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Seeking a detail-oriented Billing Compliance Auditor, this fully remote position will manage front-end pre-bill audits for insurance defense matters, perform line-by-line invoice reviews, and resolve billing discrepancies while collaborating with...
Working remotely in a full-time capacity, the Stop Loss Claims Auditor will manage claims examination, auditing, and processing while demonstrating proficient knowledge of Stop Loss processes and procedures.Key responsibilitiesAudit submitted...
Seeking a full-time Coding Compliance Auditor to work remotely, this position involves performing comprehensive audits of medical records, ensuring compliance with regulatory requirements, and providing education to improve coding quality across...
To support financial institutions in navigating regulatory changes, the full-time Regulatory Project Consultant will assess compliance processes, identify regulatory gaps, and develop recommendations while working remotely.Key...
To ensure the accuracy and compliance of diagnosis coding in risk adjustment programs, the contract-to-hire Certified Risk Coder Auditor will conduct medical record audits, validate diagnosis codes, and provide coding guidance while working...
To support the health information management team, the full-time Inpatient Coding Auditor will conduct complex audits of clinically coded data for accuracy and consistency, provide ongoing education to coding staff, and prepare reports and...
Supporting the Funding Department, the full-time remote Quality Assurance Auditor will perform detailed audits, ensure compliance, and maintain data integrity across funding-related processes while managing daily operational outputs and...
Focusing on Coding & Clinical Chart Validation, the full-time Clinical Coding Auditor will analyze and audit inpatient claims, ensuring coding accuracy and appropriateness of treatment settings while utilizing proprietary auditing tools.Key...
To shape the pricing strategy for a Medical Professional Liability portfolio, the full-time Healthcare Pricing Actuary will develop analyses and recommendations while collaborating with business partners and senior actuarial leaders, working in a...
Leading a small OPEB department, the remote OPEB Actuary will manage GASB 74 & 75 valuations, communicate with public plan clients, and perform ProVal and Excel programming while enjoying an excellent work-life balance.Key responsibilitiesSign and...
To support a growing legal practice, the remote Intake Audit Specialist will monitor and audit incoming client data, collaborate with internal and external stakeholders, and ensure data integrity while working during Central Time business...
Working remotely in a full-time capacity, the Claims Internal Auditor will evaluate operational processes and internal controls, ensuring compliance and efficiency while proposing recommendations for improvement.Key responsibilitiesDevelops audit...
Seeking a detail-oriented and results-driven Assistant Actuary with ASA License, the full-time position will focus on performing quarterly statutory and PBR valuations for life insurance products, enhancing analytical tools, and collaborating...
To support the Corporate Actuarial Life Insurance Valuation team, the full-time Assistant Actuary - ASA Required will perform quarterly statutory and PBR valuations, develop analytical tools, and ensure compliance with valuation controls, with the...
To support quality assurance efforts, the PRN Outpatient Auditor - Remote will perform audits on outpatient coding specialists, ensuring compliance with coding guidelines while maintaining a high accuracy rate and providing training and...
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