Premium Auditor
Auditor job in Vancouver, WA
Gig Workers Wanted!
Are you tired of working for someone else? Have you thought about building a business for yourself? If you answered yes to either question - Welcome! We are excited to introduce Davies Risk Services to you!
Our Premium Auditors come from various backgrounds. If you are inquisitive, driven & self-directed, love numbers and spreadsheets, and being out in the field working with all different types of people - then check out the rest of this job description!
Davies is an industry leader and premier provider of premium audit and loss control services! Celebrating 30+ years in business, we owe our success to our talented field auditors in the field performing our work. At Davies our core values are our guiding principles, not just words we put on our website or company documents.
Our core values are simple; We are Connected - We are Dynamic
We are Innovative - We Succeed Together!
Why Partner with Davies Risk Services?
Grow a business for yourself and take control of your own destiny!
Manage your own schedule and work out of your home office
You determine how much work you take from us and manage your volume
Our contractors are paid by the job - you determine how much money you make!
Learn a valuable, highly marketable trade in a growing industry!
What does a Premium Auditor do?
Our Premium Auditors meet with our client's policyholders onsite, virtually or via the phone, usually at the end of the policy period to conduct a review of business operations, specific financial records such as payroll, sales and/or cost records, and to verify class codes assigned per industry and client standards as required by their insurance contract.
Premium Audit Video Link: ***************************************
Individually scheduling appointments with clients to conduct the premium audit and obtain necessary information
Submitting audit reports via web-portal and Davies' exclusive premium auditing software
Contacting clients and communicating via phone, email, and face to face discussions
Examining commercial businesses' payroll and tax records
Evaluating operational practices
Adhering to customer requirements and quality standards
Maintaining confidentiality and acting with integrity
Qualifications:
Successful candidate must live in the geographic area advertised!
Accounting or bookkeeping experience is required.
Strong customer service and people skills are a must!
Numbers-oriented
Knowledgeable of Microsoft Office, particularly Excel, Word and Outlook.
Strong analytical skills
Ability to use deductive reasoning to find solutions
Premium Audit experience is not required! Davies Risk Services provides best in class training, allowing entrepreneurial minded individuals the opportunity to own their own Premium Audit business and build a new career! For more information apply today!
**Davies Risk Services is an equal opportunity employer. All employment decisions are based on business needs, job requirements and individual qualifications, without regard to race, color, religion, gender, gender identity, age, national origin, disability, veteran status, marital status, sexual orientation, genetic information or any other status or condition protected by the laws or regulations in the locations where we operate. **
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Auditor, Coding II Certified
Auditor job in Portland, OR
Auditor, Coding II Certified Job Number: 1321039 Posting Date: Dec 4, 2024, 3:45:10 PM Description Job Summary: This is an experienced coding position focused on review of documentation and coding. This position will ensure accurate coding and claim submission and conformity to applicable guidelines and regulations.Essential Responsibilities:
Perform documentation and coding reviews within work queues across various specialties as assigned. Utilize available coding tools and knowledge to assist in appropriate assignment of coding.
Maintain current knowledge to ensure that KPNW coding and documentation meets regulatory guidelines and audit standards. Escalate trends and identified issues through appropriate department channels. Continued development of coding knowledge and regulatory guidelines with maintenance of certification.
Performs other duties as requested to include complex coding issues and project work as assigned
Qualifications Basic Qualifications: Experience
Minimum Two (2) years work experience in a healthcare setting.
Minimum One (1) year of professional coding experience.
Education
N/A License, Certification, Registration Certified Professional Coder OR Registered Health Information Technician OR Certified Coding Associate OR Certified Professional Medical Auditor OR Certified Coding Specialist OR Certified Coding Specialist - Physician Based OR Registered Health Information Administrator Additional Requirements:
Working knowledge of Microsoft Word, Excel and Medical Terminology.Strong interpersonal and communication skills.Strong time management skills and ability to meet deadlines. Preferred Qualifications:
Prefer two (2) year work experience at a KP facility.Prefer one (1) year of professional coding and/or auditing experience in one or more of the following areas: evaluation and management (E&M), procedural/surgical, emergency department or anesthesia.Working knowledge of the KPHC/EpicCare system.Primary Location: Oregon-Portland-Kaiser Permanente Building Regular Scheduled Hours: 40 Shift: Day Working Days: Mon, Tue, Wed, Thu, Fri Start Time: 08:01 AM End Time: 05:01 PM Job Schedule: Full-time Job Type: Standard Employee Status: Regular Job Level: Individual Contributor Job Category: Medical Records Public Department Name: Portland Regional Process Ctr - Med Reds-Professional Coding - 1008 Travel: No Employee Group: W06|SEIU|Local 49 Posting Salary Low : 32.2 Posting Salary High: 39.83 Kaiser Permanente is an equal opportunity employer committed to a diverse and inclusive workforce. Applicants will receive consideration for employment without regard to race, color, religion, sex (including pregnancy), age, sexual orientation, national origin, marital status, parental status, ancestry, disability, gender identity, veteran status, genetic information, other distinguishing characteristics of diversity and inclusion, or any other protected status.
External hires must pass a background check/drug screen. Qualified applicants with arrest and/or conviction records will be considered for employment in a manner consistent with federal and state laws, as well as applicable local ordinances, including but not limited to the San Francisco and Los Angeles Fair Chance Ordinances.Click here for Important Additional Job Requirements.
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Auto-ApplyCoding Auditor/Trainer (Coding Coordinator)
Auditor job in Portland, OR
The Coding Trainer is responsible for constructing and implementing coding training programs for coding specialists. Creates presentations, develops learning material, handbooks and other training materials as needed. Conducts regular audits to ensure understanding and retention of basic and advanced coding concepts. Represents Enterprise Coding as coding expert in specialty projects.
