Hybrid Medical Claims Auditor & Investigator
HCSC
HCSC is seeking a candidate in Oklahoma City or Tulsa to perform clinical, billing, and coding reviews for claims. Responsibilities include validating claims and collaborating with various departments as needed. Required qualifications include a Bachelor Degree and 3 years claims processing experience, with strong communication and organizational skills. This is a hybrid role with benefits like a 401(k) and paid time off. #J-18808-Ljbffr HCSC
$55.9k - $123.5k
...pre and post payment utilizing medical, contractual, legislative,... ...other information to validate claims submitted and billed. The individual... ...in each case such as special investigations, customer service, pass,... .... Schedule: This is a Flex (Hybrid) role: 3 days in office; 2...MedicalWork at officeRemote workMonday to FridayFlexible hours- ...operators, these Medicare Advantage plans manage medical risk by improving patient care to reduce... ...and post‑pay audits to ensure accurate claims payments and denials Ensure regulatory... ...of automated claims processing systems Hybrid role that may require 2‑3 days per week...MedicalRemote jobFull timeTemporary workWork at officeLocal area2 days per week3 days per week
$71.1k - $97.8k
...help us put health first The Inpatient Medical Coding Auditor extracts clinical information from a... ...auditor to review inpatient hospital claims for proper reimbursement, handle provider... ...expense. Humana will provide Home or Hybrid Home/Office associates with telephone...MedicalBi-weekly payContract workTemporary workApprenticeshipWork at officeRemote workWork from homeHome officeMonday to Friday- The Oklahoma Department Of Human Services is seeking an Auditor in Oklahoma City. This role involves performing advanced audits to ensure... ...with CPA, CIA, or CFE certifications. The position offers a hybrid schedule and aims to support resource efficiency in serving Oklahomans...Suggested
- ...Audit professional to join our client's growing audit team in a hybrid role. This position will support internal audit initiatives... ...be eligible for discretionary bonuses, and can participate in medical, dental, and vision benefits as well as the company’s 401(k) retirement...MedicalWork at officeLocal area
- ...A leading healthcare company is seeking a qualified Inpatient Medical Coding Auditor to analyze and code clinical information from medical records. This is a remote position with the possibility of travel to company offices for training. Candidates must have significant...MedicalRemote work
$20.9 per hour
...required ~ Must be at least 18 years old ~ Pass drug test ~ Pass background check Benefits: ~ Competitive Wages ~ Medical, Dental, Vision and Prescription Benefits ~401(k) Program with Company Match ~ Paid Vacation ~ Sick / Personal Pay (SPP) ~...MedicalFull timeFlexible hoursShift workWeekend work$90k - $100k
...training and qualification steps toward independent thirdparty auditor status Your Qualifications ~ Bachelor's degree in engineering... ...systems ~ Occupational health and safety management ~ Medical device quality systems ~ Manufacturing or other regulated industries...MedicalPermanent employmentFull timeContract workFreelanceLocal area$46.99k - $122.4k
The Hispanic Alliance for Career Enhancement is seeking a Program Integrity Auditor to review medical records for compliance with coding standards in the United States, Massachusetts. Responsibilities include auditing provider records, identifying billing patterns, and...MedicalFull time$20.9 per hour
Hobby Lobby in Oklahoma City is looking for an Inventory Control Auditor to join their Auditing Crew. This full-time position requires... ...like recounting stock and maintaining accuracy. Benefits include medical, dental, vision, 401(k) match, paid vacation, and employee...MedicalFull timeAfternoon shift$20.9 per hour
...drug test Pass background check Benefits Competitive Wages Medical, Dental, Vision and Prescription Benefits 401(k) Program with... ...hiring process call (***) ***-****. Job Title Inventory Control - Auditor Address 1 7707 SW 44th Street Zip Code 73179 Department...MedicalFull timeFlexible hoursShift workWeekend work$46.99k - $122.4k
...Summary The Program Integrity Auditor is responsible for the review of records for medical, behavioral, transportation, and... ...recoupment of funds or rebilling of claims, and referral to state... ...staff and assisting with further investigation and/or reports to state regulators...MedicalHourly payFull timeTemporary workLocal areaMonday to FridayFlexible hours$69.5k
**Job Posting Title**Auditor II**Agency**345 DEPARTMENT OF TRANSPORTATION**Supervisory... ...benefits.* The State offers several different medical, dental, and vision plans to better fit... ...reviews, audits, or special investigations to determine compliance with laws and regulations...MedicalFull timePart timeWork at officeFlexible hours$59.3k - $80.9k
Become a part of our caring community The Medical Coding Auditor reviews medical claims submitted against medical records provided to ensure correct coding guidelines are met. The Medical Coding Auditor work assignments are varied and frequently require interpretation and...MedicalFull timeTemporary workApprenticeshipRemote workWork from home- American Health Communities is seeking a Claims Auditor in Oklahoma City, OK. This role involves ensuring accurate claims payment, regulatory compliance, and providing exceptional customer service. Ideal candidates will have at least two years of experience in health insurance...Work at office2 days per week3 days per week
