The Medicaid Auditor must use a variety of tools to initiate and apply sound auditing principles to Medicaid managed care investigations and audits, identify subjects and develop cases for future action, including referral to law enforcement, education, over payment recovery and other administrative...
Key Responsibilities:Conduct various audits including vendor, focal, and audit the auditorReview and evaluate documentation related to member enrollment, provider contracts, and claim processing guidelinesPresent audit findings and make recommendations for improvements to managementRequired Qualific...
Must have CPC or CCS certification .Minimum 1 year Professional Coding Auditing exp (coder auditing) .E/M Coding & Outpatient procedural coding .Preferred specialty areas: Cardiology, Gastroenterology, Surgery, Behavioral Health .Physician Coding (CPT, ICD-10, HCPCS) .Must have CPT and ICD-10 experi...
Must have CPC or CCS certification .Minimum 1 year Professional Coding Auditing exp (coder auditing) .E/M Coding & Outpatient procedural coding .Preferred specialty areas: Cardiology, Gastroenterology, Surgery, Behavioral Health .Physician Coding (CPT, ICD-10, HCPCS) .Must have CPT and ICD-10 experi...
We are seeking a skilled CLAIMS AUDITOR with 5+ years of STOP LOSS experience to join our well-respected and successful insurance organization. As a Claims Auditor, your primary duties include:. ...
Paro leverages proprietary AI technology to match our highly vetted experts with companies on an on-demand, hourly basis to solve their problems and drive growth.We have curated a network of prestigious firms who are embracing the gig economy.Paro empowers top industry experts to reimagine work, esc...
El Auditor de Inventario Latam trabaja para minimizar muchas formas de riesgos para la situación financiera de la empresa. Auditoria, Gestión de Inventarios. Licenciatura en Auditoría, Admin. ...
Premium Auditor / Auditor Assistant positions. Property & Casualty (P&C) or Life & Health insurance carrier or MGU in an auditor role. ...
The Senior IT Auditor role is a REMOTE role. ...
The Parcel Auditor will analyze and correct parcel and regional carrier invoices for rating accuracy for assigned clients. ...
Premium Auditor / Auditor Assistant positions. Property & Casualty (P&C) or Life & Health insurance carrier or MGU in an auditor role. ...
Remote Supplier Claims Auditor. ...
Kemper is seeking a talented Lead Auditor with a strong background in Information Technology General Controls (ITGC), Sarbanes Oxley (SOX), information security and/or cybersecurity to join our Assurance & Advisory Services (A&A) team. As a Lead Auditor, you will be a key contributor to the IT SOX p...
Medpace is a full-service clinical contract research organization (CRO).We provide Phase I-IV clinical development services to the biotechnology, pharmaceutical and medical device industries.Our mission is to accelerate the global development of safe and effective medical therapeutics through its sc...
Audits department's work that spans the broad spectrum of healthcare performance measurement projects at HSAG.Driven by intellectual curiosity and a passion for healthcare quality, this position performs-under supervision-healthcare auditing, data validation, and performance measurement projects thr...
Are you an audit professional looking to move away from traditional internal or external audit and towards a more consultative role? Are you looking to partner with management on projects, initiatives, and changes impacting the system of internal control? If so, we have an Internal Control Senior Au...
You could be the one who changes everything for our 28 million members.Centene is transforming the health of our communities, one person at a time.As a diversified, national organization, you’ll have access to competitive benefits including a fresh perspective on workplace flexibility.Candidate must...
The Energy Auditor & Inspector will support ICAST’s efforts in Texas and the Western United States to provide its multifamily (MF) customers with energy savings through suggesting high efficiency HVAC, hot-water, lighting, and building shell measures. The Energy Auditor & Inspector’s key res...
As an Auditor II you will, support Internal Audit by carrying out assurance and consulting engagements (collectively, audits) designed to add value and improve the effectiveness of the Bank's operations. Assist internal and external auditors, consultants, and regulatory examiners. Lead, design, and ...
Premium Auditor / Auditor Assistant positions. Property & Casualty (P&C) or Life & Health insurance carrier or MGU in an auditor role. ...
The auditor performs control testing and fully documents the procedures performed and any findings as a result of testing. Performs year-end audit tasks under the guidance of our external auditors in order to reduce overall audit fees for the company. ...
Evaluates coding based on Coding Guidelines.Reviews records for all care settings.Identifies high volume, high risk coding, and reimbursement and quality problems.Responsible for accurate assessment, analysis and summary of findings for coding validation.Provide auditing and feedback that is incorpo...
As the Senior Auditor, you will participate in the development, planning, and execution of the annual Audit Plan. WEX is looking for an auditor who has a demonstrated record of accomplishment in leading operational and integrated audits. ...
Identify any system changes and work to notify the Plan CIA Manager on any risk or impact.Configuring client System as per the requirement and according to defined business rules .Analyze trends in claims processing issues and assist in identifying and quantifying issues and reviewing work processes...