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Auditor I Jobs (NOW HIRING)

Five Star Bank

Internal Auditor I

Rochester, NY · On-site

$64K - $70K/yr

Internal Auditor I Reports To: Internal Audit Manager Department: Internal Audit FLSA Status: Exempt Purpose : The Internal Auditor I performs financial, operational, and compliance audits, Sarbanes ...

Lucid Motors

QMS Auditor I

Casa Grande, AZ · On-site

QMS Auditor I Quality | Casa Grande, AZ | Full-Time About Lucid At Lucid, we are creating an electric future without compromise. That means refusing to choose between performance and sustainability ...

Five Star Bank

Internal Auditor I

Warsaw, NY · On-site

$64K - $70K/yr

Internal Auditor I Reports To: Internal Audit Manager Department: Internal Audit FLSA Status: Exempt Purpose : The Internal Auditor I performs financial, operational, and compliance audits, Sarbanes ...

Five Star Bank

Internal Auditor I

Buffalo, NY · On-site

$64K - $70K/yr

Internal Auditor I Reports To: Internal Audit Manager Department: Internal Audit FLSA Status: Exempt Purpose : The Internal Auditor I performs financial, operational, and compliance audits, Sarbanes ...

LUMA

Internal Auditor I

Moscow, ID · On-site

$28/hr

The Internal Auditor I is an entry level internal audit position and located in Moscow, Idaho. The Internal Auditor I completes assigned components of individual audit engagements with close ...

Lucid Motors

QMS Auditor I

Casa Grande, AZ

QMS Auditor I Quality | Casa Grande, AZ | Full-Time About Lucid At Lucid, we are creating an electric future without compromise. That means refusing to choose between performance and sustainability ...

State of Oklahoma

Auditor I

Ada, OK · On-site

$48K - $52K/yr

Job Posting Title Auditor I Agency 300 STATE AUDITOR AND INSPECTOR Supervisory Organization LGSSD-Ada Job Posting End Date Refer to the date listed at the top of this posting, if available.

InComm Payments

As an Internal Auditor I, you will support the Internal Audit team in evaluating internal controls, performing audit testing, documenting results, and assisting with financial, operational ...

InComm Payments

As an Internal Auditor I, you will support the Internal Audit team in evaluating internal controls, performing audit testing, documenting results, and assisting with financial, operational ...

Lucid Motors

QMS Auditor I

Casa Grande, AZ · On-site

QMS Auditor I Quality | Casa Grande, AZ | Full-Time About Lucid At Lucid, we are creating an electric future without compromise. That means refusing to choose between performance and sustainability ...

fpcusa

Auditor I

Livingston, NJ

AUDITOR I POSITION OBJECTIVE Periodically conduct internal audits to assure conformance with corporate policies and procedures; local procedures, and department standard operating procedures [SOPs ...

Formosa Plastics

Auditor I

Livingston, NJ · On-site

$56K - $74K/yr

AUDITOR I POSITION OBJECTIVE Periodically conduct internal audits to assure conformance with corporate policies and procedures; local procedures, and department standard operating procedures [SOPs ...

InComm Payments

As an Internal Auditor III, you will be responsible for assisting in the evaluation of the design and testing of InComm's internal controls over financial reporting and evaluating compliance with all ...

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Infographic showing various Auditor I job openings in the United States as of August 2026, with employment types broken down into 86% Full Time, 10% Part Time, 1% Temporary, 2% Contract, and 1% Nights. Highlights an 89% Physical, 5% Hybrid, and 6% Remote job distribution, with an average salary of $39,947 per year, or $19.2 per hour.

