DME Claims Compliance & Analytics Auditor
Cardinal Health
Cardinal Health is seeking a Durable Medical Equipment Supplies Claims Auditor in Annapolis, Maryland. This role involves compliance monitoring and auditing activities for various medical supply claims, ensuring accuracy and compliance with regulations. The ideal candidate will have strong analytical and communication skills, along with a Bachelor’s degree. They should be comfortable in a fast-paced environment and possess knowledge of healthcare regulations. #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- ...the integrity and accuracy of claims processes and protocols.... ..., utilizing a combination of analytical skills and attention to detail... ...findings, ensuring accuracy and compliance with legal and regulatory requirements... ...and support to other auditors/investigators, contributing...ClaimsWork experience placement
$23.16 - $35.88 per hour
Highmark Health seeks a Stop Loss Claims Analyst in Annapolis, Maryland. This role involves reviewing and processing various claims while... ...insurance claims experience, organizational skills, and strong analytical abilities. The position is office-based and includes...ClaimsHourly payWork at office- ...Proving Ground, MD. This role supports the development of budgets by gathering data and forecasting funding needs while ensuring compliance with budget policies. The ideal candidate has a strong background in budget management and financial analysis. Responsibilities include...Suggested
- ...J29, Inc is seeking a part-time Physician Auditor to perform blinded Independent Review clinical evaluations while adhering to Medicare guidelines. The position is contingent upon the successful award of the associated contract. The ideal candidate has over 10 years of...ClaimsContract workPart timeRemote workFlexible hours
$51.8k - $75k
The Claims Accountant is responsible for managing and analyzing financial... ...reporting while maintaining compliance with regulatory requirements... ...department, accounting, and auditors to improve financial... ...reporting software. Excellent analytical, reconciliation, problem‑solving...Claims$67.9k - $199.14k
...Manager to join our dynamic Risk Adjustment Analytics team! In this role, you will lead and... ...leveraging medical and pharmacy claims, encounter, provider, and membership data... ...and non‑technical stakeholders Support compliance with CMS and state Medicaid requirements...ClaimsRemote jobHourly payFull timeTemporary workWork experience placementLocal area$51.8k - $75k
Captives Claim Accountant page is loaded## Captives Claim Accountantremote... ...reporting while maintaining compliance with regulatory requirements... ...department, accounting, and auditors to improve financial... ...reporting software.* Excellent analytical, reconciliation, problem‐solving...ClaimsHourly payLocal areaRemote work$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- Sedgwick is seeking a Claim Examiner specializing in general liability and product liability... ...liability assessments, and maintaining compliance with regulations. The ideal candidate... ...management experience, and excellent analytical and communication skills. The position offers...Claims
$71.1k - $97.8k
...community 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 payFull timeContract workTemporary workApprenticeshipWork at officeRemote workWork from homeHome officeMonday to Friday- ...New York Workers Compensation Lost-Time claims in Annapolis, Maryland. The role involves... ..., processing claims, and ensuring compliance with client service requirements. Candidates... ...experience in claims management, strong analytical abilities, and negotiation skills. The position...ClaimsFlexible hours
$46.99k - $112.2k
...healthcare services. This role requires 3-5 years' experience and coding expertise, focusing on compliance and billing accuracy. Qualified candidates should demonstrate strong analytical and collaborative skills. The position offers a full-time schedule with a competitive...ClaimsFull time- ...a Medicare Analyst to support Medicare projects in Maryland. The role involves documenting processes, performing data analytics, and enhancing claims management accuracy. Candidates must possess a Bachelor's degree, U.S. Citizenship, and 5 years' experience with Medicare...Claims
- A leading consulting firm is seeking a Claims Data Engineer to design and implement claims systems and support data analytics projects. The ideal candidate will have 7 years of experience in healthcare claims systems and expertise in database management and automation....ClaimsRemote job
$60.32k