- ...security and 5 years of IT experience* Certified Information Systems Auditor (CISA) required; CISSP, CISM, CRISC, CIA or other audit or... ...on their role and business needs.**Onsite Amenities include:• Medical Clinic available onsite and virtually• Waterfront Grill• Free Parking...MedicalWork at officeWork from homeHome office
$26.66 per hour
...position type and or level. Job Summary The Physician Compliance Auditor II audits and evaluates compliance activities to ensure... ...addressed. Develops curriculum for educating providers and staff on medical record documentation guidelines. Educates on diagnostic and...MedicalWork experience placementImmediate startRemote work- Internal Auditor page is loaded## Internal Auditorlocations: Oklahoma Citytime type: Full timeposted on: Posted Todayjob requisition id... ...with OU Health staff, ranging between executives, leaders, medical providers, and frontline employees.* Possess discipline to meet...Medical
$110k - $150k
...staffing agency is seeking a Mid-Senior level Audit Manager to join a Top25 National CPA Firm in Oklahoma City. This role offers a hybrid schedule and significant career growth opportunities. The candidate will be involved in various industries and is expected to enhance...$110k - $130k
...& Advisory Services # Location: Oklahoma City or Tulsa, OK (Hybrid) # Compensation: $110,000 to $130,000 We are looking for... ..., and reporting. Along the way, you will mentor a team of auditors. The clients you will work with are diverse, often entrepreneurial...- ...excited to introduce Davies Risk Services to you! Our Premium Auditors come from various backgrounds. If you are inquisitive, driven &... ...condition protected by the laws or regulations in the locations where we operate.* #LI-SM1 #LI-HYBRID #J-18808-Ljbffr Davies Risk ServicesContract workFor contractorsLive inWork at officeWork from homeHome office
$12k - $58.6k
...maintain required car insurance. Job Responsibilities: As an Auditor at OKDHS, you’ll perform advanced audits that support transparency... ...public service environment. Audit staff are eligible for a hybrid schedule with remote days weekly, and we offer ongoing professional...Remote work$75k - $95k
...oriented, upholds a professional demeanor in all tasks and relationships, and responds in ways that benefit both clients and the firm. Hybrid remote flex is offered. This position offers a great work life balance with minimal local travel. Responsibilities: ·...Local areaRemote workFlexible hours$80k - $130k
...00.00/yr Job details Audit Senior or Audit Manager - Remote or Hybrid - Great Work/Life Balance - Top 10 CPA Firm This Jobot Job is hosted... ...work/life balance? We do too! Why join us? Competitive Pay! Medical, Dental and Vision Benefits Paid Holidays Paid Vacation Great...MedicalLocal areaRemote workFlexible hours- ...company is seeking a Manager for Employee Communications in a hybrid role. This position involves crafting effective communication strategies... ...of strategies. Competitive benefits are offered, including medical, dental, and a generous 401(k) plan. #J-18808-Ljbffr...MedicalRemote job
- A community healthcare organization is seeking a Per Diem Medical Provider in Massachusetts to offer substance use care for individuals struggling with addiction. This hybrid role combines telehealth and in-person support, requiring a Massachusetts license as a Nurse Practitioner...MedicalDaily paid
- ...responsible for processing and managing ambulance claims, ensuring accuracy and compliance with... ...position offers a blend of in-person and hybrid work options, providing flexibility while... ..., this opportunity is perfect for you. #J-18808-Ljbffr Pafford Emergency Medical ServicesMedical
- ...Testing/Therapy Psychologist for its Edmond, Oklahoma clinic. This role emphasizes patient care within a hybrid work environment, with great benefits including medical, dental, vision, 401(k) with match, and strong work-life balance. Candidates must be fully licensed in...Medical
- An established industry player in emergency medical services is seeking a detail-oriented billing specialist. This hybrid position allows for a blend of in-office and remote work, providing flexibility while ensuring essential tasks are completed efficiently. The ideal...MedicalWork at officeRemote work
- A prestigious medical institution is seeking fellowship-trained candidates for clinical faculty positions in Abdominal Radiology. Successful... ...Hospital and Massachusetts General Hospital. The role offers a hybrid work schedule with opportunities for clinical research and...MedicalRemote job
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