Function/Duties of Position
Primary Responsibilities:
* Trains and instructs coders on CPT, Diagnosis, modifiers, CCI edits and documentation requirements as appropriate regarding all industry standards for each clinical department across OHSU
* Reviews, develops, modifies, and/or adapts relevant training materials, presentations and curriculum
* Audits medical record documentation to identify under-coded and up- coded services; prepares reports of findings and meets with coders and leadership to provide education and training on accurate coding practices and compliance issues both for coders currently in training and ongoing audits for all coders
* Leads cross training efforts for coders learning new subspecialties
* Review and respond in a timely manner to trainee questions and offer support
* Regularly communicates status of ongoing training projects as well as outcomes and challenges to leadership
* Provides second-level review of documentation and coding for difficult/advanced services to ensure accurate and compliant charge submission
* Participates in process improvement through identification of provider or coder trends (documentation and coding) as well as workflow evaluations
* Provides coding audits and detailed assessments for annual performance appraisals
* Attends coding conferences, workshops, and in-house sessions to receive updated coding information and changes in coding and/or regulations and presents findings and material to the coding department to ensure ongoing education and compliance of all coders in Enterprise Coding
* Meets/communicates with Provider Educators to ensure that education is uniform and consistent for both providers and coders for any given area.
Secondary Responsibilities
* Assists Leads with coding e-mail queries for difficult scenarios
* Researches, analyzes, and responds to inquiries for challenging coding scenarios regarding compliance, inappropriate coding, denials, and billable services
* Participates in recruitment process including evaluation of resumes, interviews and correction/analysis of coding assessment test
* Meets with the Coding & Compliance department as needed to discuss concerns, make plans for processes/procedures
* Participates in required huddles with leadership team to communicate ongoing training needs
* Participates in advisory team meetings to discuss coding guidelines and best practices for consistent coding across Depts/Service Areas.
* Other job-related duties as assigned
Required Qualifications
* Associates degree in Healthcare, Business or related field plus 5 years of production coding experience OR equivalent combination of education and experience
* Detailed knowledge of medical coding systems, procedures, and documentation requirements
* Knowledge of auditing concepts and principles
* Certification in CPC, CPC-H, RHIT, or RHIA
Preferred Qualifications
* Completed coding education and certification from an accredited institution such as AHIMA or AAPC (CPC, CPC-H, RHIT, RHIA)
* Solid understanding of 2023 E/M guidelines
* Specialty coding experience in a variety of specialties including but not limited to, OB/GYN, GI, ENT, Pulmonary, Endocrinology, Pediatric Medicine, Hospitalists and Telemedicine
Job Related Knowledge, Skills and Abilities (Competencies):
* Ability to analyze and solve problems
* Ability to develop and implement a training plan
* Excellent oral, written, communication, and analytical skills
* Ability to use independent judgment and to manage and impart confidential information.
* Ability to set priorities and meet deadlines
* Strong communication and interpersonal skills
* Knowledge of legal, regulatory, and policy compliance issues related to medical coding procedures and documentation
* Knowledge of current and developing issues and trends in medical coding procedures requirements
Additional Details
Must be able to sit for extended periods of time; must be able to lead small or large training sessions with composure.
All are welcome
Oregon Health & Science University values a diverse and culturally competent workforce. We are proud of our commitment to being an equal opportunity, affirmative action organization that does not discriminate against applicants on the basis of any protected class status, including disability status and protected veteran status. Individuals with diverse backgrounds and those who promote diversity and a culture of inclusion are encouraged to apply. To request reasonable accommodation contact the Affirmative Action and Equal Opportunity Department at ************ or *************.
Auto-ApplyCoding Auditor/Trainer (Coding Coordinator)
Auditor job in Portland, OR
The Coding Trainer is responsible for constructing and implementing coding training programs for coding specialists. Creates presentations, develops learning material, handbooks and other training materials as needed. Conducts regular audits to ensure understanding and retention of basic and advanced coding concepts. Represents Enterprise Coding as coding expert in specialty projects.
Function/Duties of Position
Primary Responsibilities:
Trains and instructs coders on CPT, Diagnosis, modifiers, CCI edits and documentation requirements as appropriate regarding all industry standards for each clinical department across OHSU
Reviews, develops, modifies, and/or adapts relevant training materials, presentations and curriculum
Audits medical record documentation to identify under-coded and up- coded services; prepares reports of findings and meets with coders and leadership to provide education and training on accurate coding practices and compliance issues both for coders currently in training and ongoing audits for all coders
Leads cross training efforts for coders learning new subspecialties
Review and respond in a timely manner to trainee questions and offer support
Regularly communicates status of ongoing training projects as well as outcomes and challenges to leadership
Provides second-level review of documentation and coding for difficult/advanced services to ensure accurate and compliant charge submission
Participates in process improvement through identification of provider or coder trends (documentation and coding) as well as workflow evaluations
Provides coding audits and detailed assessments for annual performance appraisals
Attends coding conferences, workshops, and in-house sessions to receive updated coding information and changes in coding and/or regulations and presents findings and material to the coding department to ensure ongoing education and compliance of all coders in Enterprise Coding
Meets/communicates with Provider Educators to ensure that education is uniform and consistent for both providers and coders for any given area.
Secondary Responsibilities
Assists Leads with coding e-mail queries for difficult scenarios
Researches, analyzes, and responds to inquiries for challenging coding scenarios regarding compliance, inappropriate coding, denials, and billable services
Participates in recruitment process including evaluation of resumes, interviews and correction/analysis of coding assessment test
Meets with the Coding & Compliance department as needed to discuss concerns, make plans for processes/procedures
Participates in required huddles with leadership team to communicate ongoing training needs
Participates in advisory team meetings to discuss coding guidelines and best practices for consistent coding across Depts/Service Areas.
