Program Integrity Auditor - Medical Claims & FWA Specialist
NACBA
NACBA is looking for a Program Integrity Auditor based in Texas who will be responsible for reviewing medical records and ensuring coding accuracy. This position involves auditing provider records, ensuring compliance with state and federal regulations, and identifying potential fraud patterns. The ideal candidate will have 3–5 years of experience with claims data, hold a CPC, CCS, or CPMA certification, and be willing to work full-time hours. Benefits include medical coverage, paid time off, and retirement options. #J-18808-Ljbffr
$46.99k - $122.4k
Position Summary The Program Integrity Auditor reviews records for medical, behavioral, transportation... ...of funds, rebilling of claims), and referral to state... ...fraud, waste, or abuse (FWA). The auditor ensures state... ..., CCS (Certified Coding Specialist), or CPMA (Certified...MedicalHourly payFull timeTemporary workLocal areaMonday to FridayFlexible hours- ...compensation and benefits package including medical, dental, vision, 401(k), flexible... ...in employment or provision of services, programs, or activities. **Must meet agency... ...Ability to maintain the security or integrity of critical infrastructure within Texas....MedicalFor contractorsWork experience placementWork at officeLocal areaFlexible hoursShift workNight shiftWeekend workEarly shift
- ...Description Job Description Auditor Employment Type: Full-Time... ...records, healthcare claims, tax records, correspondence,... ...through the use of common software programs. - Assist with the... ...reviewing and understanding medical records and knowledge of medical...MedicalFull timeWork experience placementInterim roleWork at officeLocal areaFlexible hours
$24 - $27 per hour
...Position Summary The Compliance Auditor ensures the organization adheres to... ...families are eligible to enroll in: ~ Medical, Dental, and Vision ~ Health Savings Account... ...protection ~ Employee assistance program - access to counseling services and other...MedicalFull timeTemporary workLocal areaRelocationMonday to Friday$37.44k
...Job Posting Title: Campus Facilities Auditor ---- Hiring Department: Facilities... ...leadership training and development programs. We want to help you achieve your career... ...Flexible spending account options for medical and childcare expenses Robust free training...MedicalFor contractorsWork at officeMonday to FridayFlexible hoursShift work- ...monitoring, and focused) comparing medical record notes to reported CPT/... ...of EHR templates and programming and advise on coding compliance... ...coding and billing for medical claims. High Knowledge of... ...through AAPC OR Certified Coding Specialist (CCS®) through American...MedicalWork experience placementWork at office
$71.3k - $124.5k
...seeking a Clinical Content Specialist - Nursing to join our dynamic... ...adoption of best practices, integrating our solutions into curricula... ...of competitive benefits and programs to help meet your needs and... ...but not limited to: Medical, Dental, & Vision Plans, 401...MedicalWork at officeRemote work- ...Medical Compliance Auditor We are searching for a Medical Compliance Auditor... ...and approve or deny medical claim appeals and perform clinical... ...Children's Health Insurance Program (CHIP) to pregnant women,... ...primary care physicians, 3,200 specialists, and 70 hospitals. Texas...MedicalFull timeWork at officeLocal areaShift work
$132.8k - $219.1k
...you do it. Job Category Claim Compensation Overview... ...comprehensive compensation and benefits program, employees are also eligible... ...agencies, witnesses, agents, medical providers and technical... ...Support: Some Complex Claim Specialists may be responsible for all or...MedicalLocal area- ...is seeking a highly motivated IT Senior Auditor to join our global Enterprise Risk and Assurance... ...Develop clear, well‑structured audit programs, workpapers, and supporting... ...citizenship, marital status, disability, medical condition, genetic information, gender identity...MedicalPermanent employmentRemote workFlexible hours
- ...Expect Tesla is seeking an experienced Claims Specialist to join the Insurance Team. This role focuses... ..., personal injury protection, medical payments coverage, salvage, subrogation... ...day waiting period) Employee Assistance Program Sick and Vacation time (Flex time for salary...MedicalHourly payFull timeTemporary workFlexible hours
$100k - $125k
...in Financial Services & Insurance Sr. Claims Specialist, Professional Liability | E&O, D&O, EPL... .... Supports the organization's quality program(s). QUALIFICATIONS Education & Licensing... ...offered including but not limited to, medical, dental, vision, 401k and matching, PTO...MedicalRemote jobWork at officeLocal areaFlexible hours- ...Pain Management group practice providing integrated clinical, surgical, and imaging services... ...network. Job Duties Audits and ensure claim information is complete and accurate. Claims... .... Creates logs for providers of pending medical encounters and or encounters with errors...MedicalFull timeWork at office
- ...Administration******Job Summary:******The Teller Auditor position is responsible for mitigating losses by... ..., based on eligibility, benefits include:* Medical Plan* Employer Paid Life Insurance* Flexible Spending Program* 401k* Profit Sharing Program* Supplemental Benefit...MedicalFull timeWork at officeImmediate startFlexible hours
