Remote Provider Data & Claims Auditor III
Ultipro
- Remote job
CERIS, a division of CorVel Corporation, is seeking a Provider Management Analyst to verify provider information and document requests for auditing claims, including itemized bills and medical records. This is a remote position, with responsibilities spanning data accuracy, confidentiality, and effective communication with leadership. Ideal candidates will have a high school diploma, healthcare experience, strong analytical skills, and proficiency in MS Office. #J-18808-Ljbffr Ultipro
$175k - $195k
...exceptional Software Engineer III to join our... ...records to rank healthcare providers across the country. We... ...who are comfortable with remote work and occasional... ...~ Familiarity with data security and HIPAA compliance... ...been contacted by someone claiming to be a Garner...Remote workDataClaimsWork visaFlexible hours- Overview Remote or Onsite Opportunity!Opportunities for you!... ...We know that our ability to provide the highest level of care is... ...Responsibilities The Senior Auditor oversees and performs... ...revenue cycle, cost reporting, claims, provider data, health plan, or clinical experience...Remote workDataClaims
$57.4k - $99k
...Ensemble is a leading provider of technology-enabled revenue... ...Facility Coding Auditor integrates medical coding... ..., account, and claim examples of root cause... ...procedures, protocol, and data management systems to meet... ...experiences. ~ This is a remote position; however,...Remote workDataClaimsTemporary workWork at officeLocal area$30.5k - $42.5k
...development. Summary The Medical Claims Auditor is responsible for reviewing... ...This role involves auditing provider-submitted claims, validating... ...correct billing and payment data. Identify and document... ...in this role This is a remote position for candidates residing...Remote workDataClaimsFull timeMonday to FridayFlexible hours$70 - $90 per hour
...and evaluation methodology. Provide clear, rubric-based written... ...quality and rigor. Assess ML claims against supporting evidence and... .... Strong understanding of data-quality rigor, including leakage... ...experience. Work Terms Remote, United States. Hourly...Remote workDataClaimsHourly pay$90k - $159k
...to improve efficiency, strengthen controls, and resolve data integrity issues. Provide ad hoc analysis and reporting support to internal stakeholders... ...the hiring process. If you are contacted by someone claiming to represent us from a different email address, please...Remote workDataClaimsFull time$26.72 - $29.26 per hour
...are seeking a Compliance Auditor to join our team.This is a remote position with 25% travel... ...focused audits based on data mining and analytic findingsComplete... ...documentation to ensure claims meet payer... ...MerakeyMerakey is a non-profit provider of developmental, behavioral...Remote workDataClaims- ...The Service Management Analyst III provides leadership for enterprise... ...management maturity.This is a remote position and candidates must... ...focuses on delivering secure data access, mitigating fraud, and... ...pursuing any discrimination claim, or cooperating in related investigations...Remote workDataClaimsWork at officeLocal area
- ...Description Job Title: Payment Integrity Auditor / Data Mining Auditor \n Location: Remote \n Schedule: Full-time (40 hours/week)... ...In this role, you will analyze paid medical claims data feeds received from providers on behalf of our health plan partners. Your...Remote jobDataClaimsDaily paidFull timeContract workMonday to Friday
$38.46 - $52.4 per hour
...Remote Chicago - 550 Van Buren North Carolina... ...and reduce the cost of providing patient care. Investing... ...The Inpatient Coding Auditor will be responsible for... ...is initiated before the claim is rebilled to the insurance... ...could impact quality data and hospital reimbursement...Remote workDataClaimsHourly payPermanent employmentFull timeWork at officeLocal areaImmediate startFlexible hoursDay shift- ...appropriateness, quality, and compliance of services rendered by providers. This role involves claims analysis, provider audits, fraud detection, and... ...regulations. Key Responsibilities: Analyze claims data, medical records, and provider documentation to identify...Remote jobDataClaimsWork at office
- ...The Software Engineer III, under general supervision... ....This is a remote position and candidates... ...software into production. Provides technical/engineering support... ...focuses on delivering secure data access, mitigating... ...pursuing any discrimination claim, or cooperating in...Remote workDataClaimsPermanent employmentH1bWork at officeLocal area
$93k - $189k
...Chicago but we will consider remote for the right candidate... ...Credit Asset Manager III will manage a portfolio... ...independently, will provide mentorship for less... ...benefits are properly claimed on partnership tax returns... ...forming and presenting data driven conclusions to Credit...Remote workDataClaimsPermanent employmentFull timeFor contractorsWork at officeLocal areaWork from homeFlexible hours- ...an outpatient Certified Coding Auditor to work in its New York office or remotely. \n \n Principal duties and... ...and other qualified healthcare providers in the outpatient setting. \n... ...Familiarity with both UB-04 and CMS 1500 claims data, as well as understanding of...Remote workDataClaimsWork at officeLocal area
- ...development teams.As a Level III engineer, you will also... ...standards.This is a remote position and candidates... ...on delivering secure data access, mitigating... ...and we are committed to providing equal opportunity in all... ...pursuing any discrimination claim, or cooperating in...Remote workDataClaimsPermanent employmentH1bWork at officeLocal area