Other job-related duties as assigned
Required Qualifications
Associates degree in Healthcare, Business or related field plus 5 years of production coding experience OR equivalent combination of education and experience
Detailed knowledge of medical coding systems, procedures, and documentation requirements
Knowledge of auditing concepts and principles
Certification in CPC, CPC-H, RHIT, or RHIA
Preferred Qualifications
Completed coding education and certification from an accredited institution such as AHIMA or AAPC (CPC, CPC-H, RHIT, RHIA)
Solid understanding of 2023 E/M guidelines
Specialty coding experience in a variety of specialties including but not limited to, OB/GYN, GI, ENT, Pulmonary, Endocrinology, Pediatric Medicine, Hospitalists and Telemedicine
Job Related Knowledge, Skills and Abilities (Competencies):
Ability to analyze and solve problems
Ability to develop and implement a training plan
Excellent oral, written, communication, and analytical skills
Ability to use independent judgment and to manage and impart confidential information.
Ability to set priorities and meet deadlines
Strong communication and interpersonal skills
Knowledge of legal, regulatory, and policy compliance issues related to medical coding procedures and documentation
Knowledge of current and developing issues and trends in medical coding procedures requirements
Additional Details
Must be able to sit for extended periods of time; must be able to lead small or large training sessions with composure.
All are welcome Oregon Health & Science University values a diverse and culturally competent workforce. We are proud of our commitment to being an equal opportunity, affirmative action organization that does not discriminate against applicants on the basis of any protected class status, including disability status and protected veteran status. Individuals with diverse backgrounds and those who promote diversity and a culture of inclusion are encouraged to apply. To request reasonable accommodation contact the Affirmative Action and Equal Opportunity Department at ************ or *************.
Auto-ApplyAudit Support
Auditor job in Tigard, OR
in Tigard, OR
The Audit Support is responsible to answer all customer and carrier inquiries, overseeing freight payable function for all assigned clients through a designated process, and managing customer accounts for accuracy. In addition, this role is responsible to uphold our core values of Ethics, Engagement, and Excellence.
Essential Functions:
Review daily EDI and paper invoices for appropriate documentation and approval prior to payment and processes them in the computer system.
Reconciliation of freight rates against applicable tariff.
Communicate with co-workers, management, clients, and others in a courteous and professional manner.
Efficiently use our proprietary task-tracking tool.
Assists team members and performs other incidental and related duties as assigned.
Qualification/Requirements:
Maintain a high level of confidentiality regarding all client specific data and safeguarding the information from other clients and competitors.
Ability to gather and analyze information, find possible solutions, select the best option, and evaluate the decision is required.
Attention to detail, including verifying completed work.
Maintain and document all processes and procedures for client-based workload.
Secure all electronic and hardcopy confidential information.
Backup other auditors and assist with workload as needed.
Education/Experience:
Associate degree in Accounting, Business, Supply Chain/Logistics or related field, or 2-4 years related experience and/or training, or equivalent combination of education and experience (Bachelor's Degree preferred).
Proficient in Microsoft Office Suite.
Proficient in 10-key by touch.
Customer service experience.
AFS is an equal opportunity employer and prohibits discrimination and harassment of any kind: AFS is committed to the principle of equal employment opportunity for all teammates and to provide teammates with a work environment free of discrimination and harassment.
Auto-ApplyISO 9001 Lead auditor (PTDE)
Auditor job in Portland, OR
Apply now ISO 9001 Lead auditor (PTDE) At TÜV SÜD we are passionate about technology. Innovations impact our daily lives in countless ways, and we are dedicated to being a part of that progress. We test, we audit, we inspect, we advise. We never stop challenging ourselves for the safety of society and its people. We breathe technology, we strive for professional excellence, and we leave a mark. We take the future into our hands. We are TÜV SÜD.
Your Tasks
* Lead third-party audits of Information Security Management Systems (ISMS) based on ISO/IEC 27001, in compliance with ISO/IEC 17021-1 and TÜV SÜD procedures.
* Plan audit scope, conduct risk-based audit activities, chair opening and closing meetings, and manage interactions with client representatives.
* Evaluate policies, controls, risk assessments, incident response, business continuity, and compliance with applicable legal and regulatory information security requirements.
* Lead audit teams, assign responsibilities, and ensure audit findings are consistent, objective, and well-documented.
* Identify and classify nonconformities, verify corrective actions, and make certification recommendations.
* Prepare detailed audit reports aligned with TÜV SÜD's quality system and client-specific requirements.
* Participate in internal calibration, witness audits, and continual improvement activities.
* Contribute to the training and development of junior auditors and technical reviewers.
Your Qualifications
* Bachelor's degree in information technology, cybersecurity, computer science, engineering, or related field.
* At least 8 years of professional experience, including minimum 3 years of auditing or implementing ISO/IEC 27001.
* IRCA-registered ISO/IEC 27001 Lead Auditor certification is mandatory.
* Proven experience conducting third-party ISMS audits for a recognized certification body.
* Strong knowledge of risk assessment methodologies, information security controls (Annex A), and regulatory frameworks (e.g., GDPR, HIPAA, NIST, COBIT).
* Excellent report writing, communication, and stakeholder management skills.
* High standards of ethics, impartiality, and professionalism.
* Fluent in English; other languages are a plus.
* Willing to travel frequently to conduct audits on-site.
What We Offer
* Exposure to leading global clients and industries.
* Opportunities for professional development and calibration participation.
* A framework that emphasizes impartiality, professionalism, and continuous improvement.
Additional Information
* This is a subcontractor role.
* Frequent travel is required to perform audits on-site.
Equal Opportunity Employer - Disability and Veteran
TÜV SÜD America, Inc. is an equal opportunity, affirmative action employer and considers qualified applicants for employment without regard to race, color, creed, religion, ancestry, marital status, genetics, national origin, sex, sexual orientation, gender identity and expression, age, physical or mental disability, veteran status and those laws, directives, and regulations of Federal, State, and Local governing bodies or agencies. We participate in the E-Verify Employment Verification Program.
