Director of Medicaid Contract Oversight. * Reviews and analyzes claims data for trends to identify possible fraud, waste...
. We are looking to add a Medicaid Auditor to our SGS team of talented professionals. What you'll do: The Auditor applies intermediate level... and operating principles. Intermediate understanding of Medicare/Medicaid or healthcare auditing and their revenue cycles...
, and professional applicants for a legal assistant/paralegal position with the Medicaid Fraud Control Unit. This person will work...'s efforts to operate a statewide program to investigate and prosecute Medicaid fraud, false Medicaid claims, and patient abuse...
: 20043059) Job Overview: The Ohio Department of Medicaid is seeking an experienced auditor to be a part of our Managed Care...What You Will Do At ODM: Office: Legal Counsel Bureau: Program Integrity Classification: External Auditor 3 (PN...
. We are seeking a motivated Medical Coding Auditor (Pathology) to join our Audit, Compliance & Education team. The Auditor... and procedures. Responsibilities of the Auditor include but are not limited to: Perform detailed coder audits on a regular basis...
where appropriate. Auditor III's plan, perform, coordinate and lead audits. A basic understanding of Medicaid procedures and policy... of Inspector General has an Auditor III position for you. Requires minimal supervision and provides functional supervision...
and Medicaid managed care health plans, are outstanding examples of how we are expanding services in response to our patients... Review Auditor (QRA) is responsible for ongoing audits of the care management staff, quality assurance, accuracy and overall...
Auditor III Finance is responsible for various tasks within the Financial Compliance Unit, including audit of the financial... with the Supervisor and/or Lead Auditor on identification and resolution of issues in a timely and efficient manner...
the cures of tomorrow to the people who need them today. The Hospital Compliance Auditor conducts audits systemwide... of services billed. The Hospital Compliance Auditor evaluates the adequacy and effectiveness of controls designed to ensure...
Nursing Facility (SNF) Auditor III (Remote) – Join Our EXL Team! Are you passionate about healthcare auditing... you on our team as an Auditor III – SNF/RUG! 💻 Remote Opportunity – Work from Home! At EXL, we bring together sharp, innovative...
Nursing Facility (SNF) / Resource Utilization Group (RUG) - Auditor III, Healthcare (Remote) – Join Our EXL Team...) billing and reimbursement? If so, EXL wants you on our team as an Auditor III – SNF/RUG! 💻 Remote Opportunity – Work...
UPMC Health Plan has an exciting opportunity for a Clinical Auditor/Analyst position in the CCBH Fraud, Waste & Abuse... of working from home and in office. The Clinical FWA Auditor/Analyst is the entry level auditing position and is an integral...
Support Center Adventist Healthcare seeks to hire an experienced Coding Compliance Auditor for our Organizational... healing. As a Coding Compliance Auditor, you will: Conducts a high volume of coding compliance audits across Adventist...
target at 5% of your annual earnings; terms and conditions apply. PFS Auditor - Remote PST The PFS Auditor works with PFS... validation and coding denials from Medicare, Medicaid, and other third-party payers. Essential Functions Conducts SOX reviews...
Compliance Auditor III is responsible for planning, coordination, and conducting comprehensive compliance audits and reviews... providers. Additionally, the Auditor III will provide updates and recommendations to Management on quality and delegation...
between $51,700 – $99,000 based on experience The Outpatient Facility Coding Auditor integrates medical coding principles and objectivity in the... Coding Auditor will audit the quality of all outpatient work types to assure appropriateness and accuracy of Diagnoses, CPT...
Overview Now hiring a Pro Fee Auditor/Educator With minimal supervision directly supports the following..., Medicaid, and other third party payer documentation, coding, and billing regulations for service lines(s) assigned...
Overview Now hiring a Hybrid Pro Fee Auditor/Educator With minimal supervision directly supports the following..., Medicaid, and other third party payer documentation, coding, and billing regulations for service lines(s) assigned...
Job Summary: The Compliance Auditor/Monitor has the primary responsibility of developing, implementing and conducting... in accordance with requirements of Centers for Medicare and Medicaid (CMS) and the Compliance Audit Methodology. In this role, the...
Duties Description Criminal Justice Division Medicaid Fraud Control Unit - New York City Forensic Accountant/Auditor...) Medicaid Fraud Control Unit (MFCU) seeks forensic accountants/auditors (FAA) for its New York City office. The FAA supports...