Healthcare Program Integrity Auditor
NACBA
CVS Health is hiring a Program Integrity Auditor to review medical and behavioral health provider records, ensuring correct coding and compliant documentation. You will identify FWA patterns, support education, and assist with regulator referrals as needed. The role requires 3-5 years of claims data review, CPT/HCPCS/ICD-10 coding expertise, and an active CPC/CCS/CPMA license. Standard hours are Mon-Fri, 8am-5pm (Arizona Time). 40 hours weekly with competitive benefits. #J-18808-Ljbffr NACBA
$46.99k - $122.4k
...person, one family and one community at a time. Position Summary The Program Integrity Auditor is responsible for the review of records for medical, behavioral, transportation, and other healthcare providers. The Auditor must have the ability to determine correct coding...SuggestedHourly payFull timeTemporary workLocal areaMonday to FridayFlexible hours$71.1k - $97.8k
...health first The Inpatient Medical Coding Auditor extracts clinical information from a... ...Working knowledge of Microsoft Office Programs Word, PowerPoint, and Excel Strong attention... ...encourage personal wellness and smart healthcare decisions for you and your family while...SuggestedBi-weekly payFull timeContract workTemporary workApprenticeshipWork at officeRemote workWork from homeHome officeMonday to Friday- ...Nurse Auditor Lewiston, ID Exp 5-7 years This position can be located in Tacoma... ...medical and surgical procedures and other healthcare practices and trends. General... ...ability in developing and following an audit program. Demonstrated competency in claim review...SuggestedWork at officeRemote work
- ...skills through an internal audit focused project, which exposes the auditor to various portfolios within the third line. You will gain... ...Qualifications Currently enrolled in a full-time Bachelor’s degree program Candidates with an expected graduation date between December...SuggestedFull timeInternshipSummer internship
- ...InComm Auditor I US-GA- Job ID: 2026-21142 # of Openings: 1 Category: Risk & Compliance... ...We value innovation, quality, passion, integrity, and responsibility in all that we do, and... ...eligible for the Employee Referral Bonus Program - Tier III #LI-KH1 PI286094361 #J-18808-...SuggestedLocal area
- ...safe, and efficient delivery of health care and human services programs. We have multiple lines of business including population... ...level professional who develops baseline plans for ensuring the integrity and accuracy of claims processes and protocols. Collects data...Work experience placement
- ...A national healthcare organization is seeking an experienced Inpatient Medical Coding Auditor to review hospital claims and ensure accurate coding and reimbursement. This role offers a remote work environment with flexible hours and requires certification in RHIA, RHIT...Contract workRemote workFlexible hours
$88k - $132k
...teams. This role partners closely with IT to ensure data quality, integrity, and seamless integration across Salesforce CPQ, Zuora, and... ..., and modern developer tooling.Our AI powers privacy programs,identifiesconfidential information, and detects languageindicatingmisconduct...Remote workHome office$93k - $139k
...ROLE This role will be the lead technical expert and own all integrations for Workday Financials and related matters. The Senior... ...capabilities, and modern developer tooling.Our AI powers privacy programs,identifiesconfidential information, and detects languageindicatingmisconduct...Remote workHome office$57.4k - $99k
...9,000 annually based on experience The Physician Coding Auditor develops and implements strategic needs analyses and training plans... ...client SOW (included Provider Education verbiage) and develops programs or researches educational resources to meet those needs....Temporary workWork at officeImmediate startRemote work$86.4k
...activities on complex issues, including new strategic programs or initiatives impacting current and existing... ...Preferred ~3 - 5 years of Health Insurance or Healthcare Industry experience ~ EPM/Oracle, Data Integration or Power BI SKILLS Analytical Skills Communication...For contractorsWork at officeLocal area- ...obtaining documentation supported by clinical indicators and treatment. Develops and coordinates coding education and formal training programs. Improves documentation by participating in the CDI query audit process. Works effectively with the Coding Manager to improve...
- ...Premium Auditor Join Davies Risk Services as a Premium Auditor — No Experience Required! Are you a self-starter who thrives on independence... .... Regardless of your experience, our comprehensive training program will equip you with everything you need to succeed in this...For contractors
- ...lines of credit, private-label credit cards, installment financing programs and more, FEB’s engages with strategic, collaborative... ...financing solutions. First Electronic Bank is looking for a Staff Auditor to join our team. Under the guidance and direct supervision of...
