Hybrid Clinical Provider Auditor II — Payment Integrity
Elevance Health
Elevance Health is seeking a Clinical Provider Auditor II in Atlanta, Georgia. This hybrid role requires 1‑2 days a week in the office, promoting collaboration while allowing for flexibility. You will be responsible for identifying potential risks related to fraud and abuse through examination and analysis of claims. Minimum qualifications include an AA/AS degree, a coding certification, and at least 3 years of related experience. The position offers competitive benefits including paid time off and 401(k) with matching. #J-18808-Ljbffr Elevance Health
- ...Clinical Provider Auditor II - Payment Integrity SIU Clinical Provider Auditor II Payment Integrity SIU Location: This role requires associates to be in-office 1 - 2 days per week, fostering collaboration and connectivity, while providing flexibility to support...SuggestedWork at officeDay shift2 days per week1 day per week
$75k - $100k
...Senior Analyst, Edits | Payment Integrity (Remote) CGI is seeking a results... ...to rules design, clinical validation, and deployment.... ..., false positives, ROI, and provider abrasion. Continuous Improvement... ...Medical Directors and internal auditors (RNs/Coders) to ensure clinical...SuggestedRemote work- ## Lead Auditor (Hybrid - Atlanta, GA)Applylocations: Atlanta, GAtime type: Full timeposted on... ...09**Progressive Leasing** is a leading provider of in-store and e-commerce lease-to-own... ...Collaborate with IT auditors to develop an integrated audit approach, as appropriate*...SuggestedCurrently hiringLocal areaRemote workShift work
- ...connectivity, while providing flexibility to... ...per our policy on hybrid/virtual work,... ...within the Program Integrity organization. This... ...errors, enforcing payment policy and... ...controls through clinically and financially sound... ...develop a team of auditors/reviewers (and potentially...SuggestedContract workTemporary workWork at officeLocal area3 days per week1 day per week
$95k - $110k
...Description Position Summary The Clinical Compliance and Operations Auditor is responsible for conducting... ...standards of operational and clinical integrity. This role involves performing "surprise... ...and accreditation bodies while providing data-driven feedback to leadership...SuggestedWork experience placementWork at officeLocal areaMonday to FridayShift work$24.5 - $26 per hour
...home! The Default FHA Claims QA Analyst II will work under moderate supervision,... ...Finalize and submit claim to agency for payment. Escalate trends or issues identified... ...part of The Carrington Companies, which provide integrated, full-lifecycle mortgage loan servicing...Remote workWork from home- Auditor, Coding Educator - (Physician Billing) - Hybrid - FTE - Days Grady Health System offers many career paths for experienced... ...occasionally to meet with the providers. Summary The Physician... ...Auditor is responsible for performing clinical reviews of medical records and...Work at officeRemote workShift work
- Cooper Lighting Solutions is looking for an Auditor II to join their team in Atlanta, GA. The position focuses on risk management, conducting... ...analytical and communication skills are essential. The role provides opportunities for professional development and may include...Remote job
- The Council of State and Territorial Epidemiologists seeks a Clinical Compliance and Operations Auditor to conduct thorough onsite evaluations. This role is vital for ensuring the operational integrity of centers and preparing staff for external reviews. Key responsibilities...