- Claims Integrity & Loss Control Specialist Title: Claims Integrity & Loss Control Specialist Reports to: Claims Manager Department: Operations Direct Reports: No Exempt Status: Non-Exempt Position Type: Full-Time, Hybrid Schedule Claims Hours of Operation: Monday - Friday...Full timeContract workWork at officeMonday to Friday
- ...diverse communities around the globe. Principal Program Manager: Data Center Infrastructure & Rack Integration Based onsite in Austin, TX Jabil is... ...~ Competitive Base Salary ~ Annual Bonus ~ Medical, Dental, Prescription Drug, and Vision Insurance...MedicalWork at officeLocal areaWorldwide
- ...Description Job Description The MAG Auditor audits financial and statistical cost reporting... ...rates for processing of Medicaid claims Process Description: The MAG Auditor... ...candidates on assignment, including: Medical, dental, and vision coverage Life and...Medical
- ...Job Description Job Description Senior Auditor Employment Type: Full Time, Mid-level Department: Financial Services... ...Auditor who will assist the district legal staff by conducting medical claims data analysis, forensic investigations, financial damages, statistical...MedicalFull timeFlexible hours
$71k - $145.22k
...Audit Project Manager within the State Auditor's Office is responsible for overseeing and... ..., universities, departments, and programs in accordance with state laws and regulations... ...ensuring the highest standards of audit integrity and accuracy. Advanced critical thinking...Hourly payWork at officeRemote workWork visa$20 per hour
...Inventory Auditor - Contract-to-Hire Location: Austin, TX (Ideal home base: Austin, TX 78744 within 30-mile radius) Pay: $20.... ...This is a contract-to-hire opportunity. Upon permanent conversion, employees receive medical, dental, vision, 401(k), and PTO benefits.MedicalHourly payPermanent employmentContract workWork from homeMonday to Friday- ...Senior Construction Auditor page is loaded## Senior Construction Auditorlocations: US-TX... ...id: JR1300Consertus is a global capital program management and advisory firm that combines... ...large-scale capital programs.Our integrated services span digital, advisory, and delivery...Contract workFor contractorsWorldwide
- ...community outreach and event support for programs on behalf of the organization. This... ...businesses. Our Values are: Integrity First Service Before Self Excellence... ...following benefits for employees: ~ Medical, dental, vision, and life insurance coverage...MedicalImmediate startFlexible hours
- ...Valid8 Financial, Inc. is seeking a Claims Resolution Specialist to ensure accurate and timely resolution of medical claims. This role is crucial for protecting members from inappropriate financial liability while maintaining compliance with relevant regulations. The...MedicalRemote work
- ...Austin, Texas, is seeking a Compliance Auditor responsible for conducting billing and coding... ...at least 5 years of experience in a medical environment, with certifications as a Certified... ...Coder (CPC) or Certified Coding Specialist (CCS). Strong attention to detail and excellent...Medical
- A leading AI research accelerator is seeking a medical expert in internal or emergency medicine to refine large language models. The role involves designing clinical scenarios, evaluating AI responses, and collaborating with researchers. Candidates should have an MD, active...MedicalFor contractorsRemote work
$100k
...environment. Who We Want The Associate Claims Examiner is an entry-level position... ...benefits package, including medical, dental, vision, life, disability, and supplemental... ...in your future with our matching 401(k) program. Build relationships and find your home...MedicalWork experience placementCasual workWork at officeLocal areaRelocationRelocation packageDay shift- ...the world of health insurance? As a Senior Claims Analyst specializing in Stop Loss claims,... ...to clients and improving client service programs. Evaluate claims from Third Party... ...health insurance claims 3 years knowledge of medical terminology Preferred 3 years as a Stop Loss...MedicalWork at office
- ...more below! *Not applicable to External Customer Program U.S. Benefits Canada Benefits Claims Examiner - Professional Claims Austin TX... ...Benefits include performance-based triannual bonuses, medical benefits paid at 100% for full-time employees...MedicalFull timePart timeRemote workWork visa
$20 per hour
Inventory Auditor Contract-to-Hire Location: Austin, TX (Ideal home base: Austin, TX 78744 within 30-mile radius) Pay: $20.00/hour (Overtime... ...hire opportunity. Upon permanent conversion, employees receive medical, dental, vision, 401(k), and PTO benefits. #J-18808-Ljbffr...MedicalHourly payPermanent employmentContract workWork from homeMonday to Friday- ...over 15 years! We are one of Central Texas’ largest professional medical groups with 35+ locations and we are continuing to grow. We... ...visit PURPOSE Responsible for processing follow up actions on claims denied for eligibility‑related reasons and responding to health...MedicalWork at officeMonday to FridayFlexible hours
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