60 Cms Auditor Jobs Hiring Near You

Senior Claims Auditor Department: Ops - Claims Ops About the Role: We are currently seeking a ... Analyze and audit Health plan claims selections for all health plan/DMHC/CMS audits * Review ...

Quality Assurance Coder/Auditor Location: Phoenix, AZ Duration: 06 Month+ Conract Pay Range: $45 ... Experience with Medicare Advantage, RADV, HEDIS, CMS Star Ratings, and provider education is ...

Job Type: Full-time A Certified Professional Medical Auditor is responsible for reviewing and ... Maintain current knowledge of CMS policies and coding applications for CPT, ICD-10, HCPCS, and ...

Overview Job Summary The Senior Coding Auditor performs detailed audits of medical cases to ensure ... Knowledge of regulatory agencies requirements (JCAHO, CMS & Medicaid) and remain current on new ...

JOB SUMMARY: The Risk Adjustment Auditor is responsible for reviewing medical records and related documentation to ensure accurate capture of diagnoses in compliance with CMS risk adjustment ...

A Certified Professional Medical Auditor is responsible for reviewing and auditing medical ... Maintain current knowledge of CMS policies and coding applications for CPT, ICD-10, HCPCS, and ...

This role will be occupied by a certified risk adjustment coder to support first and second pass auditing for CMS RADV's. Required Skills * MS Suite * CPC certified * CRC certified * 5+ years of risk ...

Proficient of URAC and CMS network requirements * Proficient of Federal and State level auditing network requirements * Knowledge of standard audit practices * Detail oriented * Excellent written and ...

A Certified Professional Medical Auditor is responsible for reviewing and auditing medical ... Maintain current knowledge of CMS policies and coding applications for CPT, ICD-10, HCPCS, and ...

... CMS), and Department of Health Care Services (DHCS) standards where applicable. This role plays a ... At least five years of managed care claims auditing, claims examiner, or claims quality control ...

Description JOB SUMMARY The Quality Control Auditor - Claims Management is responsible for ... Knowledge of DMHC, CMS, DHCS, and regulatory requirements. Strong analytical and problem-solving ...

The Medical Review Nurse - CMS / RAC (Government Audits) primarily performs medical claims audit reviews for government clients. As a MR Nurse, you will join a team of experienced medical auditors ...

... CMS), and Department of Health Care Services (DHCS) standards where applicable. This role plays a ... At least five years of managed care claims auditing, claims examiner, or claims quality control ...

Expertise in auditing using both the 1995 and 1997 E/M CMS Guidelines * Provides education to providers, practice staff, and coders as needed based on audit results. * Demonstrates knowledge of ...

Expertise in auditing using both the 1995 and 1997 E/M CMS Guidelines * Provides education to providers, practice staff, and coders as needed based on audit results. * Demonstrates knowledge of ...

We are seeking a Claims Auditor to join our team at Independent Living Systems (ILS). ILS, along ... as HIPAA and CMS guidelines. * Proficiency in audit software and Microsoft Office Suite ...

Audit Defense Auditor/Coder This job is responsible for the successful delivery of detailed and ... with CMS Coding Guidelines and Payer Coding Guidelines. • Review and analyze weekly reports to ...

We are seeking a Claims Auditor to join our team at Independent Living Systems (ILS). ILS, along ... as HIPAA and CMS guidelines. * Proficiency in audit software and Microsoft Office Suite ...

Audit Defense Auditor/Coder This job is responsible for the successful delivery of detailed and ... Ensure audit compliance with CMS Coding Guidelines and Payer Coding Guidelines. * Review and ...

The Senior Coding Auditor reviews and audits current and retro accounts, and reports audit outcomes ... Knowledge of regulatory agencies requirements (JCAHO, CMS & Medicaid) and remain current on new ...