Jobs: medical auditor

As a medical auditor, you audit coding, billing, and organization systems to ensure accuracy. Additional auditing duties consist of analyzing medical records, Medicare programs, and billing records. A medical auditor’s primary objective is to maintain quality by recommending improvements to medical records. The job is mostly performed alone, although some...

Under the direction of the Claims Oversight Supervisor, the Internal Claims Oversight Auditor is responsible for ensuring the compliance of IEHP’s claims payment system and processes by auditing claim payments using standard principles and State and Federal regulations. The auditors are also responsible for documenting and reporting findings and ensuring...

Scope of Position Th Revenue Integrity Auditor will work with the Charge Description Master (CDM) unit to ensure the overall integrity of the CDM by maintaining a focus on accuracy, revenue cycle integrity, and compliance with third-party requirements. The Revenue Integrity Auditor processes accounts and charges via Work Queues within Epic to ensure...

Under the direction of the Claims Oversight Supervisor, the Internal Claims Oversight Auditor is responsible for ensuring the compliance of IEHP’s claims payment system and processes by auditing claim payments using standard principles and State and Federal regulations. The auditors are also responsible for documenting and reporting findings and ensuring...

Job DescriptionWe are looking for HCC Risk Adjustment Auditors/Coders to join our team Position Summary: The HCC Risk Adjustment/Auditor is responsible for maintaining and monitoring the Quality Assurance auditing plan for outpatient clinical data. This position works to improve the quality of coding documentation and data in the medical record and HCC...

The Coding Auditor demonstrates expertise in coding and billing compliance while performing audits to determine billing integrity of professional and facility/technical fees including detection and correction of documentation, coding and billing errors and/or medical necessity of services billed. Audits consist of evaluation of the adequacy and accuracy of...

This title is part of the New York Hiring for Emergency Limited Placement Statewide Program (NY HELPS). At a future date (within one year of permanent appointment), it is expected employees hired under NY HELPS will have their non-competitive employment status converted to competitive status, without having to compete in an examination. Employees will then...

**POSITION OVERVIEW** Under the direction of the Manager, Quality Assurance, this position is responsible for conducting comprehensive Health, Safety, Environmental & Quality (HSEQ) audits across PHI Health's operations, ensuring compliance with company policies & procedures and government regulations. Professionally collaborating and coordinating...

Job DescriptionJob DescriptionWe are looking for  HCC Risk Adjustment Auditors/Coders  to join our team  Position Summary:The HCC Risk Adjustment/Auditor is responsible for maintaining and monitoring the Quality Assurance auditing plan for outpatient clinical data. This position works to improve the quality of coding documentation and data in the medical...

Job DescriptionJob DescriptionWe are looking for  HCC Risk Adjustment Auditors/Coders  to join our team  Position Summary:The HCC Risk Adjustment/Auditor is responsible for maintaining and monitoring the Quality Assurance auditing plan for outpatient clinical data. This position works to improve the quality of coding documentation and data in the medical...

Agency Medicaid Inspector General, NYS Office of the Title Auditor 1/Auditor Trainee 1/Auditor Trainee 2 (NY HELPS) Occupational Category Financial, Accounting, Auditing Salary Grade 18 Bargaining Unit PS&T - Professional, Scientific, and Technical (PEF) Salary Range From $63108 to $80248 Annually Employment Type Full-Time Appointment Type Permanent...

Overview: The Senior Internal Auditor is required to perform operational, financial and compliance reviews. The incumbent is expected to have experience in auditing concepts, professional standards, and procedures to be followed. The position requires problem solving abilities along with analytical, planning, and self-management...

Night Audit ClerkFull-time/Night ShiftThe Anchorage Marriott Downtown, the only full-service property in Alaska is currently seeking a Night Auditor to join our team. We are a full-service Marriott brand in Alaska with 392 rooms located in downtown Anchorage. The hotel has a full-service restaurant, bar, room service, concierge lounge, exercise room, indoor...

SUMMARY The Healthcare Compliance Auditor would be responsible for providing assurance through audits and recommendations that adequate procedures and processes exist to ensure professional billing and coding is complete and accurate. This position will also be responsible for performing risk assessments to identify compliance and non-compliance concerns....

AuditorIn a fast changing world, it takes pioneering spirit to create trustworthy technology. We enable secure solutions for billions of people around the globe. At Giesecke+Devrient, you will play a key role in realizing the digital transformation.Job Summary:G+D is seeking a detail-oriented Auditor for our manufacturing facility in Bolingbrook, IL working...

Job DescriptionJob DescriptionSQA Services is a leading Quality Assurance and Supply Chain consultancy firm. SQA manages Supplier Audit and Supplier Development programs for customers in many industries including Pharmaceutical, Medical Device, Automotive, Aerospace, and Electronics manufacturing. Clients leverage SQA’s network of Quality Professionals in...

Job Description Job Description A Day in the Life of a Nurse Auditor: The Nurse Auditor reviews medical records for hospital clients to review including denials, disallowed charges and more for the facility. This position may perform specialized administrative duties pertaining to hospital billing and reimbursement activities, utilizing a knowledge of both...

Job DescriptionJob DescriptionMedical Billing Auditor | Medical Insurance Denial RepresentativeOKC, OK M-F 8a-5p$17-$20/HRExperience reading EOBsWork denials and understand denial codes and modifiers2+ years current experience requiredThe Billing Office Representative is responsible for processing medical claims. Duties include for verifying all patient...

Under the direction of the IPA Financial Compliance Manager, the Financial Compliance Auditor is responsible for conducting financial monitoring and oversight of IEHP’s delegated entities’ financial compliance. This will include performing audits, identifying risks, reporting the results, and working with the IPAs to ensure they develop and implement an...

WHO WE ARE: AMAZING INDIVIDUALS WORKING FOR POSITIVE PEOPLE at AIDS Healthcare Foundation Does the idea of doing something that really makes a difference in people’s lives while being well-compensated intrigue you? Are you looking to work for an organization that encourages growth and success from each and every one of its employees? If so, AIDS...