Claims Quality Auditor jobs in North Dakota
Claims Quality Auditor audits claims for coding accuracy, benefit payment, contract interpretation, and compliance with policies and procedures. Selects claims through random processes and/or other criteria. Being a Claims Quality Auditor makes recommendations to improve quality, workflow processes, policies and procedures. Typically requires an associate degree. Additionally, Claims Quality Auditor typically reports to a supervisor or a manager. The Claims Quality Auditor gains exposure to some of the complex tasks within the job function. Occasionally directed in several aspects of the work. To be a Claims Quality Auditor typically requires 2 to 4 years of related experience. (Copyright 2024 Salary.com)
Recently Added Claims Quality Auditor jobs
Auditor
- CGS Federal (Contact Government Services)
-
Fargo, ND
FULL_TIME
-
Employment Type: Full-Time, Mid-Level
Department: Financial
CGS is seeking a highly skilled Auditor to provide general auditing and accounting services in support of fraud investigations involving potentially complex financial transactions and complex organizations attempting to evade detection. The ideal candidate will develop, coordinate, and draft technical audit guidelines, is proficient in a variety of accounting systems, and practices excellent cross-functional communication throughout investigations.
CGS brings motivated, highly skilled, and creative people together to solve the government’s most dynamic problems with cutting-edge technology. To carry out our mission, we are seeking candidates who are excited to contribute to government innovation, appreciate collaboration, and can anticipate the needs of others. Here at CGS, we offer an environment in which our employees feel supported, and we encourage professional growth through various learning opportunities.
Skills and attributes for success:- Analyze and audit a variety of accounting systems
- Analyze, organize, and present a large volume of data such as bank records, financial records, healthcare claims, tax records, correspondence, policies, other documentary evidence, etc., through the use of common software programs
- Assist with the planning of investigations, including performing quantitative and qualitative analyses to identify potential witnesses and relevant financial documents
- Prepare concise and accurate reports of results of analysis, including detailed charts, summaries and schedules as necessary
- Assist with conferences and interviews of representatives of financial institutions, Certified Public Accountants, and other potential witnesses to financial activities
- Utilize electronic databases to identify assets, documents, and other physical evidence
- Analyze an individual or corporation’s ability to pay monetary penalties based on financial disclosures and independent investigation of assets and liabilities
- Perform ancillary investigation-related services in support of assigned cases as follows:
- Develop, coordinate and issue draft technical audit guidelines and instructions applicable to financial audits and investigations
- Prepare interim and final reports throughout the investigation process for use by staff members
- Arrange for secure storage, preservation, organization and indexing of voluminous documentary evidence
- Assist in the compilation and analysis of documents and physical evidence, and the creation of charts, graphs, and other audio-visual materials for use in motions and at trial
- Meet with the designated federal agency personnel, state and local officials as needed throughout investigations
- Other related duties as assigned and within scope.x
- Four-year undergraduate degree or higher in statistical/data analysis, finance, accounting, fraud examination, or other related field
- Minimum 3 years of professional work experience in finance, accounting, fraud examination or statistical/data analysis
- Proficient in Microsoft Office applications including Word, Excel, PowerPoint, Access, etc
- U.S. Citizenship and ability to obtain adjudication for the requisite background investigation
- Experience and expertise in performing the requisite services in Section 3 Preferred qualifications:
- Experience reviewing and understanding medical records and knowledge of medical billing procedures, including experience using STARS and/or Business Objects
- Relevant experience working with a federal or state legal or law enforcement entity
Contact Government Services (CGS) strives to simplify and enhance government bureaucracy through the optimization of human, technical, and financial resources. We combine cutting-edge technology with world-class personnel to deliver customized solutions that fit our client’s specific needs. We are committed to solving the most challenging and dynamic problems.
For the past seven years, we’ve been growing our government-contracting portfolio, and along the way, we’ve created valuable partnerships by demonstrating a commitment to honesty, professionalism, and quality work.
Here at CGS we value honesty through hard work and self-awareness, professionalism in all we do, and to deliver the best quality to our consumers mending those relations for years to come.
We care about our employees. Therefore, we offer a comprehensive benefits package.- Health, Dental, and Vision
- Life Insurance
- 401k
- Flexible Spending Account (Health, Dependent Care, and Commuter)
- Paid Time Off and Observance of State/Federal Holidays
Join our team and become part of government innovation!
