Claims QA Auditor jobs

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Sr. Audit & Reporting Specialist
EmblemHealth - 417 reviews - New York, NY
Performs weekly reviews to ensure claims data is accurate. Coordinates document preparation for the audits and performs QA to ensure accuracy and completeness....
Nurse Auditor - RN
MJ Morgan Group - 11 reviews - New York, NY
Requirements of the Nurse Auditor:. Job Responsibilities of the Nurse Auditor:. Great opportunity for aNurse Auditor in the NYC area....
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Specialist - QA Product Quality Management

VWR International, LLC - 319 reviews - Radnor, PA
Supports supplier qualification and site audits in conjunction with Regulatory and QA department needs. Complete auditor training and perform Internal audits...

Sr. Audit & Reporting Specialist

EmblemHealth - 417 reviews - New York, NY
Performs weekly reviews to ensure claims data is accurate. Coordinates document preparation for the audits and performs QA to ensure accuracy and completeness....

Senior Manager, Claims Quality

Genworth - 286 reviews - Lynchburg, VA
Provide impacts/improvements to QA and develop the new QA workflow. Senior Manager, Claims Quality. Lead and motivate the QA Team....

Manager of SOX

Gallagher - 407 reviews - Rolling Meadows, IL
Gallagher also offers claims and information management, risk control consulting and appraisal services to clients around the world....

Revenue Integrity Nurse Auditor

St. Joseph Medical Center - 182 reviews - Houston, TX 77002 (Downtown area)
Assist in resolving billing edits that are holding patient claims from billing, by reviewing medical records and other applicable documentation....

Manager, Quality Control Claims

Blue Cross Blue Shield of Arizona Advantage - 4,635 reviews - Phoenix, AZ 85029 (North Mountain area)
Provide impacts/improvements to QA and develop the new QA workflow. 3 years of experience in claims administration, management of a claims team....

Manager, LTC Audits

HMS - 570 reviews - Windsor, CT
Responsible for maintaining quality assurance and continuous process improvement for all assigned projects and staff performance, including completion of...

Quality Manager - Behavioral Health and ...

County of San Mateo - 13 reviews - San Mateo County, CA   +1 location
$53.33 - $66.67 an hour
The QA Manager's primary responsibilities include:. Assist County Counsel and County Risk Management with claims and litigations;...

Nurse Auditor

Liberty Hospital - 58 reviews - Liberty, MO 64068
Experience as a hospital nurse auditor. Assist in resolving billing edits that are holding patient claims from billing, by reviewing medical records and other...

Mgr Rev Cycle Fin Analy PFS

Children's Hospital of Philadelphia - 442 reviews - Philadelphia, PA 19107 (City Center East area)
Managing PFS Analyst Support staff and Auditor. Responsible for direct supervision of the Analyst and Quality Auditor team....
Quality Assurance Director
Benjamin Moore - 65 reviews - Montvale, NJ
12+ years Consumer Products Company QA experience. Build a QA organization to assure compliance to Benjamin Moore Quality System....
Cost Outlier Auditor - MEDICAL
ACCESS HEALTHCARE STAFFING AND RECRUITMENT - Las Vegas, NV
Cost Outlier Auditor. Perform QA of reviewers as assigned. Perform various reviews such as Cost Outliers, Day Outliers, Pre and Post payment Utilization review,...
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Director Quality Assurance
Benjamin Moore & Co. - 6 reviews - Montvale, NJ 07645
12+ years Consumer Products Company QA experience. Build a QA organization to assure compliance to Benjamin Moore Quality System....
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