Jobs near Mason: 5,188
RS
Relevance Score ranked on: INTEGRITY
Investigator II - Carelon Payment Integrity
MASON, 4361 IRWIN SIMPSON RD
Claim reviews for appropriate coding, data mining, entity review, law enforcement referral, and use of proprietary data and claims systems for review of facility, professional, and pharmacy claims. Responsible for identifying and developing enterprise-wide specific healthcare investigations that may ...
Search Terms: Investigator, Payment, Integrity, Healthcare, Business Services
82.4
0mi
Updated: September 19
Strategy & Program Development Director, Payment Integrity
CINCINNATI, 3075 VANDERCAR WAY
Develop a deep understanding of the full scope and responsibilities of the Payment Integrity Ideation and Insights organization. Develop and lead the annual strategic planning and roadmap for Payment Integrity Ideation, encompassing the implementation of ongoing tools, team workflows, and collaborati...
Search Terms: Director, Payment, Development, Strategy, Integrity
79.5
19mi
Updated: September 19
Clinical Provider Auditor I
MASON, 4241 IRWIN SIMPSON RD
Examines claims for compliance with relevant billing and processing guidelines and identifies opportunities for fraud and abuse prevention and control. Reviews and conducts analysis of claims and medical records prior to payment and uses required systems/tools to accurately document determinations an...
Search Terms: Auditor, Clinical, Audit, Accounting, Healthcare
0
0mi
Updated: September 19
Clinical Provider Auditor II
MASON, 4241 IRWIN SIMPSON RD
Examines claims for compliance with relevant billing and processing guidelines and identifies opportunities for fraud and abuse prevention and control. Reviews and conducts analysis of claims and medical records prior to payment and uses required systems/tools to accurately document determinations an...
Search Terms: Auditor, Clinical, Audit, Behavioral Health, Accounting
0
0mi
Updated: September 19
Clinical Provider Auditor II
MASON, 4241 IRWIN SIMPSON RD
Examines claims for compliance with relevant billing and processing guidelines and identifies opportunities for fraud and abuse prevention and control. Reviews and conducts analysis of claims and medical records prior to payment and uses required systems/tools to accurately document determinations an...
Search Terms: Auditor, Clinical, Audit, Behavioral Health, Accounting
0
0mi
Updated: September 19
Clinical Provider Auditor II
MASON, 4241 IRWIN SIMPSON RD
Examines claims for compliance with relevant billing and processing guidelines and identifies opportunities for fraud and abuse prevention and control. Reviews and conducts analysis of claims and medical records prior to payment and uses required systems/tools to accurately document determinations an...
Search Terms: Auditor, Clinical, Audit, Behavioral Health, Accounting
0
0mi
Updated: September 19
Clinical Provider Auditor I
MASON, 4241 IRWIN SIMPSON RD
Examines claims for compliance with relevant billing and processing guidelines and identifies opportunities for fraud and abuse prevention and control. Reviews and conducts analysis of claims and medical records prior to payment and uses required systems/tools to accurately document determinations an...
Search Terms: Auditor, Clinical, Audit, Accounting, Healthcare
0
0mi
Updated: September 19
Investigator Assistant
MASON, 4241 IRWIN SIMPSON RD
Collects, researches, and validates bills and claims data against relevant guidelines. Assists in preparation of statistical and financial analysis reports. Requests medical records and additional documentation required for investigation. Completes initial file set-up and tracks cases. Processes and ...
Search Terms: Investigator, Assistant, Technology, Healthcare, Compensation
0
0mi
Updated: September 19
- 1
- 2
- 3
- 4
- >
Job Abstracts is an independent Job Search Engine. Job Abstracts is not an agent or representative and is not endorsed, sponsored or affiliated with any employer. Job Abstracts uses proprietary technology to keep the availability and accuracy of its job listings and their details. All trademarks, service marks, logos, domain names, and job descriptions are the property of their respective holder. Job Abstracts does not have its members apply for a job on the jobabstracts.com website. Additionally, Job Abstracts may provide a list of third-party job listings that may not be affiliated with any employer. Please make sure you understand and agree to the website's Terms & Conditions and Privacy Policies you are applying on as they may differ from ours and are not in our control.