Healthcare Claims Auditor & Investigator I
Qlarant
A health services organization located in the United States, Arizona, is seeking an entry level claims investigator to ensure the accuracy of claims processes and protocols. The ideal candidate will possess analytical skills, attention to detail, and a Bachelor's degree. Responsibilities include conducting audits, documenting findings, and communicating with stakeholders to prevent fraud and discrepancies. Prior experience in healthcare fraud investigations is preferred, as well as familiarity with Medicaid programs. #J-18808-Ljbffr Qlarant
$71.1k - $97.8k
...part of our caring community The Inpatient Medical Coding Auditor - PPI Coding Disputes reporting to the Manager reviews the appropriate... ...are designed to encourage personal wellness and smart healthcare decisions for you and your family while also knowing your life...SuggestedBi-weekly payFull timeTemporary workApprenticeshipWork at officeRemote workWork from homeHome officeMonday to FridayFlexible hours- ...Auditor Position AirLife is hiring an Auditor to join our 1st shift team (M-F 6:00AM-2:30PM) at our climate-controlled Litchfield... ...and our dedication to product excellence in an evolving global healthcare market. This promise is kept through a continuously improving...SuggestedDay shift
- A leading healthcare company seeks an experienced Inpatient Medical Coding Auditor to extract clinical information and ensure accurate reimbursement processes. This role involves reviewing hospital claims and making crucial coding decisions while working in a metrics-driven...SuggestedRemote work
- Vālenz® Health is the platform to simplify healthcare - the destination for employers, payers, providers and... ...About This Opportunity As a Certified Medical Coding Auditor (Clinical Bill Review Analyst), you’ll review claims upfront and take a deeper dive to catch billing...SuggestedImmediate startRemote workFlexible hours
$32 - $42 per hour
A healthcare data collaboration platform is seeking experienced inpatient coders to join their remote team. The role requires attention to detail, proficiency in medical coding, and strong communication skills. Candidates should have at least 3 years of inpatient coding...SuggestedHourly payRemote workFlexible hours$46.99k - $122.4k
CVS Health is seeking a dedicated professional for the role focused on healthcare fraud investigation. The successful candidate will handle complex cases, prevent fraudulent claims, and cooperate with law enforcement. Qualifications include 3 years of experience in fraud...Full time- National General in Scottsdale, AZ is hiring a Material Damage Telephone Adjuster to assist in the investigation of automobile claims. This role starts with in-office training and transitions to a hybrid work-from-home setup. You'll be responsible for evaluating claims...Work at officeWork from home
- Turo is seeking a Claims Specialist to handle complex claims and make financial impact decisions. You'll be involved in investigating claims, communicating with customers, and ensuring fair outcomes while working in a collaborative environment. The ideal candidate is a...Work at office3 days per week
- Responsibilities and Qualifications AOE/COE, Auto, or Homeowners Investigations. Writing accurate, detailed reports. Strong initiative, integrity, and work ethic. Securing written/recorded statements. Accident scene investigations. Possession of a valid driver’s license...
$50k - $62k
A leading car sharing marketplace in Arizona is looking for a Claims Specialist to manage complex claims and communicate with customers. The ideal candidate will have strong investigative skills, excellent communication abilities, and proficiency in technical platforms....Work at office3 days per week- ...A healthcare organization is seeking a PI Investigator responsible for investigating fraud, waste, and abuse. This role requires 2 years of relevant experience... ...candidate will have a background in healthcare claims analysis, data analysis techniques, and knowledge of...Remote work
$24.7 per hour
Employer Industry: Healthcare Services Why Consider this Job Opportunity: - Salary up to $24.70 per hour - Opportunity for career advancement... ...parental leave What to Expect (Job Responsibilities): - Investigate complaints regarding alleged violations of the Nurse Practice...Hourly payImmediate start- ...culture of winning. At TEEMA we breed winners. Responsibilities Investigate medical cases and collect necessary data for case reviews.... ...pipelines and SLAs. Ensure compliance with applicable healthcare regulations and privacy requirements. Document findings clearly...Remote workFlexible hours
- A leading healthcare solutions provider in Phoenix, AZ, is seeking a dedicated professional to manage medical case investigations. The role involves ensuring compliance with healthcare regulations, strong documentation skills, and the ability to mentor new team members....Remote work
$35 - $45 per hour
