Claims Quality Auditor jobs in Cheyenne, WY
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
- Contact Government Services, LLC
-
Cheyenne, WY
FULL_TIME
-
AuditorEmployment Type: Full-Time, Mid-LevelDepartment: 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
Qualifications:- 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.
Our Commitment: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
Contact Government Services, LLC is an Equal Opportunity Employer. Applicants will be considered without regard to their race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or status as a protected veteran.
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 - 30 Days Ago
Claims Adjuster
- Farmers Mutual Insurance Company of Nebraska
-
North Platte, NE
FULL_TIME
- Farmers Mutual of Nebraska is seeking a Claims Adjuster in our North Platte District Office - an exceptional individual who is intuitive, motivated, and skilled. We’re experiencing incredible growth a...
- 1 Month Ago
RN CCU North Platte, NE
- Quality Clinicians
-
North Platte, NE
FULL_TIME
- We are travelers building the kind of agency we always wanted, while we still work assignments. Pay Package: Weekly Pay Range: $1278-$2278/week Multiple shift openings Job Description/Responsibilities...
- Just Posted
RN - Labor and Delivery
- Quality Clinicians
-
Ogallala, NE
FULL_TIME
- RN - Labor and Delivery We're looking for RNs for an immediate travel nurse opening. The right RN should have 2 years or more of recent experience. As a Travel Nurse, you should be prepared to perform...
- 1 Day Ago
Pump Department
- Quality Irrigation
-
Grant, NE
FULL_TIME
- Join Our Pump Department Team at Quality Irrigation Are you a skilled Pump Tech looking for a new opportunity? Quality Irrigation in McCook, NE is seeking experienced professionals to join our Pump De...
- 1 Month Ago
Pivot Technician
- Quality Irrigation
-
North Platte, NE
FULL_TIME
- Join Our Team as a Pivot Service Technician Are you looking for a rewarding career where you can make a difference in the agricultural industry? Quality Irrigation in McCook, NE is seeking a motivated...
- 1 Month Ago
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0 Claims Quality Auditor jobs found in Cheyenne, WY area
Associate Director, GMP Quality Control
- Sumitomo Pharma
-
Cheyenne, WY
- Sumitomo Pharma Associate Director, GMP Quality Control Cheyenne , Wyoming Apply Now Sumitomo Pharma America (SMPA) is f...
- 4/23/2024 12:00:00 AM
Dir- Marketing & Operations
- Marriott
-
Cheyenne, WY
- Marriott Dir- Marketing & Operations Cheyenne , Wyoming Apply Now Additional Information Director of Marketing and Opera...
- 4/23/2024 12:00:00 AM
Associate Director, GMP Quality Control
- Sumitomo Pharma
-
Cheyenne, WY
- Associate Director, GMP Quality Control Sumitomo Pharma America (SMPA) is focused on delivering therapeutic and scientif...
- 4/22/2024 12:00:00 AM
Senior Hierarchical Condition Category (HCC) Coding Specialist
- Highmark Health
-
Cheyenne, WY
- Highmark Health Senior Hierarchical Condition Category (HCC) Coding Specialist Cheyenne , Wyoming Apply Now This job wil...
- 4/22/2024 12:00:00 AM
Content Management Coordinator - SAP Master Data
- Wolters Kluwer
-
Cheyenne, WY
- Wolters Kluwer Content Management Coordinator - SAP Master Data Cheyenne , Wyoming Apply Now The Content Management Coor...
- 4/22/2024 12:00:00 AM
Network Engineer III | Cloud WAN| Terraform
- Wolters Kluwer
-
Cheyenne, WY
- The Global Business Services (GBS) Network Management team oversees and supports Wolters Kluwers Enterprise Network, spa...
- 4/22/2024 12:00:00 AM
Internal Revenue Agent (Examination Analyst - Examiner) 12 MONTH ROSTER - AMENDED
- Department Of The Treasury
-
Cheyenne, WY
- Duties WHAT IS THE SMALL BUSINESS/SELF EMPLOYED (SBSE) DIVISION? A description of the business units can be found at: ht...
- 4/22/2024 12:00:00 AM
Supervisory Internal Revenue Agent - MSP, 12 Month Roster, Temp Prom NTE 1 Year, MBE, MBMP
- Department Of The Treasury
-
Cheyenne, WY
- Duties WHAT IS THE SMALL BUSINESS/SELF-EMPLOYED (SB/SE) DIVISION? A description of the business units can be found at: h...
- 4/22/2024 12:00:00 AM
About Cheyenne, Wyoming
Cheyenne (/ʃaɪˈæn/ shy-AN or /ʃaɪˈɛn/) is the capital and most populous city of the U.S. state of Wyoming and the county seat of Laramie County. It is the principal city of the Cheyenne, Wyoming, Metropolitan Statistical Area which encompasses all of Laramie County. The population was 59,466 at the 2010 census. Cheyenne is the northern terminus of the extensive and fast-growing Front Range Urban Corridor that stretches from Cheyenne to Pueblo, Colorado which has a population of 4,333,742 according to the 2010 United States Census. Cheyenne is situated on Crow Creek and Dry Creek. The Cheyenne,...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Claims Quality Auditor jobs
$43,174 to $52,918
Cheyenne, Wyoming area prices
were up 2.3% from a year ago
were up 2.3% from a year ago
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