DME Claims Compliance & Analytics Auditor
Cardinal Health
Cardinal Health is seeking a Durable Medical Equipment Supplies Claims Auditor to support its Ethics and Compliance program. This role involves auditing DMEPOS supply claims to ensure accuracy and compliance with regulations. The ideal candidate will possess strong analytical skills, have healthcare industry knowledge, and be comfortable in a fast-paced environment. Responsibilities include monitoring claims, performing root cause analysis, and collaborating with teams for process improvements. #J-18808-Ljbffr Cardinal Health
$33 - $37.68 per hour
Summary The Durable Medical Equipment Supplies Claims Auditor plays a key role in supporting Cardinal Health’s Ethics and Compliance program by helping ensure claims-related... ...-functional teams. The ideal candidate is analytical, detail-oriented, collaborative, and comfortable...ClaimsHourly payTemporary workWork experience placementLocal areaImmediate startFlexible hours- A leading company is seeking a Senior Auditor to conduct detailed auditing and accounting services for fraud investigations... .... The ideal candidate will possess strong analytical skills and experience in healthcare claims, with a commitment to fostering government...Claims
$71.1k - $97.8k
...health first The Inpatient Medical Coding Auditor extracts clinical information from a... ...coding auditor to review inpatient hospital claims for proper reimbursement, handle... ...of Humana to take affirmative action, in compliance with Section 503 of the Rehabilitation Act...ClaimsBi-weekly payContract workTemporary workApprenticeshipWork at officeRemote workWork from homeHome officeMonday to Friday- ...Contact Government Services) is looking for a highly skilled Senior Auditor to lead auditing and accounting services supporting fraud... ...experience and be proficient in SQL, data visualization, and health claims analysis. Benefits include health insurance, 401k, and paid...Claims
- Cgsfederal is looking for a highly skilled Senior Auditor in Albany, NY, to support fraud investigations by providing comprehensive auditing... ...services. The ideal candidate will analyze healthcare claims and financial documentation to identify fraud patterns while offering...Claims
$84.78k - $131.41k
...Senior Internal Auditor – Position Overview Department/Unit: Compliance Office Work Shift: Day (United States of America) Salary Range: $84,783.00 - $131,414.0... ...evidence that either supports or refutes the System’s claim of compliance as it relates to these areas. The...ClaimsWork at officeShift work$70k - $75k
...Financial Services & Insurance Attorney Auditor ** This is a fully remote position,... ...communicate with law firms to discuss compliance with client's billing requirements. Effectively... ...is the world's leading risk and claims administration partner, which helps...ClaimsLocal areaRemote workWork from homeFlexible hours- Auditor 1 (Tax) performs on-site field audits and examinations of taxpayers' books, records... ..., and substantiating data to determine compliance with various articles of the New York... ...disputed cases at BCMS conferences and Small Claims Hearings; may participate as a witness...ClaimsTraineeshipPrivate practiceWork at officeLocal areaRemote workNight shift
$70.07k - $108.61k
Department/Unit: Compliance Office Work Shift: Day (United States of America) Salary Range:... ...068.00 - $108,605.00 Position: Internal Auditor The Internal Auditor will work closely with... ...that supports or refutes the System's claim of compliance. This role may require...ClaimsWork at officeShift work- ...insurance provider is seeking a dedicated claims analyst to review and process Stop Loss... ...will build client relationships, ensure compliance with regulations, and maintain accurate... ...for someone with strong communication and analytical skills, this position offers...Claims
$100k - $125k
...Senior Auditor Employment Type: Full-Time, Experienced Department: Financial CGS is seeking... .... -Analyze large and complex healthcare claims datasets to identify fraud, waste, and... ..., and other related platforms. -Prepare analytical summaries, memoranda, charts, and data...ClaimsFull timeFlexible hours- ...Job Description The Pharmacy Analytics Consultant provides direct support for both Pharmacy... ...Pharmacy Markets strategy, growth, compliance, and affordability objectives across the... ...self-service. Uses knowledge of both the claims data sets/warehouses available and the Medical...ClaimsWork at officeRemote workWork from homeHome office
- ...Overview CGS is seeking an Investigative Auditor to support a large federal agency in... ...transactions, accounting systems, healthcare claims, reimbursement data, procurement records... ...evidence using industry-standard analytical and visualization tools Assist with financial...ClaimsFull timeFor contractorsInterim roleWork at officeFlexible hours
- ...services company is seeking an experienced Inpatient Medical Coding Auditor to perform coding audits and ensure accurate provider... ...such as RHIA, RHIT, or CCS, and proficiency in MS-DRG coding, claims interpretation, and Microsoft Office. Strong communication and...ClaimsWork at officeRemote workFlexible hours
