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PHARMACY INTEGRITY AUDITOR – REMOTE

Responsible for conducting pharmacy claims audits at the request of operations and management teams. May leverage health care providers, medical facilities, various billing portals, and contracting teams, as necessary. Responsible...

CompanyIqvia
AddressBridgewater, NJ
CategoryAccounting/Finance
Salary$50,000 - $54,000 a year
Job typeFull-time
Date Posted 3 weeks ago See detail

Pharmacy Integrity Auditor – Remote

Iqvia

Bridgewater, NJ

$50,000 - $54,000 a year

Responsible for conducting pharmacy claims audits at the request of operations and management teams. May leverage health care providers, medical facilities, various billing portals, and contracting teams, as necessary. Responsible...

Coding Auditor - CPC Or CCS

Teksystems

Tate, GA

Medical Coding Auditor - CPC or CCS Location: Lawrenceville, GA - ONSITE Experience Level: Expert level Employment Type: Full-Time Pay: $30-35 per hour Shift: Monday-Friday 8-4:30pm OR 8:30-5pm (Flex schedule after 90 days/once ac...

Outpatient Coding Auditor Virtual

Adventhealth Tampa

Tampa, FL

$27.97 - $41.96 an hour

Benefits from Day One. Paid Days Off from Day One. Student Loan Repayment Program. Career Development. Whole Person Wellbeing Resources. Mental Health Resources and Support. AdventHealth Pepin Heart Institute, known across the cou...

Medical Coding Auditor

Quadrant, Inc.

Bethesda, MD

Reports or resolves escalated issues as necessaryPerforms a comprehensive medical records review to assure the presence of all component parts including patient and record identification signatures, dates where required, and other...

Coding Auditor/Denial Analyst

Wood County Hospital

Bowling Green, OH

Provide coding audit services for all inpatient and outpatient records toincludeICD-10-CM/PCS, DRG, ROM/SOI/APR-DRG, CPT/APC, E&M coding and assignment and abstractingreflective of clinical documentation.Ability to successful...

Coding Auditor

Coronis Health

Oklahoma City, OK

The Auditor is responsible for ongoing and continuous monitoring of the quality of all coded data, performing focused audits on all coders as needed and ensuring that the minimum client required accuracy rate is maintained. Duties...

Inpatient/Outpatient Facility Coding Auditor - Manager

Pya

Overland Park, KS

Apply inpatient and outpatient facility/hospital coding and reimbursement methodologies to provide advisory services to PYA clients with a focus on the following:ICD-10-CM and PCS/CPT/HCPCS code assignment.MS-DRG and other DRG val...

DRG Validation Coding Auditor I

R1 Rcm

Boise, ID

CA PRIVACY NOTICE: California resident job applicants can learn more about their privacy rights California Consent (https://f.hubspotusercontent20.net/hubfs/4941928/California%20Consent%20Notice.pdf) To learn more, visit: R1RCM.co...

Coding Auditor - Health Information Management

Zunch Staffing

Reno, NV

Coordinate coding staff auditing schedules to ensure quality and proficiency. Audit information coded from provider documentation and patient records within designated time frames. Document and report all auditing findings to Codi...

Coding Auditor - Health Information Management

Wecare Staffing Solutions Inc

Reno, NV

All findings obtained in the auditing arena must be documented and reported to Coding Leadership. This position has access to proprietary information and has contact with other departments, which mandates high standards of profess...

Coding Auditor

Welbehealth

Los Angeles, CA

Assist with retrospective and concurrent coding for PACE (All-inclusive Care for the Elderly) Dual participants. Conduct pre-visit chart preparations and post-visit chart reviews. Oversee audits and participate in provider educati...

Compliance Auditor - Remote - Must reside in Approved States

Duke Health

Durham, NC

Provides oversight to the implementation and monitoring of the compliance program for assigned DH department(s) to include departmental, divisional and individual provider review and education. Scope of responsibility includes com...

Risk Adjustment Auditor III - REMOTE FLORIDA

Blue Cross And Blue Shield Association

Lorida, FL

Periodic travel up to 10% for quarterly onsite meetings.The Key Responsibilities:* Performs medical record validation audits and interpretation of medical documentation to ensure capture of all relevant coding based on CMS Hierarc...

Compliance Auditor -Remote

Medzed

Los Angeles, CA

$65,000 - $85,000 a year

Conduct thorough audits of health plan operations to assess compliance with regulatory requirements. Review and analyze health plan policies, procedures, and documentation to identify areas of non-compliance. Work with department...

