Claims Quality Auditor jobs in Tulsa, OK

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)

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Coding Quality Auditor - CODING
  • Providence
  • Bartlesville, AK FULL_TIME
  • Description

    Coding Quality Auditor - 100% Remote, Most States Eligible.

    One Revenue Cycle (ORC) is the name adopted to reflect the Providence employees who work throughout Providence Health & Services (PH&S) in revenue cycle systems and structures in support of our ministries and operations in all regions from Alaska to California. ORC's objective is to ensure our core strategy, One Ministry Committed to Excellence, is delivered along with the enhanced overall patient care experience (know me, care for me, ease my way) by providing a robust foundation of services, operational and technical support, and the sharing of comprehensive, relevant, and highly specialized revenue cycle expertise.

    Providence caregivers are not simply valued – they’re invaluable. Join our team at Revenue Cycle Business Services and thrive in our culture of patient-focused, whole-person care built on understanding, commitment, and mutual respect. Your voice matters here, because we know that to inspire and retain the best people, we must empower them.

    Required Qualifications:

    • Associate's Degree in a healthcare related program with a minimum of one of he following credentials required; Any AHIMA or AAPC coding Credential or equivalent educ/experience.
    • Equivalent combination of education and experience can be considered in lieu of degree.
    • Upon hire: Certification from American Academy of Professional Coders Or
    • Upon hire: Certification from American Health Information Management Association
    • 2 years recent acute care coding auditing and training.
    • 4 years recent acute care coding experience in one of the following areas: Hospital inpatient, day surgery or emergency department.
    • A track record in troubleshooting coding quality problems.
    • A track record in reading and interpreting medical records.
    • A track record in organizing and planning with demonstrated ability to effectively manage time and achieve results in a fast paced environment.

    Preferred Qualifications:

    • Bachelor's Degree in a healthcare related program with a minimum of one of he following credentials required; Any AHIMA or AAPC coding Credential or equivalent educ/experience.

    Salary Range by location:

    NorCal (Napa, Sonoma)

    Min: $40.89, Max: $64.72

    Southern California, NorCal (Humboldt), Alaska (Kodiak, Seward, Valdez)

    Min: $36.44, Max: $57.69

    WA Puget Sound. Oregon (Portland), Alaska (Anchorage)

    Min: $34.98, Max: $55.34

    Oregon (Hood River, Medford, Seaside)

    Min: $32.59, Max: $51.59

    Eastern Washington (Richland, Spokane, Walla Walla)

    Min: $31.11, Max: $49.25

    Montana

    Min: $28.15, Max: $44.56

    Texas

    Min: $26.67, Max: $42.21

    Why Join Providence?

    Our best-in-class benefits are uniquely designed to support you and your family in staying well, growing professionally, and achieving financial security. We take care of you, so you can focus on delivering our Mission of caring for everyone, especially the most vulnerable in our communities.

    Accepting a new position at another facility that is part of the Providence family of organizations may change your current benefits. Changes in benefits, including paid time-off, happen for various reasons. These reasons can include changes of Legal Employer, FTE, Union, location, time-off plan policies, availability of health and welfare benefit plan offerings, and other various reasons.

    About Providence

    At Providence, our strength lies in Our Promise of “Know me, care for me, ease my way.” Working at our family of organizations means that regardless of your role, we’ll walk alongside you in your career, supporting you so you can support others. We provide best-in-class benefits and we foster an inclusive workplace where diversity is valued, and everyone is essential, heard and respected. Together, our 120,000 caregivers (all employees) serve in over 50 hospitals, over 1,000 clinics and a full range of health and social services across Alaska, California, Montana, New Mexico, Oregon, Texas and Washington. As a comprehensive health care organization, we are serving more people, advancing best practices and continuing our more than 100-year tradition of serving the poor and vulnerable.

    The amounts listed are the base pay range; additional compensation may be available for this role, such as shift differentials, standby/on-call, overtime, premiums, extra shift incentives, or bonus opportunities.

    Check out our benefits page for more information about our Benefits and Rewards.

    About the Team

    Providence Shared Services is a service line within Providence that provides a variety of functional and system support services for our family of organizations across Alaska, California, Montana, New Mexico, Oregon, Texas and Washington. We are focused on supporting our Mission by delivering a robust foundation of services and sharing of specialized expertise.

    Providence is proud to be an Equal Opportunity Employer. We are committed to the principle that every workforce member has the right to work in surroundings that are free from all forms of unlawful discrimination and harassment on the basis of race, color, gender, disability, veteran, military status, religion, age, creed, national origin, sexual identity or expression, sexual orientation, marital status, genetic information, or any other basis prohibited by local, state, or federal law. We believe diversity makes us stronger, so we are dedicated to shaping an inclusive workforce, learning from each other, and creating equal opportunities for advancement.

    Requsition ID: 262821

    Company: Providence Jobs

    Job Category: Coding

    Job Function: Revenue Cycle

    Job Schedule: Full time

    Job Shift: Day

    Career Track: Business Professional

    Department: 4001 SS RC CODING NWR

    Address: WA Renton 1801 Lind Ave SW

    Work Location: Providence Valley Office Park-Renton

    Pay Range: $See posting - $See posting

    The amounts listed are the base pay range; additional compensation may be available for this role, such as shift differentials, standby/on-call, overtime, premiums, extra shift incentives, or bonus opportunities.

