Claims auditor jobs in United States

The Clinical Documentation Integrity (CDI) Auditor is responsible for providing expert second level review to ensure the quality and integrity of medical records. Responsibility includes validating ICD-10-CM/PCS codes by examining medical record documentation of clinical findings, care rendered, ...

This position is responsible for reviewing and processing claims, including facility claims, to ensure accuracy prior to payment release. Responsible for management and monitoring of claims compliance with all products and lines of business for managed care claims payments. Responsible to train c...

Company Summary DISH, an EchoStar Company, has been reimagining the future of connectivity for more than 40 years. Our business reach spans satellite television service, live-streaming and on-demand programming, smart home installation services, mobile plans and products, and now we are building ...

It takes great medical minds to create powerful solutions that solve some of healthcare’s most complex challenges. Join us and put your expertise to work in ways you never imagined possible. We know you’ve honed your career in a fast-moving medical environment. While Gainwell operates with a sens...

It takes great medical minds to create powerful solutions that solve some of healthcare’s most complex challenges. Join us and put your expertise to work in ways you never imagined possible. We know you’ve honed your career in a fast-moving medical environment. While Gainwell operates with a sens...

*Must be permanently authorized to work in the U.S. as a precondition of employment. Your career starts now. We are looking for the next generation of health care leaders. At AmeriHealth Caritas, we are passionate about helping people get care, stay well and build healthy communities. As one of...

Our client is looking for experienced Medical Claims Examiners and Auditors for immediate, long term needs. We are currently seeking a dynamic and experienced Senior Medical Claims Examiner/Auditor to join our team. The successful candidate will play a critical role in examining and auditing medi...

Audits inpatient coded records, provides continuing education of all inpatient coding staff and facilitates the inpatient coding work flow. ResponsibilitiesThe primary purpose of the Inpatient Coding Data Quality Auditor/Educator is to ensure the consistent processing of claims and collection of ...

Company Overview: RiteChoice Pharmacy is a solutions-based 340b contract pharmacy company dedicated to providing exceptional patient care, innovative solutions, and advancing healthcare outcomes. We are committed to improving the health and well-being of individuals and communities through our co...

Position Title: Quality Manager Company : Confidential Location: Austin, Texas Job Overview: The Quality Manager is responsible for leading a team of quality professionals and overseeing all aspects of the organization's quality management system. This includes developing and implementing quality...

Position is in New York on hybrid schedule after training. Please apply if you have Workers Compensation experience in Underwriting and Auditing. We are a leader in the NYS workers’ compensation safety group insurance market. Known for our excellence in service, our staff makes the complex easy f...

AMETEK, Inc. is an American multinational conglomerate and global designer and manufacturer of electronic instruments and electromechanical devices with headquarters in the United States and over 220 sites worldwide. https://www.ametek.com/ Job description: The Quality Engineer (QE) is a technica...

Position Overview Claims Quality Auditor is responsible for reviewing claims to determine if ... all staff. The incumbent will also perform special projects. Job Description * Audit daily ...

Alan Gray LLC is a leading audit and advisory firm with over 30 years of excellence in providing a range of services to insurance-industry clients. Our goal is to help our clients realize significant ...

This position will work with our Third-Party Administrator's (TPA's) on a daily basis in our Claims Teams with interaction with several other areas in our Medical Stop-Loss Division. Duties ...

Being able to analyze the call and direct appropriately. * Transcribing calls from governmental ... Please copy the following link below into your browser to complete the survey: htps://surveys ...

The procedure(s) billed and paid were, in fact, covered by the plan and do not appear to be ... Appropriate approvals were applied to high dollar claims (pre- and post-payment), and * Sufficient ...

... no longer a worry · Provide client support with benefit/health insurance questions · Identify ... A background in medical billing or insurance claims administration (Medical Billing and Coding ...

Background in medical billing or insurance claims administration (Medical Billing, Coding and Collections Specialists, and/or Health Insurance Claims Administrators strongly preferred). * 3-5+ years ...

Review claim documentation, including medical records and billing codes, to ensure proper coding and billing practices. Identify errors, discrepancies, and potential fraud or abuse in claims ...

Brown and Toland Physicians, Altais Medical Group Riverside, and Family Care Specialists. About ... About Your Work As the Claims Quality Assurance Auditor, you will be responsible for reviewing ...

Coordinate with trucking companies to schedule shipments and trucking activity in support of delivery and receipt schedules in an efficient, timely, and cost-efficient manner. Coordinate with other ...

Major National Insurance Carrier is looking for a strong commercial liability claims professional ... General liability. The duties of this job will include reviewing claims, and performing audits as ...

Background Alan Gray LLC is a leading audit and advisory firm with over 30 years of excellence in providing a range of services to insurance-industry clients. Our goal is to help our clients realize ...