Auditor | Remote

Allianz

Minneapolis, MN

AZRA has approximately 150 employees located nationwide with the majority working on a remote basis.Under direct supervision, perform routine assignments on the day-to-day audit activities. * Collaborate with management on the dev...

SENIOR AUDITOR (CLASS CODE 0427)

City Of New Orleans, La

New Orleans, LA

Permanent or probationary status as an Auditor and one (1) year of experience in that classification. A bachelor's degree in Accounting from an accredited college or university OR a bachelor's degree in another field with at least...

Premium Auditor-Remote

Interstate Audit, Llc

New York, NY

A High School diploma or GED is required; an Associate's or a Bachelor's degree in Accounting, Finance or a related area is strongly preferred. A minimum of 1 year experience in premium auditing, accounting and/or bookkeeping is r...

Account Executive (Remote) | No-Code SaaS | 100% Remote

Process Street

Houston, TX

$75K - $95K a year

Convert inbound leads into opportunities. Unearth new sales opportunities through networking and turn them into long-term partnerships. Present our tech to prospective clients. Remain in frequent contact with clients to understand...

Auditor, Medicaid (Full-time, Remote)

Integrity Management Services, Inc.

Alexandria, VA

Bachelor's degree in finance, accounting, or related field preferred. Typically 2+ years of related experience in finance, accounting, or auditing. Medicaid managed care work experience. Intermediate understanding of Medicaid mana...

Medical Coding ASC Specialist - REMOTE

Quadris Team Llc

Queen Creek, AZ

Utilizes technical coding expertise to review the medical record thoroughly, utilizing all available documentation to abstract and code facility and physicians professional services and diagnosis codes, inpatient admissions, surgi...

Document & Coding Education Development Specialist- Full Time- Remote

Henry Ford Health

Michigan, United States

High School Diploma or G.E.D. equivalent required. Associate degree in Education, Business/Healthcare Administration, Medical record sciences or other Healthcare related field or related field or 4 years of curriculum development,...

Internal Auditor - Latam (Remote)

Dlocal

Montevideo, MN

Contribute to an adequate internal control environment, including execution, and reporting based on defined planning and scoping. Coordinate and perform design and effectiveness assessments, identifying opportunities for improveme...

Professional Coding Specialist III - Full-time - Remote!

Children's Wisconsin

Wisconsin, United States

Assigns or verifies CPT, ICD-10 CM coding and modifiers based upon documentation. Subject matter expert in one or more specialties and may also cover multiple surgical/medical specialties for abstraction, ambulatory and/or surgica...

Coding Specialist I - Full-time - Remote

Children's Wisconsin

Wisconsin, United States

High school education. Health Information Technology degree preferred. Registered Health Information Technician (RHIT) or Certified Coding Associate (CCA) credential must be obtained within 12 month of hire. Hospital or medical fa...

Medical Coding Specialist (Remote in CA)

Balboa Nephrology

San Diego, CA

Balboa Nephrology is the largest kidney care practice in California and participates in a national Medicare program focused on value-based care. Through our joint venture with Evergreen Nephrology we are a growing organization wit...

Coding Compliance Auditor

Lmhs

Newark, OH

Responsible for carrying out the LMHS Compliance Program's internal auditing and monitoring function activities to help assure consistency with federal and state law. Collaborates with LMHS' auditing processes for coders, physicia...

Coding Compliance Auditor

Licking Memorial Health Systems

Newark, OH

Responsible for carrying out the LMHS Compliance Program's internal auditing and monitoring function activities to help assure consistency with federal and state law.Collaborates with LMHS' auditing processes for coders, physici...

REMOTE HB CODING EDUCATOR

Sparrow Health System

Lansing, MI

Designs, implements, and conducts effective training programs to support the hospital billing revenue cycle. Communicates opportunities for improved workflow to information technology and/or EPIC analysts. Job Requirements General...

Clinical Documentation & Integrity Auditor/Educator (Remote)

Memorial Hermann Health System

Houston, TX

Current State of Texas license or temporary/compact license to practice professional nursing. Certified Clinical Documentation Specialist (CCDS) required; AHIMA ICD-10-CM/PCS Trainer preferred. Minimum of three (3) to five (5) yea...

Coding Specialist III- Remote

Mount Carmel Health System

Columbus, OH

Reviews medical records to determine all appropriate diagnostic and procedural code assignments. Validates appropriate DRG assignments. Assigns and sequences diagnostic and procedural codes using appropriate classification systems...