Ticket Auditor
Auditor job in Portland, OR
Job Description
SP+, a Metropolis company, is an artificial intelligence company for the real world. We use computer vision to enable checkout-free parking experiences. So there's no fumbling with tickets, machines, apps, or credit cards. You just “drive in and drive out.”
We are the largest parking network in America, with over 23,000 employees powering mobility at over 4,000 locations across North America and Europe.
Today, we are reinventing parking. Because it's important, it's everywhere and impacts everyone. Tomorrow, we will power checkout-free experiences anywhere you go to make the everyday experiences of living, working, and playing remarkable - giving us back our most valuable asset, time.
Responsibilities
Daily Cashier Audits - review cashier report and revenue paperwork of every cashier, for every shift in all lots. Note and research where necessary any irregularities in revenue, cash/credit card transactions, exception transactions, and any other irregularities.
Ground Transportation - review all ground transportation paperwork and tickets to ensure consistency with policies/procedures.
Perform periodic License Plate Inventory audits, surprise Cashier Audits, Pay On Foot Machine audits as assigned.
Provide training and assistance to cashiers as needed
Report any improprieties or discrepancies to management staff and audit supervisor
Other audit related duties as assigned
Qualifications
Qualified candidates must possess excellent verbal and written communication skills.
Qualified candidates should be computer literate (including proficiency in Microsoft Excel).
Qualified candidates must have exceptional organizational skills, and be able to work well under pressure.
Candidates should be able to work well with repetitive work.
Accounting/Audit experience and/or education preferred.
Candidate must be able to work overtime as required.
Salary Range: $19.00 per hour
Benefits: Eligible employees will participate in the various benefits plans including medical, dental, vision, flexible spending accounts, long/short term disability, life insurance, accident insurance, 401k and paid time off.
SP+ is an equal opportunity employer committed in policy and practice to recruit, hire, train, and promote, in all job classifications, without regard to race, color, ancestry, religion, sex, age, national origin, citizenship status, marital status, sexual orientation, veteran status, gender identity, disability or other classes protected by federal or state law. SP+ does not tolerate harassment or retaliation against any employee or applicant based on these characteristics or because the individual exercised their EEO rights.
Right to Work Poster
SP+, a Metropolis Company, may utilize an automated employment decision tool (AEDT) to assess or evaluate your candidacy for employment or promotion. AEDTs are used to assist in assessing a candidate's application relative to the required job qualifications and responsibilities listed in the job posting.
As part of this process, SP+ retains data relevant to your candidacy, including personal information, for a period that is reasonably necessary for the use of the tool. If you are hired for the position, your data may become part of your employee records.
If you are an applicant to a New York City job posting and wish to request an alternative selection process accommodation or have questions about our data retention policy, please contact ******************. We are here to assist you.
Audit Accountant
Auditor job in Portland, OR
PURPOSE
The Guaranteed Maximum Price (GMP) Accountant is an integral member of the project team and plays a key role in reviewing and tracking GMP Trade Partner billings, collaborating with team members, external auditors, and owners to enhance the auditing process and streamline workflows. This role performs many vital accounting responsibilities and is responsible for the auditing processes that are required to maintain and ensure compliance with owner standards, federal regulations, and state regulations.
A successful GMP Accountant is detail oriented with good problem-solving skills and the ability to interact and communicate positively and successfully with all levels of the organization. The responsibility for reviewing and verifying compliance activities for GMP Trade Partners on a construction project requires a proactive approach, thorough knowledge of accounting systems, and a strong working knowledge of contract guidelines and change orders that have been processed. The GMP Accountant must be a role model of Fortis core values.
RESPONSIBILITIES
Conducts GMP Trade Partner billing audits monthly, quarterly, and final GMP Trade Partner audit to finalize the Trade Partner Agreement.
Assists the preconstruction and contract administration departments with development of GMP Trade Partner Agreements to ensure compliance with owner auditing guidelines.
Confirms Trade Partner compliance on a month-to-month basis by reviewing contract documents, billing records, and accepted billing practices.
Verifies expenses being invoiced via GMP Trade Partner billings meet criteria and guidelines set forth by owner.
Communicates and resolves audit findings with project team, GMP Trade Partner, and owners.
Creates and analyzes project-specific reports for job cost information as needed by the project team.
Cultivates relationships with architects, owners, external auditors, owner representatives, and trade partners.
Collaborates, mentors, and trains other team members in GMP accounting requirements and responsibilities.
Reconciles financial discrepancies by collecting and analyzing account information.
Answers accounting procedure questions by researching and interpreting accounting policy and regulations.
Maintains customer confidence and protects operations by keeping financial information confidential.
Assist in other duties as assigned, relevant to the achievement of the position's and team's objectives.
REQUIRED QUALIFICATIONS
Minimum of 3 years of relevant experience in construction industry.
Bachelor's degree in accounting or related degree program, or equivalent work experience.
Advanced Microsoft Excel skills are essential.
Keen analytical, organizational and problem-solving skills which allow for strategic data interpretation versus simple reporting.
Strong interpersonal and communication skills.
Ability to think strategically and make connections between diverse issues and tasks.
Demonstrates a proactive, hands-on work style with meticulous attention to detail, curiosity, and strong resilience.
Willingness to work a flexible schedule during peak periods and able to meet timelines consistently.
Ability to work independently and with various teams internally and externally.
Understanding of various types of construction contracts and subcontracts.
Must possess a valid driver's license and a satisfactory driving record in accordance with Fortis policy.
PREFERRED QUALIFICATIONS
Working knowledge of an ERP system.
Ability to quickly learn new software systems and procedures.
