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48 Medicare Auditor Jobs Nationwide

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1. Independently conducts complex audits and monitoring activities of internal health plan departments and external Plan delegates to ensure...
1. Initiate and expand recovery opportunities through provided audit results, Provider calls, Third Party Liability and CCS eligible services...
Provides coding and coding auditing services. This includes the analysis and translation of medical and clinical diagnoses, procedures, injuries...
Provides coding and coding auditing services. This includes the analysis and translation of medical and clinical diagnoses, procedures, injuries...
1. Initiate and expand recovery opportunities through provided audit results, Provider calls, Third Party Liability and CCS eligible services...
THE POSITION.This position is responsible for reviewing and processing claims, including facility claims, to ensure accuracy prior to payment...
1. Independently conducts complex audits and monitoring activities of internal health plan departments and external Plan delegates to ensure...
1. Initiate and expand recovery opportunities through provided audit results, Provider calls, Third Party Liability and CCS eligible services...
Provides coding and coding auditing services. This includes the analysis and translation of medical and clinical diagnoses, procedures, injuries...
THE POSITION. This position is responsible for reviewing and processing claims, including facility claims, to ensure accuracy prior to payment...
THE POSITION. This position is responsible for reviewing and processing claims, including facility claims, to ensure accuracy prior to payment...
Oversees daily operations of agency medical records, Health Information Technology (HIT), related systems and compliance. Develops policies...
Oversees daily operations of agency medical records, Health Information Technology (HIT), related systems and compliance. Develops policies...
HCC Coding Auditor Senior will perform code audits and abstraction using the Official Coding Guidelines for ICD-10-CM, AHA Coding Clinic Guidance...
Under the direction of the Risk Adjustment Supervisor/Manager, performs accurate and timely review and validation of Medicare Advantage, Commercial...
https://www.eeoc.gov/sites/default/files/2023-06/22-088_EEOC_KnowYourRights6.12ScreenRdr.pdf We endeavor to make this site accessible...
Compliance Revenue Cycle Auditor will assist in the overall quality, compliance, and auditing activities to assess compliance of standard operating...
* Analyze results, provide interpretation, and identify areas for improvement * Providing internal and external results compared with goals...
Supports corporate and departmental strategies and goals in alignment with regulatory specifications for the annual Healthcare Effectiveness...
Under the direction of the Risk Adjustment Supervisor/Manager, performs accurate and timely review and validation of Medicare Advantage, Commercial...
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