Premium Audit Jobs in Maryland
X-energy LLC conducts a thorough recruiting process and will never issue offers without interview to discuss qualifications and responsibilities. All applications will be submitted via our company...
In PersonPosition Overview The Inventory Control and Quality Assurance (ICQA) Specialist will perform the duties of cycle counting, which includes floor pick locations and verifying products in the...
In PersonDiagnosis Related Group Clinical Validation Auditor-RN (CDI, MS-DRG, AP-DRG and APR-DRG)
- Elevance Health
- Hanover, MD
- 23 days ago
- Hanover, MD
- 23 days ago
Anticipated End Date: 2026-01-30 Position Title: Diagnosis Related Group Clinical Validation Auditor-RN (CDI, MS-DRG, AP-DRG and APR-DRG) Job Description: Title: Diagnosis Related Group Clinical...
In PersonResponsibilities include: * Conduct premium audits in compliance with established policies and guidelines and industry standards * Provide routine auditing support to premium fraud on selected accounts...
In PersonDescription Residential Energy Auditor (Field-Based) Energy Efficiency Location: Southern Maryland locations to include; White Plains, Hughesville, Prince Frederick and Leonardtown (Field +...
In PersonClinical Provider Auditor I Supports the Payment Integrity line of business Location: Must be located in Maryland. This field-based role enables associates to primarily operate in the field,...
In PersonClinical Provider Auditor II - Maryland Behavioral Health
- CareBridge
- MD
- 60+ days ago
- MD
- 60+ days ago
Clinical Provider Auditor II Supports the Payment Integrity line of business Location: Must be located in Maryland. This field-based role enables associates to primarily operate in the field,...
In PersonAnticipated End Date: 2026-01-06 Position Title: DRG Coding Auditor Job Description: Be Part of an Extraordinary Team Carelon Payment Integrity is a proud member of the Elevance Health family of...
In Person- Frederick Regional Healthcare System
- Frederick, MD
- 90+ days ago
- Frederick, MD
- 90+ days ago
Job Summary The Coding/HCC (Hierarchical Condition Category) Auditor is responsible for reviewing medical records and associated documentation to ensure accurate and proper documentation related...
In Person Part TimeDemographic Data for Maryland
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Salary for Premium Audit Jobs in Maryland
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Highest Education Level
Premium Audits in Maryland offer the following education backgroundQualifications / Skill Sets
The following top skills are often required or desired to land a Premium Audit position
- Premium Audit
- General Liability
- Bodily Injury
- Internal Audits
- Management Accounting
- Financial Audits
- Generally Accepted Auditing Standards
- IT Audit
- COSO
- Loss Control
- Medical Claims
- SAP ERP
- Property and Casualty Insurance
- Financial Statements
- Sarbanes-Oxley Compliance
- Internal Control
- ICD-9 Coding
- Underwriting
- Claims Processing
- Validation
- Fraud Investigation
- Workers' Compensation
- ICD-10 Coding
- Claims
- Reimbursement
- Finance
- High School Diploma
- Auditing
- Written Communication
- Billing
- Payroll
- Process Improvement
- Documentation
- Accounting
- Reporting
- Quality Assurance
- Writing Skills
- Policy Development
- Flexibility
- Education Experience
- Bachelor's Degree
- Filing
- Regulations
- Research Skills
- Microsoft Office
- Computer Skills
- Staff Supervision
- Microsoft Excel
- Customer Service
- Problem Solving
- Scheduling
- Leadership
- Communication Skills
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