical guidelines and regulations.Key Responsibilities:Conduct in-depth reviews of healthcare claims to identify potential errors or...

Job SummaryZelis is seeking a skilled Nurse Auditor to join our team. As a Nurse Auditor, you will be responsible for conducting thorough reviews of healthcare claims to ensure accuracy and compliance with industry guidelines.Key ResponsibilitiesConduct in-depth reviews of healthcare claims to identify errors and discrepanciesApply knowledge of medical...

Job SummaryZelis is seeking a skilled Clinical Auditor to join our team. As a Clinical Auditor, you will be responsible for conducting in-depth claim reviews to ensure compliance with medical guidelines and billing rules.Key ResponsibilitiesConduct post-service, pre or post payment claim reviews based on accepted medical guidelines and clinical...

Job SummaryThe Department of Law is seeking a highly skilled Investigative Auditor to join our team in the Medicaid Fraud Division. As an Investigative Auditor, you will play a critical role in uncovering and preventing Medicaid fraud, ensuring the integrity of our healthcare system.Duties and ResponsibilitiesDevelop and maintain comprehensive knowledge of...

Job SummaryWe are seeking a highly skilled Internal Auditor II to join our team at WellStar Health System. As an Internal Auditor II, you will be responsible for conducting financial, operational, and compliance audits in accordance with professional standards, organizational policies, and applicable laws and regulations.Key ResponsibilitiesPlan and conduct...

Accountants One is seeking a highly skilled Senior Internal Auditor to join our team in the healthcare-related industry. As a Senior Internal Auditor, you will have minimal travel requirements and a flexible work schedule, with the opportunity to work on multiple projects simultaneously.Key Responsibilities:Identify and Mitigate Risks: Conduct thorough risk...

Job SummaryZelis is seeking a skilled Clinical Auditor to join our team. As a key member of our team, you will be responsible for conducting in-depth claim reviews to identify revenue opportunities and optimize payment integrity.Key ResponsibilitiesConduct post-service, pre or post payment claim reviews based on accepted medical guidelines and clinical...

Job SummaryZelis is seeking a highly skilled Clinical Auditor to join our team. As a key member of our organization, you will be responsible for conducting thorough reviews of healthcare claims to ensure compliance with medical guidelines and billing rules.Key ResponsibilitiesConduct in-depth reviews of facility and outpatient bills to ensure accuracy and...

Job SummaryZelis is seeking a highly skilled Clinical Auditor to join our team. As a key member of our team, you will be responsible for conducting in-depth claim reviews to identify revenue opportunities and ensure compliance with medical guidelines and billing rules.Key ResponsibilitiesConduct post-service, pre or post payment claim reviews to identify...

Hospital Bill Auditor Job DescriptionWe are seeking a highly skilled Registered Nurse to join our revenue integrity team as a Hospital Bill Auditor. This is a full-time permanent opportunity that offers growth opportunities and a chance to work with a managed care company.Key Responsibilities:Conduct audits of hospital bills to ensure accuracy and compliance...

Job SummaryWe are seeking a highly skilled Financial Accounting Analyst to join our team at Emory Healthcare. As a key member of our financial team, you will be responsible for providing financial analysis and support to ensure the accuracy and integrity of our financial reporting.Key ResponsibilitiesDevelop and maintain financial models and analyses to...

Job SummaryWe are seeking a highly skilled Financial Accounting Analyst to join our team at Emory Healthcare. As a key member of our financial team, you will be responsible for providing financial analysis and support to ensure the accuracy and integrity of our financial reporting.Key ResponsibilitiesDevelop and maintain financial models and analysis to...

Job Title: Nurse ReviewerJob Summary:Zelis is seeking a highly skilled Nurse Reviewer to join our team. As a Nurse Reviewer, you will be responsible for conducting post-service, pre or post payment in-depth claim reviews based on accepted medical guidelines and clinical criteria, billing and coding rules, plan policy exclusions, and payment...

Job SummaryThe Nurse Reviewer will be responsible for conducting in-depth claim reviews based on accepted medical guidelines and clinical criteria, billing and coding rules, plan policy exclusions, and payment errors/overpayments. This role requires a strong understanding of audit techniques, identification of revenue opportunities, and financial negotiation...

Job SummaryWe are seeking a highly skilled Research Compliance Specialist to join our team at Children's Healthcare of Atlanta. In this role, you will be responsible for ensuring compliance with federal and state regulations and guidelines related to pediatric clinical research.Key ResponsibilitiesDevelop and implement research policies and procedures in...

Job SummaryWe are seeking a highly skilled Senior Net Patient Service Revenue Analyst to join our team at Emory Healthcare. As a key member of our revenue cycle team, you will play a critical role in ensuring the accuracy and efficiency of our net patient service revenue processes.ResponsibilitiesAssist in year-end audits and provide detailed schedules and...

Job SummaryWe are seeking an experienced Accounting Manager to join our team at Experity Defunct. The successful candidate will be responsible for overseeing multiple functions within the Accounting Department, including Financial Statement Preparation, Financial Reporting, Technical Accounting Research, Treasury, and/or Other General Accounting...