- Auditor II - Risk Management Job Code: 3248 Requirement #: 5780 Delta Community Credit Union Administrative Office - Riverwood 200 Full... ...engagements as needed to support corporate goals and initiatives. They provide assistance with the regulatory examination process as well as...Full timeWork at officeWork from home
- ...remote role involves managing the edit development lifecycle, ensuring payment accuracy, and driving process improvements. Ideal candidates will have over 5 years of experience in payment integrity or claims analytics, and hold an active coding certification. Competitive...Remote job
- A leading healthcare provider is seeking a Specialty Coder II to work remotely, requiring residency in Florida, Georgia, North Carolina, or South Carolina. This role involves assigning diagnosis and procedural codes, auditing documentation, and mentoring other coders....Remote job
- ...in underwriting excellence, integrity, and a passion to find a better... ...Supervisor, the Premium Auditor will conduct insurance premium... ...Compensation policies. This is a hybrid, 3 days in office position... ...Company Benefits The Company provides a competitive benefits...Temporary workWork at officeLocal areaFlexible hoursNight shift
$80k
...merchants to offer frictionless promotional payment options to consumers, driving increased... .... Location: Atlanta, GA (Hybrid: 3 Days per week) We are unable to sponsor... ...and compliance audit projects; and providing consulting advisory services to the organization...Work experience placementLocal areaWork visa3 days per week$83.25k - $155.51k
Molina Healthcare seeks a Lead Analyst for health plan payment integrity activities in Atlanta, GA. The role includes managing operational projects, analyzing data for recovery opportunities, and collaborating with various teams to ensure compliance with regulations. Ideal...Remote job$115.2k - $230.4k
...Government Data Consultant II We are seeking a... ...processing activities and provide on-going review and... ...submissions, working with auditors, and resolving findings... ...technical findings for clinical and policy audiences... ...Marsh is committed to hybrid work, which includes the...Minimum wageWork at officeLocal areaRemote workFlexible hours3 days per week1 day per week- ...Atlanta, GA, to serve as the technical authority for all Workday integrations. The role requires in-depth expertise in Workday integrations,... ...influence the integration landscape. This position supports a hybrid work environment, offering a competitive salary and...Remote job
- A healthcare organization in Atlanta, GA is seeking an Auditor, Coding Educator to manage compliance audits and educate physicians... ...leading training programs and ensuring compliance with clinical standards in a hybrid work environment. A minimum of five years of coding...Remote job
$108.3k
...strengthening margins, the team empowers providers to fulfill their mission and... ...a strong emphasis on revenue integrity. Contribute to client... ..., payor contracting, payment variance analysis, chargemaster... ...across hospital and clinic settings. ~ Proficiency in...Hourly payContract workWork at officeRemote workFlexible hours- White Cap Supply Holdings, LLC. is seeking an Internal Auditor to plan and execute multiple audit projects in Atlanta, GA. The ideal candidate... ...preparing comprehensive audit reports. The position offers a hybrid work environment and seeks candidates with strong problem-...
$92.82k - $109.2k
...One. Job Description The Corporate Audit Services Senior Auditor is primarily responsible for completing audit engagement assignments... ...30 worked, up to 80 hours per calendar year unless otherwise provided by law Review our full benefits available by employment...Temporary workWork experience placementWork at officeLocal area3 days per week$75k - $95k
...Senior Auditor - Hybrid To Apply Now - email your resume to [email protected] Who: Ideal for audit professionals with approximately 3-5 years of experience. What: Lead audit fieldwork and contribute to nonprofit audit engagements. When: Actively...Work at officeLocal areaRemote work$129k - $171.1k
...the strategy and execution of Payments across our portfolio of... ...FanDuel's payment partners and providers to manage day-to-day product... ...needs, surface performance and integration issues, evaluate new capabilities... ...subject to criminal penalties and civil liability. #LI-HybridTemporary workLocal areaWorldwideShift work- Overview When you think of InComm Payments, think of Innovative Payments... ..., quality, passion, integrity, and responsibility in all that... ...The Business Systems Analyst II acts as an essential bridge between... ...Accounting InComm Payments provides equal employment...Local area
- ...BS/BA or MS/MA with corresponding experience. The role requires strong communication skills and problem-solving abilities. It's a hybrid position with occasional travel. Join us in building trust on every job and play a crucial role in our finance team. #J-18808-Ljbffr...
- ...growth (M&A due diligence and business integration); and operational excellence. Assists in... ...the results of the audit with a focus on providing insightful and value-added... .... Functional Area: Finance Work Type: Hybrid Recruiter: Banglinti, Shilpa Req ID: WCJR...Night shift
- Southern Company Services is seeking an Auditor for its Atlanta office. The role involves conducting various audits and advisory reviews... ...relevant experience. The successful candidate will work in a hybrid environment, manage multiple projects, and utilize technology and...Work at office
- Oldcastle Inc. is looking for a Senior Internal Auditor to join their team in Atlanta, GA. In this role, you will enhance the control... ...responsibilities include executing audits, evaluating internal controls, and providing practical solutions. The ideal candidate has a Bachelor's...
- Kappaalphapsi1911 is seeking an Auditor to conduct and lead audits across electric operations. This role involves thorough documentation... ...field and at least 2 years of industry experience. This hybrid position requires office attendance four days a week, primarily...Work at office
- Audit Manager - Atlanta, GA (Hybrid) Who An experienced public accounting professional... ...timely delivery of client deliverables. Provide engagement partners with timely status updates... ...skills. Passion for client service, integrity, and thriving in a fast-paced...Work at officeImmediate start
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