Claims QA Auditor jobs

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Health Care Documentation Auditor

Performant Financial Corporation 4 reviews - San Angelo, TX
Assist with QA functions as applicable. Documentation Auditor is the performance of timely and effective reviews to....

Medical Review Nurse (MRN)

Performant Financial Corporation 4 reviews - San Angelo, TX
Assist with QA functions. Performs medical claims audit reviews. Audits on claims for Government, and Commercial Payers....

Remote IP/OP Auditor

Altegra Health 81 reviews - Alabama
Remote IP/OP Auditor. The Remote IP/OP Auditor will have the following responsibilities:. Altegra Health leads the U.S....

Supervisor, Claims Administration I

HMSA 10 reviews - Kapolei, HI - +1 location
Ensures program compliance and timely and accurate claims processing with appropriate contracted programs (i.e., Federal Plan 87, State Health Fund Plan)...

Director Consulting, Training

CGI 512 reviews - Cleveland, AL
20+ years of DRG Audit and QA Experience. Proven leadership skills in training program development and delivery in a healthcare claims auditing environment....

Hospital Coding Auditor (IP/OP) - Remote/Part Time

Altegra Health 81 reviews - Alabama - +1 location
Perform QA reports. Hospital Coding Auditor (IP/OP) - Remote/Part Time. The Coding Auditor will have the following responsibilities:....

Clinical Appeals Nurse (RN)

LifeCare Corporate Office - Plano, TX
The Revenue QA Nurse coordinates audit requests that hospitals receive from payers. Reviews claims and LMS processes for MUE, CCI, LCD, and NCD edits....

QA PROGRAM ENGINEER I - NPI

Abbott Laboratories 688 reviews - Sunnyvale, CA
Auditor certification from an industry recognized organization desired. Provide QA technical and compliance expertise as part of development teams in...

Coding QA/Internal Auditor

M*Modal - United States
O Candidate will function as domestic QA support for MModal’s global coding operations. Working knowledge of how to research within the Medicare Claims and...

Auditor - Coding Services

M*Modal - United States
Tasks may include internal QA dependent on pending work. The Auditor conducts clinical coding audits as defined by client contracts for audit service....
Claims Quality Assurance Auditor II
BMC HealthNet Plan and Well Sense - Boston, MA
The Claims Quality Assurance (QA) Auditor II is a senior auditor role supporting the accuracy, consistency and quality of claims processing by conducting audits...
Sponsored by Boston Medical Center HealthNet Plan  - 9 days ago
QA PROGRAM ENGINEER I - NPI
Abbott Laboratories 688 reviews - Sunnyvale, CA
Auditor certification from an industry recognized organization desired. Provide QA technical and compliance expertise as part of development teams in...
Sponsored by Abbott Laboratories  - 5 days ago
QA Supplier Engineer
Abbott Laboratories 688 reviews - Milpitas, CA
Auditor certification from an industry recognized organization desired. Provide QA technical and compliance expertise as part of development teams in...
Sponsored by Abbott Laboratories  - 30+ days ago

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