10 Results for

Auditor Jobs in Santa Fe, NM

Jobs

IT Application Senior Auditor CVS Health Corp

$46,988–$112,200 / year

Understanding of key IT concepts and processes - including applications and infrastructure, change control, access management, job scheduling, data privacy, and IT risk assessment, automated control environments, cybersecurity best practices, Cloud security controls etc. Job Purpose and Summary: Reporting to the Manager of IT Application Controls for the Sarbanes-Oxley (SOX) Audit, the Senior Analyst will be a key member of the SOX Audit team and will participate in the evaluation of IT application controls (i.e., automated business controls).

30+ days ago

Attorney Auditor Sedgwick Claims Management Services, Inc.

Mental: Clear and conceptual thinking ability; excellent judgment, troubleshooting, problem solving, analysis, and discretion; ability to handle work-related stress; ability to handle multiple priorities simultaneously; and ability to meet deadlines. Performs reasonableness reviews of legal and non-legal invoices by analyzing billing details, identifying discrepancies, and applying defined audit rules; documents adjustments and rationale clearly.

15 days ago

Remote CPMA Educator & Auditor Presbyterian Healthcare Services

Remote

tracking of internal audit results for all of PHS; enterprise-wide training of all PHS coding, audit, physician and clinician personnel; support via auditing and training the enterprise-wide corrective action plans for coding, audit, physician and clinician personnel identified as low performers; insure the accuracy of defensive and proactive audits of medical records with billing and identifies and recommends actions related to discrepancies; responds and conducts medical record reviews requested by external regulatory agencies such as JCAHO, CMS and NMMRA as well as insurance companies such as PHP. Summary: With minimal supervision directly supports the following responsibilities of the Coding and documentation quality assurance (CDQA) team: implementation of and compliance to enterprise-wide and department coding policies and procedures for PHS; compliance to all external regulatory agency coding rules and regulations; Demonstrates high-level of proficiency in performing and/or managing internal audits or reviews to assess compliance/quality monitoring performed by PHS departments while serving as a resource on documentation, billing, and clinical coding compliance questions.

4 days ago

CCSB Administration Auditor Western Growers

Santa Fe, NM

Ensure all audit functions of the department, including new business, enrollment, carrier discrepancies, audits, and any finance-related issues are completed timely according to management schedule. Maintain a HIPAA compliant workstation and utilize appropriate security techniques to ensure HIPAA required protection of all confidential/protected client and enrollee data.

2 days ago

Crop Insurance Senior Claims Auditor Sompo International Holdings Limited

$56,000–$67,000 / year

Visual: The employee is required to have close visual acuity to perform an activity such as: preparing and analyzing data and figures; transcribing; viewing a computer terminal; extensive reading; visual inspection involving small defects, small parts, and/or operation of machines (including inspection); using measurement devices; and/or assembly or fabrication parts at distances close to the eyes. As one of the leading writers of Federal Crop Insurance, AgriSompo North America combines industry experience, resources, capital and talent to deliver both traditional and innovative crop insurance and productivity tools to farmers, ranchers, insurers and agribusinesses in the United States.

30+ days ago

Night Auditor Auberge Resorts

Santa Fe, NM

Amenities include a collection of exhilarating outdoor experiences, historic horse stables, fitness center, pool, onsite stream for fly fishing casting lessons, healing arts experiences at Stream Dance Spa and several dining venues, including the resort's signature restaurant SkyFire. Set on 317 secluded acres bordering Santa Fe National Forest and just minutes from downtown, the 98-room resort invites guests to connect with nature with organic adobe architecture that invokes rich New Mexican heritage and conveys a genuine sense of place.

30+ days ago

Coding Data Quality Auditor CVS Health Corp

$18.50–$35.29 / hour

Responsible for performing audit and abstraction of medical records (provider and/or vendor) to identify and submit ICD codes that are submitted to the Centers for Medicare and Medicaid Services (CMS) for the purpose of risk adjustment processes are appropriate, accurate, and supported by clinical documentation in accordance with all State and Federal regulations and internal policies and procedures. Proficient in abstraction and assignment of accurate medical codes for diagnoses as documented by physicians and other qualified healthcare providers in the office and/or facility setting.

11 days ago

Night Auditor Drury Hotels Company LLC

Santa Fe, NM

BASIC FUNCTION & JOB DUTIES: Performs all front desk related functions including but not limited to checking guests in/out, promoting sales related programs, maintaining guest records, cash handling, etc. Complies with hotel's safety and security rules and instructions in performing work efficiently while protecting self, team members, guests and the hotel.

27 days ago

Charge Auditor Clinical - Surgical Services Christus Health

Santa Fe, NM

Toggle Mobile Navigation Menu. Non-Clinical Careers.

30+ days ago

Analyst, Health Plan Risk & Quality Reporting (Remote in New Mexico) Molina Healthcare Inc

Remote

Analyzes data sets and trends for anomalies, outliers, trend changes, and opportunities, using databricks Structured Query Language (SQL), PowerBi, Microsoft Excel, and techniques to determine significance and relevance. At least 2 years of experience mapping, scrubbing, scrapping, and cleaning data, and analysis experience related to HEDIS and/or risk adjustment, and 1 year of experience in a managed care organization, or equivalent combination of relevant education and experience.

4 days ago