Claims QA Auditor jobs

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Quality Assurance Auditor - Specialty Lines
QBE North America 28 reviews - Atlanta, GA
Evaluate Claims files against established best practices and Claims guidelines for accuracy. Aggregate results for all QA Audit measurements performed and share...
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AP Document Management Specialist
Cross Country Home Services, Inc. - City of Sunrise, FL
Pull invoice copies as requested by management and auditors. Maintain all aspects of scanning/filing corporate and claims invoices according to established...
Sponsored by Cross Country Home Services, Inc.
Quality Engineer - Data Analyst
Abbott Laboratories 731 reviews - Santa Ana, 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

Quality Engineer - Data Analyst

Abbott Laboratories 731 reviews - Santa Ana, CA
Auditor certification from an industry recognized organization desired. Provide QA technical and compliance expertise as part of development teams in...

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....

Senior Auditor

Connolly iHealth Technologies, LLC 20 reviews - Louisville, KY  +1 location
QA Claim Association/Concepts. Patient Financial Services, Provider Billing, Patient Remittance, Patient, Billing, Third Party Billing, Claim authorizers, Claim...

Hospital Billing Compliance Specialist

MedAssets, Inc 72 reviews - Plano, TX
A plus is experience as a nurse auditor or billing compliance expert. Ensure integrity of claim editing logic across payers, to ensure appropriateness of edits...

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....

Medical Coder

Robert Half - Brentwood, TN 37027
$25 an hour
The QA Auditor will audit medical records in electronic formats using ICD-9-CM for charts in dates of service over a two-year range....
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Remote Medical Records Abstractor - North Greenville, Greenv...

Molina Healthcare 159 reviews - Greenville, SC
Must have experience with HEDIS technical specification leading to departmental QA, claims. Skilled use of HEDIS software for data entry, over reading, QA...

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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Healthcare Coding Analyst

Performant Financial Corporation 4 reviews - San Angelo, TX
Performing claims look-up in CWF and MAC claims processing systems. Knowledge of commercial claims processing systems....

Supervisor, Claims Administration I

HMSA 13 reviews - Honolulu, 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)...
Quality Assurance (QA) Auditor
HealthSmart 13 reviews - Englewood, CO
Audit to Trilogy Claims Handbook. Claims, Training, Plan Build, Systems, and Contracts. The primary responsibility of a QA Auditor is to audit internal...
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Quality Assurance Auditor - HCC, Risk Adjustment Coder - Tel...
UnitedHealth Group 2,190 reviews - Brentwood, TN
Review QA findings with individual coders. Positions in this function are responsible for all aspects of Quality Assurance within the Claims job family....
Sponsored by UnitedHealth Group
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UnitedHealth Group is the most diversified health care company in the United States and a leader worldwide in helping people live healthier