PHYSICAL REQUIREMENTS
Work is performed in a professional office environment. Role is stationary, often standing or sitting for long periods of time. Utilize standard office equipment such as computers, phones, photocopiers, etc. Communication with internal and external contacts, including speaking and hearing. May occasionally push, pull or lift up to 25 lbs.
TRAVEL REQUIREMENTS
Occasional travel.
All Fortis positions require some level of driving.
RQ-0531 Audit Accountant (Open)
Fortis is an Equal Employment Opportunity employer. We adhere to a policy of making employment decisions without regards to race, color, religion, sex, age, disability or any other protected categories. It is our intention that all qualified applicants be given an equal opportunity and that selection decisions be based on job-related factors.
Auto-ApplyAudit Senior
Auditor job in Portland, OR
Senior Audit Accountant As a senior on the audit team, you will have the opportunity to work on a variety of projects throughout the year to help build and develop a range of invaluable skills and experience. Our attest engagements range from reviews and audits to financial advisory consulting engagements.
Work with emerging growth technology and software sector companies
The focus of the corporate audit work has been built within the realm of technology and software companies.
These engagements are accompanied by strong finance and accounting teams that deal with highly technical and challenging aspects of the accounting and financial reporting process which in turn allows for opportunities for technical skill development and refinement for the audit team members.
Additionally, many of our emerging growth audit clients are venture backed, thereby providing exposure to unique equity structures and the related accounting implications.
Growth opportunity
Join a growing and thriving regional firm with generous growth potential within the firm.
They have built its name on top notch work for the sectors and clients that we serve. Much of our growth has been from referrals and positive relationships that we have maintained with our clients.
Strong office culture
The Portland office places importance on team bonding and office culture. Office outing events, happy hours, and involvement with charitable organizations are a few things that are part of our regular routines to aid in the office culture.
Qualifications & Responsibilities
Professional development and licensing
At the senior level, individuals should have a minimum of two busy seasons of experience in a staff level position.
Have completed or are in the process of passing the CPA exam.
Establish a personal development plan to identify goals and objectives and understand the skills necessary to advance your career to the next level.
Development of personal technical skills.
Maintaining strong client relationships.
Begin to develop proficiencies with GAAP reporting.
Understand and apply relevant auditing techniques, procedures, and requirements.
Team roles and responsibilities
Initiate, monitor, and deliver assigned compliance services timely and accurately
Proactively manage timelines and communicate with managers and partners.
Help develop and supervise staff team members in firm policies and procedures and technical and professional training.
Be successful in multitasking by handling various projects simultaneously by managing workloads, prioritizing, planning, and delegating tasks where appropriate.
Display and promote team mentality and positive working environments for all peers.
INDEPENDENT CONTRACTOR - Collision Center Auditor
Auditor job in Portland, OR
Do you love working with high end, luxury automotive brands? Do you have a passion for helping collision centers achieve their goals of ‘highest quality' and elite Certification status? Are you interested in INDEPENDENT CONTRACTOR opportunities that will add revenue and variety to your current line of business? Are you looking to partner with a company who will invest in your training and treat you as a true business partner?
It's an exciting time at DEKRA North America! Building off the strength of 47,000+ associates worldwide and leveraging the success of partnerships across the globe, DEKRA is looking for the right individuals to join us as independent contractors and help us exceed collision center expectations. If others see you as professional; engaging; optimistic; humbly persistent and a student of your business, then please read on.
Here are some highlights of how you will be helping collision centers / OEMs as an independent contractor partnering with DEKRA:
Perform audits to ensure compliance with Training, Facility, Repair Procedures, and Tool / Equipment requirements.
Document findings, prepare an improvement plan of action and partner with centers on mutually agreed upon next steps for achieving certification.
IF you have a training background - Deliver standup training to collision center and dealer personnel on a variety of collision and safety-related curriculum.
DEKRA is one of the world's leading testing, inspection, and certification (TIC) companies offering innovative professional services in the fields of vehicle inspection, automotive expertise, expert appraisals, industrial product testing & certification, management system certifications, leadership consulting, and much more. As an independent contractor you will partner with an organization with more than 180 subsidiaries in 60+ countries worldwide. DEKRA is a purpose-driven organization with a deep passion to make the world a safer place on the road, at work and home.
Our strong international presence, industry expertise and close ties with the automotive industry have earned us high recognition amongst OEMs, collision centers, dealers, suppliers, and industry service providers. With our broad international network of automotive experts, consultants, and specialists, DEKRA has a proven track record in the improvement of quality, business performance, people skills, workflows, and processes for our customers. We are committed to building long-term, sustainable partnerships with our customers.
To learn more about us: **********************************
We are currently looking for remote INDEPENDENT CONTRACTORS within close proximity to the following territories:
Seattle, WA
Portland, OR
Los Angeles, CA
Phoenix, AZ
Las Vegas, NV
Denver, CO
Chicago, IL
Dallas/Houston, TX
The following skills and attributes are preferred for the INDEPENDENT CONTRACTOR Collision Center Auditor:
Experience in the collision center and/or mechanical service center industry; collision center management; independent insurance appraisals; or a working knowledge of automotive collision, parts, and service operations. Time spent delivering stand-up or onsite training a definite PLUS+.
Technical automotive background or education.
High level of accuracy in verbal & written communication.
Good problem-solving, negotiation, and influencing skills.
Experienced in Microsoft Office software applications.
High level of empathy with the ability to interact with others at all levels in a collision center or dealership.
High level of self-management skills and motivation.
Strong communication, presentation, and analytical skills.
Relevant professional experience and strong social/interpersonal skills.
Travel Considerations:
Minimum ability to travel locally and regionally for audits.
Nationally, if conducting onsite training. However, overall % will be very limited.
Benefits:
As this is an INDEPENDENT CONTRACTOR position initially, benefits are not included. However, DEKRA has a long history of transitioning independent contractors to full-time employees based on business growth and alignment with your career interests.
