Auditor

• Performing clinical, billing, coding and lowest cost setting reviews for services pre and post payment
• Utilizing medical, contractual, legislative, policy, and other information to validate claims submitted and billed
• Conducting research
• Preparing documentation of findings
• Consulting with medical directors as needed
• Coordination with all departments involved in each case required such as special investigations, customer service, pass, network management, marketing, case management, medical review, legal, pricing and database.

Coding Investigator Auditor

• Perform internal QMS audits in accordance with applicable QMS standard(s) and internal requirements
• Develop and manage audit plans and schedules
• Conduct risk analysis to determine audit focus areas
• Support and advise site management on preparation for third party audits
• Perform benchmarking of enterprise best-practices
• Review complex proposals, contracts, regulatory, program and customer requirements for effective implementation in QMS
• Advise leadership on development of business strategies influencing directives and policies
• Consult in high level reviews of corrective actions at site, enterprise and customer level to assure trends and systemic issues are identified
• Conduct research, compile and analyze performance reports and process control statistics for continuous improvement
• Represent Company on industry working groups to develop industry standards for quality as needed

Senior Internal Quality Auditor, Level 3/4

• Utilize your accounting and auditing skills to audit county governments and other political entities.
• Flexibility with travel and overnight arrangements is essential as travel to audit sites will be required, with overnight stays possible for some audits.
• Selected applicant will not be able to perform auditing work within the same county they reside.

Auditor I

• Performing clinical, billing, coding and lowest cost setting reviews for services pre and post payment
• Utilizing medical, contractual, legislative, policy, and other information to validate claims submitted and billed
• Conducting research and preparing documentation of findings
• Consulting with medical directors as needed
• Coordinating with all departments involved in each case required
• Performing itemized bill review for high dollar claims and reimbursements

• Utilize accounting and auditing skills to perform financial, operational, and federal compliance audits for county governments and other political entities.
• Perform audits in the coverage of the following county courthouses: Pittsburg, Latimer, Atoka, Bryan, Choctaw, Pontotoc, and McCurtain.
• Flexibility with travel and overnight arrangements is essential; travel to audit sites will be required and overnight stays possible for some audits.
• Selected applicant will not be able to perform auditing work within the same county they reside.

• Utilize your accounting and auditing skills to audit county government and other political entities located in the counties listed.
• Flexibility with travel and overnight arrangements are essential as travel to audit sites will be required and overnight stays possible for some audits.
• Selected applicant will not be able to perform auditing work within the same county they reside.

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Coding Investigator Auditor

Senior Internal Quality Auditor, Level 3/4

Auditor I

Coding Investigator Auditor

Auditor I

Auditor I