    Check out our benefits page for more information about our Benefits and Rewards.

  • 25 Days Ago

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Quality Control Auditor (Full Time)- Harvard or Richardson
  • PROSPERITY BANK
  • Tulsa, OK FULL_TIME
  • How to apply: Please apply through Prosperity Bank's Career Center at https://www.prosperitybankusa.com/Careers and to find more job opportunities with our company.POSITION PURPOSEResponsible for audi...
  • 1 Month Ago

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Claims Adjuster
  • Melton Truck Lines
  • Tulsa, OK FULL_TIME
  • Summary: Melton Truck Lines is a Qualified Self-Insured under the FMCSA; and as such its Claims Adjusters perform office work on a daily basis essential to the operations of Melton Truck Lines and are...
  • 13 Days Ago

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Claims Specialist
  • Social Security Administration
  • Bartlesville, OK FULL_TIME
  • Social SecurityIs Hiring Now APPLY TODAY Send your resume/transcripts. Social Insurance Specialist(Claims Specialist) – Field Office __Bartlesville OK_______ Federal Grade Levels Location: & Salaries:...
  • 20 Days Ago

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Claims HMO - Claims Examiner 140-1044
  • CommunityCare
  • Tulsa, OK FULL_TIME
  • JOB SUMMARY:The Claims Examiner is responsible for examining claims that require review prior to being adjudicated.The examiner will use their resources, knowledge and decision-making acumen to determ...
  • 8 Days Ago

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Claims HMO - Claims Examiner 140-1025
  • CommunityCare
  • Tulsa, OK FULL_TIME
  • JOB SUMMARY: The Claims Examiner is responsible for examining claims that require review prior to being adjudicated. The examiner will use their resources, knowledge and decision-making acumen to dete...
  • 8 Days Ago

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0 Claims Quality Auditor jobs found in Tulsa, OK area

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Loan Documentation Manager
  • BOK Financial
  • Tulsa, OK
  • Req ID:74819 Location: Tulsa -TUL Areas of Interest: Legal; Loan Operations Pay Transparency Salary Range: Not Available...
  • 4/19/2024 12:00:00 AM

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General Manager - Fast Food
  • Jimmy John's
  • Tulsa, OK
  • General Manager We are not your everyday fast food franchisee. We care! We are a freaky F. A. S.S.T. growing Jimmy John'...
  • 4/19/2024 12:00:00 AM

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Delray Beach Assistant Store Manager - Soma
  • Chicos Fas, Inc.
  • Tulsa, OK
  • ** Delray Beach Assistant Store Manager - Soma** Job Ref#: 4546 Brand: Soma Intimates Category: Retail Assistant Manager...
  • 4/19/2024 12:00:00 AM

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Quality Assurance Manager
  • The Bama Companies
  • Tulsa, OK
  • Exciting Opportunity Alert! Do you thrive on ensuring top-notch quality in food manufacturing? As a Full-Time Quality As...
  • 4/18/2024 12:00:00 AM

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Securities Services Ops Specialist I
  • BOK Financial Corp.
  • Tulsa, OK
  • Req ID: 74791 Location: Tulsa -TUL Areas of Interest: Accounting; Wealth Management Operations Pay Transparency Salary R...
  • 4/18/2024 12:00:00 AM

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Teacher Assistant
  • TULSA EDUCARE INC
  • Tulsa, OK
  • Job Details Job Location Tulsa, OK Education Level CDA/Certificate of Mastery Job Category Education Description JOB SUM...
  • 4/16/2024 12:00:00 AM

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Group Controller
  • Fidelis Holdings LLC
  • Tulsa, OK
  • Job Description Job Description Job Title: Group Controller Location: Tulsa, OK Company: Oilfield Improvements, Oklahoma...
  • 4/16/2024 12:00:00 AM

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Supervisory Internal Revenue Agent (12 month roster) AMENDED
  • Department Of The Treasury
  • Tulsa, OK
  • Duties WHAT IS THE LBI - LARGE BUSINESS AND INTERNATIONAL DIVISION? A description of the business units can be found at:...
  • 4/15/2024 12:00:00 AM

Tulsa is located in the northeastern corner of Oklahoma, 99 miles (159 km) northeast of Oklahoma City; situated between the edge of the Great Plains and the foot of the Ozarks in a generally forested region of rolling hills. The city touches the eastern extent of the Cross Timbers, an ecoregion of forest and prairie transitioning from the drier plains of the west to the wetter forests of the east. With a wetter climate than points westward, Tulsa serves as a gateway to "Green Country", a popular and official designation for northeast Oklahoma that stems from the region's green vegetation and r...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Claims Quality Auditor jobs
$43,496 to $53,313
Tulsa, Oklahoma area prices
were up 1.2% from a year ago

Claims Quality Auditor in Bloomington, IN
Evaluates claims activities of other departments and / or companies.
December 05, 2019