Premium Auditor / Auditor Assistant positions. Property & Casualty (P&C) insurance carrier or MGU in an auditor role. ...
The Clinical Auditor I performs detailed medical record audit review of the health plan’s outpatient, professional and ancillary claims to ensure that all reimbursement to the provider is paid accurately. ...
Assist management with the maintenance and continuous improvement of the auditor training program, oversight of the training and qualification of auditors, and the development and maintenance of continuing auditor education;. Responsible for assisting management with ensuring auditors have the educa...
Kemper is seeking a talented Lead Auditor to join our Assurance & Advisory Services (A&A) team. As a Lead Auditor, you will execute and / or supervise the execution of financial, compliance, operational and/or technology-related engagements, targeted reviews, advisory projects, and issue management ...
Learn and test on 13 HEDIS measures with the expectation of passing all 13 measures with the knowledge and expertise they need to be auditors. ...
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.Responsible fo...
Creates clear and accurate audit findings and recommendations in written audit reports that will be used for advising and educating Coders, Auditors, Managers, and Directors throughout the organization. One (1) year of experience preparing and delivering education as it relates to audit findings or ...
The Senior Financial Operations Auditor will report to the Director/Senior Manager, Financial Operations Audit and will work alongside all members of the Internal Audit team in conducting audits and reviews to impact and influence positive business outcomes!. Manager and Vertical Leads, business fun...
Conducts data quality audits of inpatient admissions and outpatient encounters to validate coding assignment is in compliance with the official coding guidelines as supported by clinical documentation in health record.Validates abstracted data elements that are integral to appropriate payment method...
E&M Coding Auditor/Educator performs comprehensive audits to determine integrity of coding/billing for physician & clinical fees, detection/correction of documentation, coding/billing errors and/or medical necessity of services billed. Licenses & Certifications: AAPC Certified Professional Coder AAP...
The Lead Information Security Auditor is an experienced member of the Information Security Compliance and Audit team with responsibilities for coordinating and executing a variety of compliance audit controls to ensure compliance with information security policies, industry best practices, and indus...
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...
Energy Consultants, Energy Auditors, and Retro-Commissioning (RCx) Engineers. ...
The Senior Retail Auditor position is responsible for developing new and existing audit concepts, gaining client acceptance, training all audit levels to execute audit projects and evaluating the effectiveness of audit concepts with the goal of auditing client data generating high quality recoverabl...
The Senior Internal Auditor will execute complex internal financial and/or operational audits and risk assessments. ...
Assist in the training of other auditors and lead auditors during planned audits or during other training functions. Medical Device Auditor is responsible to make relevant decisions concerning the audit process and to inform SGS SSC as required to resolve issues outside the audit process. The Medica...
The e4health Team is on a relentless mission to care for those teams who care for others.We bring our passion, ingenuity, and expertise to every engagement.In joining our Team, we want your help to provide our customers with powerful solutions in the pursuit of quality, integrity, clinical and finan...
Premium Insurance Auditor - Remote. The Premium Insurance Field Auditor conducts insurance policy audits for Worker’s Compensation, Auto and General Liability policies. ...
Develops and oversees the execution of the individual audit test plan, supervising staff auditors, as necessary. Prepare workpapers to document relevant facts and information that support the work performed and conclusions drawn so other reviewers can follow the auditor’s logic and methodology. Comp...
Creates cyber-intelligence tools / methods and performs research and analysis in order to mitigate and eliminate high level data and cyber security risks.Designs, tests and implements state-of-the-art secure operating systems, networks, and database products.Conducts risk assessment and provides rec...
Satisfactorily completed an IRCA/Exemplar approved ISO 9001, 14001, 45001 Auditor/Lead Auditor course. The contract Lead Certification Auditor is responsible for making relevant decisions regarding certification audit and the audit process and informing SGS on issues resolution outside the audit pro...
Partner with independent auditors and provide data in support of external audits as needed . Strong knowledge of the Standards for the Professional Practice of Internal Auditing and the Code of Ethics developed by the Institute of Internal Auditors. ...
Answer rebuttals entered on the auditor by coders and or auditors. Judge Healthcare is currently seeking HCC Auditors to work REMOTE!!. Auditor specialist will be responsible for performing QA on a specific project or for a particular client. QA projects may also be assigned to the QA Auditor as nee...
Senior Internal Auditor - EverCommerce – Remote, US. ...
The Senior Internal Auditor is responsible for assisting the VP of Internal Audit in the execution of the annual Audit Plan by performing financial and operational audits, as well as controls testing to support the Company’s Sarbanes-Oxley compliance efforts for the annual external audit. ...