$22.2 - $42.72 per hour
...seeking an analytical, collaborative, and forward-thinking Internal Auditor to join our team. We are looking for a highly skilled... ...and a passion for upholding the highest standard of professional integrity (or carry a CPA, CIA, or IAP certification), this is your opportunity...Hourly payFull timeTemporary workWork at officeRemote work- Unemployment Insurance (UI) Contributions Unit - Field Auditor I The Department of Workforce Services (DWS) is seeking a skilled and motivated... ...preparation, support Utah businesses, administer assistance programs, and provide economic data. We lead initiatives on...Work at office
$60.14k
...Preference will be given to applicants with a Certified Internal Auditor (CIA), Certified Information Systems Auditor (CISA), Certified... ...continuous RAP Back (Record of Arrest and Prosecution Back) program in accordance with current County Human Resources policy requirements...Full timeContract workTemporary workFlexible hours$175k - $227.5k
...employees live by our company values: High Integrity, Future Forward, Multistakeholder,... ...Digital Currency Bank") internal audit program to meet the Office of the Comptroller of... ...a leadership capacity managing teams of auditors. CPA preferred; CIA or CISA a plus. Expert...Work at officeFlexible hours$120k - $155k
...to be part of growing a region, building a brand, and being an integral part of something special. Audit Managers are responsible for managing... ...be eligible to participate in a discretionary annual incentive program, subject to the rules governing the program, whereby an award,...16 hoursFull timeSeasonal workWork at officeLocal areaRemote workFlexible hours- A healthcare data solutions company is looking for an Inpatient Auditing Specialist to manage coding quality and educate coders. The role is fully remote and requires 3+ years of experience in coding and auditing, proficiency in ICD-10-CM and CPT coding, and strong communication...Remote jobRelocation package
- ...The Church of Jesus Christ of Latter-day Saints in Salt Lake City, UT seeks a Senior Auditor 1 to join the Church Auditing Department. This hybrid role focuses on internal controls, risk assessment, and assurance across diverse operations. Qualifications include an active...
- Join Davies Risk Services as a Premium Auditor — No Experience Required! Are you a self-starter who thrives on independence, loves working... .... Regardless of your experience, our comprehensive training program will equip you with everything you need to succeed in this...
$96.7k - $120.9k
...risks to the bulk power system in the West. As a staff compliance auditor, you will make a difference by ensuring compliance with the... ...satisfy the audit schedule requirements of the Entity Oversight Program according to NERC’s delegation agreement with WECC. In addition...Full timeWork at officeRemote workFlexible hours- ...Internal Auditor The Internal Auditor supports internal audit activities across a diverse portfolio, including hospitality, ranching, and oil and gas operations. This role assists in evaluating internal controls, identifying risks, and supporting process improvements...Work at officeRemote work
- ...Job Description Job Description Internal Auditor Position Overview We are seeking an experienced Internal Auditor to lead and execute audit engagements across a diverse portfolio of companies. This role is a key contributor in evaluating risk, strengthening...Work at officeRemote work
- ...Internal Auditor II The Internal Auditor II is responsible for executing internal audit activities across a diverse portfolio, including hospitality, ranching, and oil and gas operations. This role leads audit engagements, evaluates risk, and identifies opportunities...Work at officeRemote work
- ...activities to develop and improve firm and department business processes. Serve as an instructor in firm and department training programs and meetings. Develop less experienced professionals by providing formal performance feedback, career counseling and mentoring to...Work at officeLocal areaFlexible hours
$25 - $30 per hour
...Description Job Description Construction Safety Compliance Auditor — Energy Infrastructure Term: 12 Months | Location: Salt Lake... ...adequate and on schedule. Maintain current safety plans and programs to reflect regulatory or policy updates. What you’ll bring...For contractors$172k - $258k
...internal and external audits, and ensuring the information security program is governed through a consistent, defensible framework aligned... ...audits. Act as the primary point of contact for external auditors, regulators, and client assessors. Ensure timely, high-quality...Work at officeLocal area- Savage Services is seeking an Associate Financial Systems Administrator in Midvale, UT to support Oracle and Coupa across finance and procurement operations. The role develops toward systems analysis while handling day-to-day system tasks and user requests. You will work...
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