Associate - Audit
Auditor job in Lake Oswego, OR
Job Details Office - Lake Oswego, OR Full Time 4 Year Degree AccountingDescription
We are seeking college graduate who is eligible to take the CPA exam. We provide in-depth assurance training developed in-house by HSS staff, so it is tailored to your needs and the needs of our clients. You will work directly with seniors, managers and partners on your audit rotations to develop and build your skills and confidence as an accountant. The successful candidate will be proficient in all aspects of an audit engagement. This position requires candidates to have a genuine interest in developing a comprehensive understanding of our clients' business and tax environments, as well as providing a proactive year-round tax planning approach.
A successful team member enjoys working with a wide variety of clients and demonstrates organization, technical skill, and effective communication. This team member will be in a position to work closely with engagement partners, interact with great clients, and will have opportunities for staff supervision and advancement.
The firm offers competitive benefits, a team-oriented culture, and opportunities for continuing education and professional growth. We strongly believe in maintaining a good work/life balance, while always exceeding our clients' expectations.
Responsibilities include:
Lead audit and other assurance engagements
Provide timely and superior-quality services exceeding client expectations
Identify additional areas of service and planning opportunities
Maintain relationships with key business contacts and clients
Pursue new business development
Develop skills for reviewing audit and assurance engagements
Qualifications
Qualifications:
Bachelor's Degree in Accounting (or related field) required prior to position start date
CPA eligibility obtained prior to position start date
3.20 GPA or better
Strong computer skills, specifically with Excel
Excellent communication skills, both written and verbal
Job Type: Full-time, with overtime required
Senior / Experienced Staff Audit
Auditor job in Salem, OR
Core Responsibilities
Assist with engagements, including planning, executing, directing, and completing state and local audit projects and managing budgets within a given timeline.
Deliver a full range of State and Local government audit services, including tax return preparation and review, tax research, preparation of technical memorandums, and drafting client correspondence.
Assignments include, but are not limited to, reverse sales tax reviews, audit defense, and research of sales tax issues.
Education and Qualifications
Bachelors Degree.
Must successfully pass a background check.
Must be currently authorized to work in the United States full-time.
Essential Functions
Conduct multi-disciplinary, multi-state reviews that analyze income, franchise, sales, and use, payroll, ad valorem taxes, and others to identify optimal filing options, exemptions, credits and incentives, and corporate structures that can reduce the client's tax burden.
Demonstrate an understanding of increasingly complex tax concepts.
Respond to inquiries from the IRS and other tax authorities.
Build and maintain good client relationships.
Experience
1-2+ years of experience in public accounting.
Knowledge, Skills, and Abilities
Strong skills and experience with Word, Outlook, Excel, QuickBooks.
Demonstrate proficiency in technical skills, work quality,
Keep current on applicable professional standards.
Excellent verbal and written communication skills.
Ability to communicate clearly and concisely in English.
Working Conditions
Ability to work overtime and weekend hours during peak busy periods to meet deadlines and partner and client expectations.
Health
Comprehensive 401(k) matching program.
Choice of HMO or PPO medical plans available.
Generous discounts are available under some plans for drugs and/or eye prescriptions.
Comprehensive vision plans available.
A choice of HMO or PPO dental plans.
Funded life insurance plans covering death/dismemberment. Additional coverage is available for purchase.
Flex spending plans available.
Gym membership subsidy.
Happiness
Casual dress environment.
Substantial professional development through ongoing training (an accredited employer with the AICPA and the ACCA).
Training department dedicated to all your learning & CPE continuation needs.
Subsidized CPA examination fees & spot bonus.
Paid time off to study for the CPA.
Competitive compensation packages.
Generous paid time off policies.
Diverse client base to inspire and challenge you.
Mentorship opportunities through our resource group and buddy systems.
Beyond
Bonus payments for client or employee referrals.
Targeted kudos program providing firm-wide employee recognition and financial rewards.
Discounted movie tickets.
Structured volunteer and community care programs through a dedicated company program.
A generational task force that welcomes ideas and suggestions to enhance the workplace.
Structured internship programs to guide future college graduates.
Partner & director attendance at local college recruiting and class events.
Benefits
401(k).
HMO or PPO Medical.
Drugs Discount Plans.
Vision Plans.
HMO or PPO Dental.
Life Insurance.
Flex-spending.
Gym Membership.
Casual dress.
Professional Development.
CPE continuation training.
CPA exam fees & spot bonus.
Paid time off to study CPA.
Competitive compensation.
Generous PTO.
Diverse client base.
Mentorship opportunities.
Client or employee referrals bonuses.
Employee recognition and financial rewards.
Discounted movie tickets.
Welcomes ideas and suggestions to enhance the workplace.
KPMG - Audit Intern | Multiple Locations (Winter 2027), application via RippleMatch
Auditor job in Portland, OR
Known for being a great place to work and build a career, KPMG provides audit, tax and advisory services for organizations in todays most important industries. Our growth is driven by delivering real results for our clients. It has also enabled by our culture, which encourages individual development, embraces an inclusive environment, rewards innovative excellence and supports our communities. With qualities like those, it is no wonder we are consistently ranked among the best companies to work for by Fortune Magazine, Consulting Magazine, Seramount, Fair360 and others. If you are as passionate about your future as we are, join our team.
Auto-ApplyOutpatient Audit Specialist FT- 2,500 Sign on Bonus
Auditor job in Salem, OR
Datavant is a data platform company and the world's leader in health data exchange. Our vision is that every healthcare decision is powered by the right data, at the right time, in the right format. Our platform is powered by the largest, most diverse health data network in the U.S., enabling data to be secure, accessible and usable to inform better health decisions. Datavant is trusted by the world's leading life sciences companies, government agencies, and those who deliver and pay for care.