...A healthcare data solutions company is seeking an Inpatient Auditing Specialist to conduct coding audits, ensure compliance, and validate DRGs specifically for Medicare. Ideal candidates will have at least 3 years of experience, relevant certifications, and the ability...Hourly payRemote work- ...plans for ensuring the integrity and accuracy of claims processes and protocols. Collects data for audits/investigations into claims, utilizing a combination of... ...; 2 - 4 years preferred Prior experience with healthcare fraud investigations required Familiarity with...Work experience placement
- ...Lot Auditor Parking Management Company (PMC) is a national leader in hospitality-focused parking services. Headquartered in Nashville... ...across multiple industries including hotels, resorts, healthcare, and event venues. With a commitment to excellence and a guest...Hourly payMinimum wageLocal areaShift workNight shift
- A health insurance provider seeks a Quality Assurance Coder/Auditor based in Arizona to develop risk mitigation and education programs. Responsibilities include reviewing medical records, coding for accuracy, and educating providers on best practices. The position requires...Remote work
- A health data exchange leader is seeking an Inpatient Auditing Specialist to perform coding audits, provide coder education, and ensure regulatory compliance. This fully remote position allows for flexible scheduling, catering to professionals with over 5 years of inpatient...Remote workFlexible hours
$23.87 per hour
...Coding Auditor - Professional Coder Auditor-Professionals are responsible for auditing of coding assignment with providers and coders, training of coding professional staff, pro-fee based coding includes the assignment of Assigns ICD-CM, CPT, HCPCS codes, E&M assignment...Full timeRemote work$90k - $100k
...through professional reporting and communication Progress through training and qualification steps toward independent thirdparty auditor status Your Qualifications ~ Bachelor's degree in engineering, science, environmental, quality, industrial, or a related...Permanent employmentFull timeContract workFreelanceLocal area$41.62k - $70.76k
...Home Energy Auditor Location: Tempe, AZ (Field Based - Home Office with Local Travel) This is a primarily field-based role... ...introductory tablet energy audit in a timely and efficient manner Investigate main drivers of energy consumption in a given home and...Full timeContract workWork experience placementWork at officeLocal areaRemote workHome officeFlexible hours$35 - $45 per hour
Datavant is the data collaboration platform trusted for healthcare. Guided by our mission to make the world’s health data secure, accessible and actionable, we provide critical data solutions for organizations across the healthcare ecosystem — including providers, health...Hourly payFull timeInterim roleReliefRemote workFlexible hours$35 - $45 per hour
Datavant is the data collaboration platform trusted for healthcare. Guided by our mission to make the world’s health data secure, accessible and actionable, we provide critical data solutions for organizations across the healthcare ecosystem - including providers, health...Hourly payFull timeInterim roleRemote workRelocation packageFlexible hours$35 - $45 per hour
Datavant is a data platform company and the world’s leader in health data exchange. Our vision is that every healthcare decision is powered by the right data, at the right time, in the right format. Our platform is powered by the largest, most diverse health data network...Hourly payReliefRemote workRelocation packageFlexible hours- Humana Inc. is looking for a Medical Records Retrieval Specialist in Phoenix, AZ. This remote role involves conducting quality assurance audits of medical records and diagnosis codes for compliance with CMS requirements. Candidates should have at least one year of customer...Remote job
- ...Participate in ad hoc mandates as required (in flight reviews, investigations, etc.). What You Will Need Bachelor's degree in... ...accounting designation (CPA) is desirable and Certified Internal Auditor (CIA) is considered an asset. Excellent verbal and written...Work at officeLocal area
- ...Job Title: IT Auditor Location: CityScape What you'll do: As an IT Auditor, you'll assist in assessing the design and operating effectiveness of IT controls within the various integrated audits in your assigned coverage areas, supporting the execution...
$30.53 - $32.21 per hour
DEPARTMENT OF GAMING Financial Investigator Job Location: Arizona Department of Gaming 100 North 15th Avenue Suite 202 Phoenix, Arizona 85007 Posting Details: Salary: $30.53 - $32.21 (DOE) Grade: 21 Closing Date: May 27, 2026 Job Summary: Conduct investigations to ensure...Full timeTemporary workPart timeWork at officeRemote workWork from homeNight shift2 days per week1 day per week- Join Davies Risk Services as a Premium Auditor — No Experience Required! Are you a self-starter who thrives on independence, loves working with numbers, and enjoys meeting new people? Do you have a curious mind, strong communication skills, and the ability to juggle multiple...For contractors
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