Explore additional job opportunities with CGS on our Job Board:
https://cgsfederal.com/join-our-team/
For more information about CGS please visit: https://www.cgsfederal.com or contact:
Email: info@cgsfederal.com - 7 Days Ago
AUDITOR
- US Army National Guard Units
-
Bismarck, ND
FULL_TIME
- Duties The purpose of the position is to perform audits on a variety of programs and to assess efficiency, effectiveness and compliance with program laws, regulations, and provisions. In a state with ...
- 24 Days Ago
Adjuster
- Sedgwick Claims Management Services
-
Michigan, ND
FULL_TIME
- Taking care of people is at the heart of everything we do, and we start by taking care of you, our valued colleague. A career at Sedgwick means experiencing our culture of caring. It means having flex...
- 21 Days Ago
RN Med Surg Grand Forks, ND
- Quality Clinicians
-
Grand Forks, ND
FULL_TIME
- We are travelers building the kind of agency we always wanted, while we still work assignments. Pay Package: Weekly Pay Range: $1709-$2709/week Multiple shift openings Job Description/Responsibilities...
- 2 Days Ago
Ultrasound Tech
- Quality Clinicians
-
Hettinger, ND
FULL_TIME,OTHER,CONTRACTOR
- Travel contract for 13 week assignment with probable extension opportunities. You could work this as 1099 contractor Department: Ultrasound | Sonographer - PREFERRED ECHO *Certification: BLS, ARDMS* T...
- 17 Days Ago
Night Auditor
- La Quinta by Wyndham Bismarck
-
Bismarck, ND
FULL_TIME,PART_TIME
- Overview: We are seeking a dedicated Night Auditor to join our team. As a Night Auditor, you will play a crucial role in ensuring the smooth operation of our hotel during the night shift. Duties: - Co...
- 2 Days Ago
Claims Quality Auditor jobs at Popular Companies
Quality Auditor
- ResourceMFG
-
Jacksonville, FL
- summary ResourceMFG is now hiring Quality Auditors in Lafayette! Pay and Hours: 2nd Shift: 2:30pm-11pm-$20/hr Job Descri...
- 6/11/2024 12:00:00 AM
Quality Auditor
- Texas Children's Hospital
-
Bellaire, TX
- Job Summary We are searching for a Quality Auditor - Benefits, Contracts, Fee Schedules Configuration/Testing - someone ...
- 6/11/2024 12:00:00 AM
Quality Auditor
- Loma Linda University Health
-
Loma Linda, CA
- Job Description Job Summary: The Quality Auditor will be responsible for auditing departmental workflows and functions, ...
- 6/11/2024 12:00:00 AM
Quality Auditor
- H&H
-
Fort Lauderdale, FL
- We are offering an exciting opportunity for a Quality Auditor to join the H&H Quality Department in our Fort Lauderdale,...
- 6/11/2024 12:00:00 AM
Quality Auditor
- Catalent Pharma Solutions
-
Madison, WI
- **Quality Auditor** **Position Summary:** Catalent is a global, high-growth, public company, and a leading partner for t...
- 6/9/2024 12:00:00 AM
Quality Auditor
- Plastipak Holdings
-
Jackson Center, OH
- As a Plastipak Quality Auditor, you audit systems and processes as they relate to our Quality program. You play a key ro...
- 6/8/2024 12:00:00 AM
Quality Auditor
- Flextronics
-
Salt Lake City, UT
- Job Posting Start Date 04-26-2024 Job Posting End Date 06-26-2024Flex is the diversified manufacturing partner of choice...
- 6/8/2024 12:00:00 AM
Quality Auditor
- Mauser Packaging Solutions
-
York, PA
- JOB DESCRIPTION Responsibilities Performs quality assurance testing as required. Reviews production orders or schedules ...
- 5/23/2024 12:00:00 AM
About North Dakota
North Dakota is a Midwestern state of the United States. It borders Canada and lies at the center of the North American continent. The geographic center of North America is near the town of Rugby. Bismarck is the capital of North Dakota, and Fargo is the largest city.
Soil is North Dakota's most precious resource. It is the base of the state's great agricultural wealth. But North Dakota also has enormous mineral resources. These mineral resources include billions of tons of lignite coal. In addition, North Dakota has large oil reserves. Petroleum was discovered in the state in 1951 and quickly...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Claims Quality Auditor jobs
$45,757 to $56,087
Most Popular Cities in North Dakota for Claims Quality Auditor Jobs
What does a Claims Quality Auditor do?
Claims Quality Auditor in Bloomington, IN
Evaluates claims activities of other departments and / or companies.
December 05, 2019