By joining Datavant today, you're stepping onto a high-performing, values-driven team. Together, we're rising to the challenge of tackling some of healthcare's most complex problems with technology-forward solutions. Datavanters bring a diversity of professional, educational and life experiences to realize our bold vision for healthcare.
**What We're Looking For:**
As an Outpatient Auditing Specialist, you will be instrumental in addressing consulting and educational needs related to coding quality, compliance assessments, external payer reviews, coding education, and coding workflow operations reviews. In this role, you will offer meaningful information tailored to exceed customer expectations, actively identifying and presenting solutions for customer issues. This role is fully remote with a flexible schedule, allowing you to help shape the future of healthcare from your own workspace!
******Seeking a candidate to bring a strong skill set with regards to auditing ED, SDS, OBS and I&I as well as experience in ProFee including but not limited to E&M, IR, Spinal and Orthopedics.******
**What You Will Do:**
+ Performs Outpatient Facility coding audits of medical records and abstracts using ICD-10-CM, CPT, HCPCS, and modifiers and appropriate coding references for accurate coding assignment
+ Provides rich and concise rationale explaining the reasoning behind any identified changes, including specific references, location of documentation, etc
+ Keeps abreast of regulatory changes
+ Organizes and prioritizes multiple cases concurrently to ensure departmental workflow and case resolution
+ Provides coder education via the auditing process
+ Function in a professional, efficient and positive manner
+ Adhere to the American Health Information Management Association (AHIMA)'s code of ethics
+ Must be customer-service focused and exhibit professionalism, flexibility, dependability, desire to learn, commitment to excellence and commitment to profession
+ High complexity of work function and decision making
+ Strong organizational, teamwork, and leadership skills
******Seeking a candidate to bring a strong skill set with regards to auditing ED, SDS, OBS and I&I as well as experience in ProFee including but not limited to E&M, IR, Spinal and Orthopedics.******
**What You Need to Succeed:**
+ 5+ years of outpatient facility coding experience and/or auditing
+ CCS (preferred), RHIA or RHIT preferred
+ Maintains 95% accuracy rate
+ Experience with various software including Epic, Cerner, and other prevalent EMRs
**What We Offer:**
+ Benefits for Full-Time employees: Medical, Dental, Vision, 401k Savings Plan w/match, 2 weeks of paid time off, and Paid Holidays, Floating Holidays
+ Free CEUs every year
+ Stipend provided to assist with education and professional dues (AHIMA/AAPC) If Applicable
+ Equipment: monitor, laptop, mouse, headset, and keyboard
+ Comprehensive training led by a credentialed professional coding manager
+ Exceptional service-style management and mentorship (we're in this together!)
Pay ranges for this job title may differ based on location, responsibilities, skills, experience, and other requirements of the role.
The estimated base pay range per hour for this role is: $35 - $45 an Hour
Pay ranges for this job title may differ based on location, responsibilities, skills, experience, and other requirements of the role.
The estimated base pay range per hour for this role is:
$35-$45 USD
To ensure the safety of patients and staff, many of our clients require post-offer health screenings and proof and/or completion of various vaccinations such as the flu shot, Tdap, COVID-19, etc. Any requests to be exempted from these requirements will be reviewed by Datavant Human Resources and determined on a case-by-case basis. Depending on the state in which you will be working, exemptions may be available on the basis of disability, medical contraindications to the vaccine or any of its components, pregnancy or pregnancy-related medical conditions, and/or religion.
This job is not eligible for employment sponsorship.
Datavant is committed to a work environment free from job discrimination. We are proud to be an Equal Employment Opportunity employer and all qualified applicants will receive consideration for employment without regard to race, color, sex, sexual orientation, gender identity, religion, national origin, disability, veteran status, or other legally protected status. To learn more about our commitment, please review our EEO Commitment Statement here (************************************************** . Know Your Rights (*********************************************************************** , explore the resources available through the EEOC for more information regarding your legal rights and protections. In addition, Datavant does not and will not discharge or in any other manner discriminate against employees or applicants because they have inquired about, discussed, or disclosed their own pay.
At the end of this application, you will find a set of voluntary demographic questions. If you choose to respond, your answers will be anonymous and will help us identify areas for improvement in our recruitment process. (We can only see aggregate responses, not individual ones. In fact, we aren't even able to see whether you've responded.) Responding is entirely optional and will not affect your application or hiring process in any way.
Datavant is committed to working with and providing reasonable accommodations to individuals with physical and mental disabilities. If you need an accommodation while seeking employment, please request it here, (************************************************************** Id=**********48790029&layout Id=**********48795462) by selecting the 'Interview Accommodation Request' category. You will need your requisition ID when submitting your request, you can find instructions for locating it here (******************************************************************************************************* . Requests for reasonable accommodations will be reviewed on a case-by-case basis.
For more information about how we collect and use your data, please review our Privacy Policy (**************************************** .
Medical Claims Auditor I
Auditor job in Milwaukie, OR
Job Description
Let's do great things, together!
About Moda Founded in Oregon in 1955, Moda is proud to be a company of real people committed to quality. Today, like then, we're focused on building a better future for healthcare. That starts by offering outstanding coverage to our members, compassionate support to our community and comprehensive benefits to our employees. It keeps going by connecting with neighbors to create healthy spaces and places, together. Moda values diversity and inclusion in our workplace. We aim to demonstrate our commitment to diversity through all our business practices and invite applications from candidates that share our commitment to this diversity. Our diverse experiences and perspectives help us become a stronger organization. Let's be better together.
Position Summary
Provides accurate quality assurance auditing of post-payment claims to determine correct adjudication and benefit application. Completes complex reports and provide feedback on accuracy. This is a FT WFH position.
Pay Range
$18.03 - $20.18 hourly, DOE.