$70.07k - $108.61k
...Medical College in Albany, NY, is seeking a Revenue Integrity Compliance Auditor responsible for auditing and ensuring compliance in... ...experience. The role offers a collaborative work environment and requires strong analytical skills. #J-18808-Ljbffr Albany Medical CollegeFull time$23.16 per hour
...Stop Loss (Excess Risk and Reinsurance) claims in accordance with established turnaround... ...) on behalf of self-funded clients for compliance with the following: underlying policy provisions... ...independently. Problem Solving and analytical skills. Language (Other than English):...ClaimsFor contractorsWork at officeLocal area$22.3 - $35.2 per hour
...ensuring accurate and timely processing of claims, including denials and the maximization... ...and accuracy in AR operations. Ensure compliance with company policies, accounting... ..., especially Excel preferred Excellent analytical, organizational, and communication skills...ClaimsHourly payTemporary workWork at officeLocal areaFlexible hours- Albany Med Health System is seeking a Project Specialist - Insurance within Risk Management Services. You will coordinate insurance claims, renewals, and safety initiatives while collaborating with staff, finance, brokers, and carriers. The role emphasizes data...Claims
- ...Job Description Job Description Senior Auditor Employment Type: Full Time, Mid-level Department: Financial Services CGS... ...who will assist the district legal staff by conducting medical claims data analysis, forensic investigations, financial damages, statistical...ClaimsFull timeFlexible hours
$43.45k - $67.5k
Farm Family in Albany, NY is seeking a Claims Representative responsible for evaluating, negotiating, and settling insurance claims.... ...collaboration with vendors, customers, and defense counsel, ensuring compliance with state regulations throughout the claims process....ClaimsWork at office$13 per hour
...Job Title: Auditors Employment Type: Contract Work Hours: 40 hrs./week Work site: 100% Onsite Location: 99 Washington... ...mailing within required timeframes. Performing medical claims pricing for medical pended claims. Reviewing invoices,...ClaimsWeekly payContract workWork at officeMonday to FridayFlexible hoursShift work- ...Job Description Job Description Auditor Employment Type: Full-Time, Mid-Level Department: Financial CGS is seeking a highly... ...of data such as bank records, financial records, healthcare claims, tax records, correspondence, policies, other documentary evidence...ClaimsFull timeWork experience placementInterim roleWork at officeLocal areaFlexible hours
- ...Federal (Contact Government Services) is looking for an Investigative Auditor in Albany, NY. You will assist federal agencies in conducting complex financial and forensic analyses, analyzing healthcare claims, and preparing investigation reports. The ideal candidate has a...ClaimsFull timeWork at office
- Cgsfederal is seeking an Investigative Auditor to join our team in Albany, NY, to support a large federal agency. The successful applicant... ...in related areas, the candidate will analyze financial compliance and conduct forensic accounting tasks. Benefits include health...Claims
$84.78k - $131.41k
Department/Unit: Compliance Office Work Shift: Day (United States of America) Salary Range... ...- $131,414.00 The Senior Revenue Cycle Auditor will be a key contributor within the... ...encompass project management, research and analytical tasks while also collaborating across internal...Work at officeShift work- ...in a healthcare environment Excellent analytical, troubleshooting, and communication skills... ...billing workflows, charge capture, claims processing, reimbursement, and collections... ...configurations and system changes. Ensure compliance with organizational policies and...Claims
$70.07k - $108.61k
...specialties. This position reads, interprets, and distributes coding and billing guidelines to all departments to ensure regulatory compliance. Essential Duties And Responsibilities Exemplifies the AMHS Values and Code of Conduct, while striving to identify compliance...Local areaImmediate startShift work$84.78k - $131.41k
A prominent healthcare institution in Albany is looking for a Rev Cycle Internal Auditor to enhance compliance and audit initiatives. The role involves managing projects related to the revenue cycle, analyzing data for discrepancies, and collaborating with various teams...Full time- 100 Albany Med Health System in Albany, NY is seeking a Senior Revenue Cycle Auditor to lead compliance and audit initiatives. The role involves managing projects, analyzing clinical and financial data, and collaborating with various teams to enhance revenue cycle integrity...
- ...AMHS Revenue Integrity department. The role involves providing essential support for documentation and billing accuracy, ensuring compliance with regulations and policies. The ideal applicant will have an Associate's Degree with auditing experience, strong communication...
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