Claim Auditor I

Cook Children's Health Care System

Fort Worth, TX • On-site

Full-time

Re-posted 21 days ago

Cook Children's Health Care System rating

7.9

Company rating: 7.9 out of 10

Based on 77 frontline employees who took The Breakroom Quiz

108th of 887 rated healthcare providers

Job description

Location:

Calmont Operations Building

Department:

Reimbursement Analysis

Shift:

First Shift (United States of America)

Standard Weekly Hours:

40

Summary:

The Claim Auditor I is responsible for auditing behavioral and medical claims and ensuring quality metrics are met by conducting post claims reviews on posted claims for Texas Medicaid and CHIP programs. The Claim Auditor I is responsible for auditing a set claim sampling on a monthly basis of routine to moderate complexity which includes paper and electronic claims submission. The Claim Auditor I ensures that claims payment integrity aligns with regulatory standards, timelines, business policy, provider and HHSC contracts, appropriate coding and system configuration. Audit reports may include UB-1450 and HCFA CMS 1500 claim forms not limited to behavioral health, physician, Institutions for Mental Disease, hospital outpatient and inpatient, and long term services and support claims. The Claim auditor is also responsible for pre-auditing high dollar claims to ensure claim payment is accurate before releasing the claim for payment. The Claim Auditor I is also responsible for communicating audit results to the Reimbursement and Analysis Manager in a structured report format within required timelines. Results of the audits are to be communicated to the Claims Department. The individual in this position performs all job functions in accordance with HIPPA and security rules as it relates to protected health information and has a thorough understanding of claims life cycle.

Additional Information:

  • The Claim Auditor I is responsible for auditing behavioral and medical claims and ensuring quality metrics are met by conducting post claims reviews on posted claims for Texas Medicaid and CHIP programs. The Claim Auditor I is responsible for auditing a set claim sampling on a monthly basis of routine to moderate complexity which includes paper and electronic claims submission. The Claim Auditor I ensures that claims payment integrity aligns with regulatory standards, timelines, business policy, provider and HHSC contracts, appropriate coding and system configuration. Audit reports may include UB-1450 and HCFA CMS 1500 claim forms not limited to behavioral health, physician, Institutions for Mental Disease, hospital outpatient and inpatient, and long term services and support claims. The Claim auditor is also responsible for pre-auditing high dollar claims to ensure claim payment is accurate before releasing the claim for payment. The Claim Auditor I is also responsible for communicating audit results to the Reimbursement and Analysis Manager in a structured report format within required timelines. Results of the audits are to be communicated to the Claims Department. The individual in this position performs all job functions in accordance with HIPPA and security rules as it relates to protected health information and has a thorough understanding of claims life cycle.


Education:

  • Associates degree required or a minimum of 5 years of claims/audit experience which includes experience with federal programs (Medicaid, CHIP) or in a health plan/payor environment preferred. 7-10 years of medical claims processing, claim adjudication, coordination of benefit plan, medical terminology and coding.
  • Must have strong organizational skills, problem solving and decision-making skills. Advanced knowledge of claim adjudication and benefit plan application for Medicaid and CHIP programs.
  • Microsoft Office skills including Word, Excel and Access. Excellent customer service skills with ability to explain complicated benefit issues to staff and providers.

Certification/Licensure:

About Us:

Cook Children's Health Plan

Cook Children's Health Plan provides vital coverage to nearly 120,000 people in low-income families who qualify for government-sponsored programs in our six county service region. Cook Children's Health Plan provides health coverage for CHIP, CHIP Perinatal, STAR (Medicaid) and STAR Kids Members in the Tarrant county service area. The counties we serve includes Tarrant, Johnson, Denton, Parker, Hood and Wise.

Cook Children's is an EOE/AA, Minority/Female/Disability/Veteran employer.

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About Cook Children's Health Care System

Sourced by ZipRecruiter

Cook Children's Health Care System, based in Fort Worth, Texas, operates in the healthcare industry with a primary focus on pediatric health services. Established in 1918, the system has been committed to improving the health of children through the prevention and treatment of childhood diseases. This integrated pediatric healthcare system includes a medical center, physician network, home health company, research institute, and a health plan. At the core of its operations is the mission to 'Improve the Health of Every Child' in its community, reflecting its commitment to providing quality care, research, education, and prevention and wellness services.

Industry

Health care and social assistance

Company size

5,001 - 10,000 Employees

Headquarters location

Fort Worth, TX, US

Year founded

1918

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