...Health's community health clinics. Process and submit insurance claims, post payments, review and resolve denied or unpaid claims,... ...and claim status, maintain accurate billing records and ensure compliance with Medicaid, commercial insurance and healthcare billing regulations...Claims- ...practical risk controls while collaborating with underwriting, claims, and agents to support informed decisions. The ideal candidate... ...safety/risk management background, excellent communication and analytical skills, and the ability #J-18808-Ljbffr Penn National InsuranceClaims
- Job Description We are looking to add a Workers’ Compensation Claims Specialist to join our Creative Risk Solutions team. Creative Risk... ...interpretation, contributing to workflows and adhering to compliance requirements. They will prioritize problem-solving, actively foster...ClaimsFull time
$26.01 - $68.55 per hour
...criteria and policies for post-service claims. Coordinate clinical resolutions independently... ..., and internal workflows to ensure full compliance with organizational and state-specific... ...equivalent clinical experience. Strong analytical skills to assess medical claims....ClaimsHourly payFull timeTemporary workLocal area- 6AM City, LLC is looking for a HIM Coding Compliance Auditor based in Baltimore, MD with an emphasis on coding accuracy and compliance. This role involves reviewing outpatient records, advising on audit records, and educating HIM staff. Candidates must have at least seven...Remote jobFull timeDay shift
- Dormont Manufacturing Co is seeking a QA Auditor I to ensure compliance and excellence in clinical auditing processes. The role includes managing specification revisions, document control, and ensuring overall GMP compliance through documentation coordination. The ideal...
$34.18 - $51.27 per hour
HIM CODING COMPLIANCE AUDITOR Baltimore, MD SINAI CORPORATE HLTH INFORMATION MNG Full-time - Day shift - 7:30am-4:00pm Professional 92216 $34.18-$51.27 Experience based Posted: September 22, 2025 Summary LifeBridge Health is a dynamic, purpose‑driven health system...Full timeRemote workShift workDay shift- ...strong background in ICD-10-CM and CPT-4 coding with auditing experience. Key responsibilities include auditing hospital coding for compliance and reimbursement, serving as a subject matter expert, and providing training for new coding specialists. Candidates should...Remote jobFull timeFlexible hours
$25.6 - $38 per hour
...Conditions Adherence to all Good Manufacturing Practices (GMP) Safety Standards Job Description Join us a a QA Auditor I - And play a crucial role in ensuring compliance and excellence in our clinical auditing processes. What You’ll Do: Support IQA/SQA group as responsible...Hourly payTemporary workWork at officeFlexible hoursDay shift- Datavant is seeking a remote Inpatient Auditing Specialist to support coding quality and compliance across the healthcare ecosystem. You will help ensure accurate audits while providing support and education to coders on best practices. Ideal candidates will have over...Remote jobFlexible hours
$88k - $132k
...functional and technical discussions and is motivated to design scalable, future‑proof solutions that support business growth and compliance. Job Description And Requirements Who We Are Relativity is a leading legal data intelligence company building technology that...Remote workHome office$175k - $300k
...investigations, termination decisions, and compliance with local, state, and federal... ...discrimination, retaliation and wrongful termination claims; wage and hour disputes; and restrictive... ...NLRB rules and regulations. Excellent analytical, negotiation, and communication skills....ClaimsFull timeContract workTemporary workLocal area$115k - $125k
...feedback from clinical, operational, and compliance teams. Champion product discovery,... ...manage multiple tasks to completion. Strong analytical, research, and problem-solving skills. Excellent... ...healthcare data formats (eligibility, claims, authorizations) and compliance...ClaimsWork at officeImmediate start- ...poised for future growth. Position Summary The Compliance Senior Health Data Analyst is responsible for providing advanced analytics, reporting, and data-driven insights that... ...privacy incidents, and member requests for claims and healthcare information, ensuring the accurate...ClaimsWork experience placement
$31.5 - $42 per hour
...reimbursement, research, statistics and compliance to federal and state regulations in accordance... ...accuracy in code assignments to prevent claim denials, billing errors, and potential... ..., Skills, Abilities: Strong analytical and organizational skills; filing systems...ClaimsFull timeWork at office
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