SIU Medical Coding Auditor (CPC) — Behavioral Health
CVS Health
CVS Health Corporation is seeking a Certified Professional Coder (CPC) to perform medical claim reviews for the Special Investigations Unit (SIU). The role requires thorough coding accuracy, documentation auditing, and the ability to communicate findings to investigators and leadership. Travel may be required to support reviews and investigations. Qualified candidates will have AAPC CPC certification, at least 3 years of medical/behavioral health coding experience with 1-2 years of current #J-18808-Ljbffr CVS Health
$59.3k - $80.9k
...Humana is looking for an experienced medical coding auditor to handle provider disputes in a result... .... This role focuses on Outpatient Behavioral Health Coding disputes and is part of the PPI... ...make an impact Required Qualifications CPC or CCS Certification CPT/ HCPCS...SuggestedBi-weekly payFull timeTemporary workApprenticeshipWork experience placementWork at officeRemote workWork from homeHome officeFlexible hours- Humana is seeking an experienced Outpatient Behavioral Health Coding Auditor to handle provider disputes within the PPI Coding Disputes Team. This remote role emphasizes accuracy, timeliness and compliance in CPT/HCPCS coding disputes. You will collaborate with coding...SuggestedRemote job
$59.3k - $80.9k
...a part of our caring community The Medical Coding Auditor reviews medical claims submitted against... ...Qualifications - What it takes to Succeed CPC, COC, CCS, ROCC, RHIA, or RHIT... ...people we serve to achieve their best health - delivering the care and service they...SuggestedBi-weekly payFull timeContract workTemporary workApprenticeshipWork at officeRemote workWork from homeHome officeMonday to Friday- Humana is seeking a Medical Coding Auditor to review outpatient claims against medical records, ensuring CPT/HCPCS/ICD-10-CM coding accuracy. The... ...for training may be required. Qualifications include CPC/COC/CCS with 3+ years post-certification, CPT/HCPCS proficiency...SuggestedRemote job
$21.96 per hour
...GED: Required Experience: 5 years prior medical dental, vision, FSA and HRA claims processing... ...of CPT, HCPCS, ICD9 and ICD10 medical coding Strong attention to details along with... ...based upon comparative markets. Highmark Health and its affiliates prohibit discrimination...SuggestedFor contractorsTraineeshipLocal area$41.2 - $62.17 per hour
...49 Job Description: The Revenue Integrity RN Charge/Coding Auditor is responsible for consulting on clinical charge Audits for Intermountain Health. The RN Charge Auditor will execute clinical charge audits of medical records on behalf of Intermountain hospitals and clinics...Hourly payFull timeWork at officeRemote workFlexible hours- Intermountain Health is seeking a Revenue Integrity RN Charge/Coding Auditor. This role conducts clinical charge audits of medical records for denials review and retrospective reviews, serving as a clinical resource across the Revenue Cycle. The position supports hospital...Remote job
$20 - $30 per hour
...Operations Job Profile Estimator/Auditor II Employment Level... ...FREE, if you participate in our health screening program. 10 days of... ...procedures and modeling the behaviors related to such. Actively participates... ...health care insurance (medical, dental, vision), retirement...Hourly payFull timeRemote workFlexible hoursShift work- ...Employment Opportunity The Revenue Integrity Nurse Auditor is a Registered Nurse (RN) who works in a collaborative... ...Benefits: Comprehensive benefit packages, including medical, dental, vision, mental health, paid time off, 403B, education assistance and...Local areaFlexible hours
$100k
...industry since 1945 is seeking a Premium Auditor to grow our team. Premium Auditors examine... ...and Benefits: Benefit package with health, dental, vision, 401k and more Exceptional... ...ancestry, physical or mental disability, medical condition, pregnancy, genetic information...Hourly payWeekly payLocal areaWork from homeFlexible hours$35 - $45 per hour
...Guided by our mission to make the world’s health data secure, accessible and actionable,... ...fulfilling a single patient’s request for their medical records to powering the AI revolution in... ...and educational needs related to coding quality, compliance assessments, external...Hourly payFull timeRemote workRelocation packageFlexible hours- Datavant is seeking an Inpatient Auditing Specialist to perform inpatient facility coding audits, provide concise rationale for changes, and stay current with regulatory updates. The role is fully remote with a flexible schedule, allowing you to shape the future of healthcare...Remote jobFlexible hours
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- ...Join a Fortune 500 and globally respected company as a Senior Compliance Auditor , where you'll lead the execution of global compliance audits across commercial operations. This is a high-impact role focused on identifying risks, strengthening internal controls, and ensuring...
- Warehouse Inventory Associate Boxzooka is a cutting-edge, technology-driven, retail eCommerce solutions provider specializing in international sales technology and order fulfillment. As we continue to grow, so does our demand for hardworking, dependable people to join...Weekend workDay shiftAfternoon shift
$92.48k - $160.29k
...Senior Underwriting Consultant - Internal Auditor, you will be part of the US Life... ...guidelines, procedures, and best practices.Assess medical, non-medical, financial, compliance,... ...array of customizable benefits, including health, dental, mental health, vision, short- and...Full timeTemporary workLocal areaRemote workFlexible hours$50 - $60 per hour
...competitive salary, and comprehensive benefits package which includes health and dental coverage, life and disability insurance, 401k with... ...’s busy life? CURE Auto Insurance is seeking an Attorney Auditor to join our team. You’ll have an opportunity to work beside a...Hourly payPart timeWork at officeLocal areaRemote workWork visaFlexible hours- E-Discovery LAN Collections Coordinator Contract Job -Pharma Client-W2 Hourly Only The candidate must be able to work onsite once the WFH policy is lifted, so local is preferred. Those not local will be considered if they are willing to relocate at their own expense...Hourly payContract workWork at officeLocal areaRemote workWork from homeRelocation
$109.25k - $149.5k
...set new standards of care.SUMMARYThe Lead Auditor, Quality Compliance will form part of the... ...and a diverse portfolio of leading medical devices. Ensure that the corporate audit... ...regulatory agencies (such as U.S. FDA, MHRA, TGA, Health Canada, SFDA, ANVISA, US state, etc.) or...Full timeTemporary workWork experience placement$30 - $35 per hour
...Description Job Description Job Title: Internal Auditor I Location: Ewing, New Jersey Type: Contract... ...for our clients, but we offer eligible employees health and welfare benefits coverage options including medical, dental, vision, spending accounts, life insurance...Contract workInternshipLocal area$118k - $140k
Audit Manager - Nonprofit Warrington, PA Pay: $118,000 $140,000 per year Want an audit manager seat with real off-season breathing room? A mission-driven Bucks County CPA firm is hiring an Audit Manager to lead its nonprofit and municipal practice. What you'll...Remote work- Codinix Consulting Services is looking for a detail-oriented Senior Legal Specialist based in Trenton, NJ. The specialist will support compliance and oversight for federally funded programs like CDBG-DR and ARPA. Candidates should possess a Bachelor's degree in a related...Work at office
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- ...Description Job Description Join Davies Risk Services as a Premium Auditor — No Experience Required! Are you a self-starter who thrives... ...payroll, sales journals, cost records, etc. Verifying class codes based on business operations Watch our Premium Audit Overview...For contractors
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- ...vendor, and employer audits as needed. The role requires 5 years of claims processing experience in medical, dental, vision, FSA, and HRA, with strong CPT/ICD coding knowledge. Strong communication and independence are essential. #J-18808-Ljbffr Highmark Health Company
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