$21.78 - $30.53 per hour
...Med Records Coder III As a community, the University... .... Job Location: Remote Work - New York, Albany,... ...not limited to, market data, education, experience,... ...Resolves problems with claims having errors related to improper coding and provides feedback for correction...Remote workDataClaimsHourly payFull timeWork at officeLocal areaShift work$20.3 - $27.41 per hour
...Claims Resolution Representative III As a community, the University of Rochester is defined... ...where all can thrive. Remote Work - New York, Albany,... ...not limited to, market data, education, experience, qualifications... ...incomplete information to providers and department...Remote workDataClaimsHourly payFull timeWork at officeLocal area- ...with our commitment to provide the best place to work... ...site investigation on the remote Aleutian Island chain,... ...Environmental Engineer III, you will work at the... ...synthesizing, and documenting data relating to... ...pursuant to the Alaska Native Claims Settlement Act, in...Remote workDataClaimsFull timeContract workWork at officeLocal area
$139.73k - $160.37k
...AAL2 credential service provider by the Kantara... ...field-based sales or other remote-by-design positions — may... ...Software Development Engineer III to join the Commerce &... ...discover offers and claim rewards. This role is 5... ...and privacy of member data on the client.Collaborate...Remote workDataClaimsFull timeTemporary workWork at officeFlexible hours- ...with our commitment to provide the best place to work... ...site investigation on the remote Aleutian Island chain,... ...?As a Mining Engineer III, you will work in Anchorage... ..., and documenting data relating to mechanical... ...pursuant to the Alaska Native Claims Settlement Act, in...Remote workDataClaimsFull timeContract workWork at officeLocal area
$25 per hour
...Member Experience Associate III role is for highly... ...billing disputes, complex claims, policy changes) to... ...resource for the entire team, providing real-time peer... ...Demonstrated ability to analyze data and trends to inform... ...(with instructions and remote IT team assistance)...Remote workDataClaimsHourly payFull timeWork at officeWork from home$24 - $28 per hour
..., analytical Sr. Internal Auditor who brings strong claims or audit experience and a... ...If you enjoy digging into data, identifying trends, and working... ..., frequency limits, and provider compensation schedules to... ...opportunity to: Work remotely in a supportive, mission-...Remote workDataClaimsWork at officeImmediate startRelocationVisa sponsorshipFlexible hours- ...Supporting provider data accuracy, the full-time Provider Engagement Specialist will manage day-to-day operations related to provider... ...system, ensuring compliance for state reporting and claims payment in a remote role based in Florida. Key responsibilities Provide support...Remote workDataClaimsFull timeWork at office
- ...records for appropriate provider documentation to... ...supports the hospital coded data. Essential Accountabilities... ...audits acute inpatient claims. Integrates medical... ...committees. Level III (in addition to Level II... ...may be opportunity for remote work within all jobs...Remote workDataClaimsWork experience placement
$18.17 - $29.04 per hour
...Receivable Representative III is responsible for... ...status on outstanding claims. Processes and follows... ...trends to leadership. Provides peer payer and system training... ...support. Gathers data and reports out in partnership... ...(in office or remote) Communicate verbally...Remote workDataClaimsHourly payWork at office- ...with our commitment to provide the best place to work... ...site investigation on the remote Aleutian Island chain,... ...? As the Geologist III, you will work out of... ...synthesizing and documenting data from investigated areas... ...to the Alaska Native Claims Settlement Act, in...Remote workDataClaimsHourly payContract workWork at officeLocal areaImmediate start
- ...Managing provider data for a national network, the full-time Provider Data Specialist will be... ...optometry practitioners, while working remotely. Key responsibilities Create and manage... ...provider databases, ensuring accuracy for claims processing and authorizations Review and...Remote workDataClaimsFull timeWork at office
- ...seeking an experienced Inpatient Medical Coding Auditor to review hospital claims, assign DRGs, and ensure proper reimbursement. This remote role supports our nationwide operations... ...will analyze records, enter and manipulate data, and respond to internal requests while...Remote workDataClaims
- Auditor US Defense Commissary Agency (Part of U.S. Government... ..., and compliance data using advanced... ...conclusions reached. Provides technical guidance to peers... ...Telework eligible: Yes Remote work eligible: No PCS... ...support your educational claims. Transcripts. REQUIRED...Remote workDataClaimsPermanent employmentFull timeContract workPart timeWork at officeRelocationTrial period
- ...Systems Engineer III – Integration & Verification... ...Technology, we strive to provide innovative solutions and... ...Evidence-driven; does not claim compliance or readiness... ...results and determine whether data supports compliance,... ...activities, including remote and onsite technical support...Remote workDataClaimsWork at officeRelocation packageFlexible hours
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