Claims QA Auditor jobs

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Frazee Recruiting Consultants, Inc. - Baton Rouge, LA
Supports internal and external auditors in the testing of application controls. End to End Claims Process testing in Facets 6 months+....

Auditor, QA, MCR

Connolly iHealth Technologies, LLC 17 reviews - Conshohocken, PA
This critical assessment is necessary in order for the QA, Auditor to draw appropriate conclusions. Identifies and Enters Claims....

Corporate Compliance Manager

Scientific Search - Newark, DE
Support activities related to the Products Liability policy including annual renewal, notification of insurance claims / legal action, investigation of related...
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Medical Records QA Specialist (5 positions)

Molina Healthcare 142 reviews - Remote
Must have experience with HEDIS technical specification leading to departmental QA, claims. Skilled use of HEDIS software for data entry, over reading, QA...

Sr. Auditor - Technical Trainer (Coding)

Connolly iHealth Technologies, LLC 17 reviews - Conshohocken, PA
Auditor – Technical Trainer (Coding). Claims auditing/quality assurance/recovery auditing/customer and/or client support experience – ideally in a claim...

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....

Behavioral Health Auditor - Lead

HMS 384 reviews - Virginia
Behavioral Health Auditor - Lead. Reviews/validates behavioral health claims using standard principles and state specific policies and regulations in order to...

Information Systems Auditor 1

Health, Department of - Menands, NY
NY and QA issues; NY QA and contract compliance reviews; NY QA projects which support other agencies, e.g., the Shoppers system and IPRO recoveries and...

Senior Auditor

Connolly iHealth Technologies, LLC 17 reviews - Salt Lake City, UT
QA Claim Association/Concepts. Card, Contract Compliance, Payment Policy, Pricing, ITS, Coordination of Benefits, Management, Team Leader, Senior auditor,...

Reimbursement Auditor

Horizon Blue Cross Blue Shield of New Jersey 35 reviews - Newark, NJ
Manages adhoc requests for claim reviews from senior management. Perform QA on the semiannual NO PAR fee schedule implementation....
QA Supplier Engineer
Abbott Laboratories 676 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 - 7 hours ago
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