**Actual pay is based on qualifications. Applicants who do not exceed the minimum qualifications will only be eligible for the low end of the pay range.
Please fill out an application on our company page, linked below, to be considered for this position.
************************** GK=27758424&refresh=true
Benefits:
Medical, Dental, Vision, Pharmacy, Life, & Disability
401K- Matching
FSA
Employee Assistance Program
PTO and Company Paid Holidays
Requirements:
High school diploma or equivalent.
6 months - 2 years claim processing or customer service dealing with all types of plans/claims consistently exceeding performance levels.
Strong reading, writing, and verbal communication skills.
Good analytical, problem solving, decision making, organizational and detail-oriented skills with ability to shift priorities.
10-key proficiency on a computer numeric keypad.
Type a minimum of 25 wpm net on a numeric keyboard.
Good organizational skills, ability to work well under pressure and ability to handle a variety of functions to meet timelines.
Ability to maintain confidentiality and project a professional business image.
Ability to come into work on time and daily.
Proficiency in Facets claims processing applications and Benefit Tracker.
Knowledge of Business Objects and Employer Online Services is helpful.
Knowledge and understanding of Delta Dental's administrative policies affecting claims and customer service.
Computer proficiency in Microsoft office applications.
Primary Functions:
Audit claims daily using a statistically valid sampling method, and prescriber audit criteria. Performs simple adjustments as necessary.
Conduct in-depth claims audits on performance groups, as well as focus audits for specifically identified situations on a scheduled basis.
Compiles and publishes reports based on the results of claim audits as well as processor productivity on a weekly, monthly, and quarterly basis.
Run report in Business Objects to conduct audits.
Prepares required monthly and/or quarterly reports for specific group performance guarantee, production, and accuracy results.
Identify trends from audit results and recommend improvements to increase overall quality.
Assists in the investigation and response to Market Conduct Examination inquiries.
Other duties as assigned
Contact with Others
Internally with Claims, Sales & Account Services, Membership Accounting, Benefit Configuration, Information Services, Customer Service and Provider Relations.
Working Conditions
Office environment with extensive close PC and keyboard work, constant sitting, and phone work. Must be able to navigate multiple screens. Work in excess of standard work week, including evenings and occasional weekends, to meet business need.
Together, we can be more. We can be better.
Moda Health seeks to allow equal employment opportunities for all qualified persons without regard to race, religion, color, age, sex, sexual orientation, national origin, marital status, disability, veteran status or any other status protected by law. This is applicable to all terms and conditions of employment, including recruiting, hiring, placement, promotion, termination, layoff, recall, transfer, leaves of absences, compensation, and training.
For more information regarding accommodations please direct your questions to Kristy Nehler & Danielle Baker via our ***************************** email.
Easy ApplyInternal Audit Associate
Auditor job in Portland, OR
The Office of Internal Audit is recruiting to hire an Internal Audit Associate. Duties and responsibilities will include: Conduct Audit Engagements * Assist the Center for Internal Audit in scheduling and performing activities for audit engagements in an effective and efficient manner and in accordance with the International Standards for the Professional Practice of Internal Auditing.
* Assist in conducting planned audit methodologies and tests.
* Conduct research on subject matters related to the audit.
* Assist the audit office with researching relevant federal, state and University policies and procedures to assess compliance.
* Assist in documenting complex financial and business processes.
* Assist in assessing compliance with financial regulations and controls by testing general ledger, account balances, balance sheets, income statements, and related financial statements; examining and analyzing records, reports, operating practices, and documentation.
* Assist other auditors in conducting interviews and meetings with audit clients and stakeholders to gather useful, relevant, and reliable information.
* Help to collect and analyze both qualitative and quantitative data, extracting information that is significant to the audit.
* Document information and conclusions in an organized and useful manner.
* Help to communicate engagement results in a clear, and concise manner to University managers, senior administrators, and other clients.
Provide Technical Proficiency
* Assist in providing support in one or more audit specialty areas, such as IT controls, statistical analysis, data mining, forensic accounting, or other relevant fields of expertise needed to conduct a full-service audit program.
Consultation
* Assist the Manager of the Center for Internal Audit and/or other Internal Audit Office personnel in consultation with managers at all levels of the University to help resolve issues as requested or as identified.
* May assist in developing policy guidelines for management action and financial guidance on issues as needed or requested.
* Perform other related duties in support of the Internal Audit Office as assigned.
METRC Administrator/Inventory Auditor
Auditor job in Portland, OR
We are a fully compliant, Oregon-based, Licensed Cannabis Processor specializing in BHO Concentrates & Distillate. We strive to create the purest and highest THC possible. Currently we are Licensed under OHA but will be transitioning to OLCC before 2017. We DO NOT ship or transport outside of Oregon. We only sell on a wholesale level to licensed Dispensaries in Oregon!
Job Description
This position will be responsible and focused on process, procedure, and systems to ensure accurate and timely retail product inventory audit and controls. The Inventory Auditor/ METRC Administrator will set audit schedule and perform audits including testing of internal process standards and controls. The Inventor Auditor/ METRC Administrator will provide leadership in the development and implementation of retail inventory process, procedure, and systems. The Inventory Auditor/ METRC Administrator will work closely with accounting, finance, operations, and retail teams to maintain inventory process controls.
Responsibilities and Duties:
Manages and maintains compliance with MED
Product management; communicate with growing facility for product inventory, vendor communication and purchasing, packaging, store supplies, schedule and receive concentrates from processing, overall inventory management
Manages the testing of product
Conducts inventory audits
Bookkeeping; daily balance report, cash in/out, accounts payable and receivable
Analyzes sales trends and searches for opportunities for sales development. Works with marketing to develop campaigns and new revenue avenues.
Qualifications
3-5 years of compliance experience
3-5 years of experience with METRC and BIOTRACK tracking systems
3-5 years of accounting and/or inventory audit control experience in Cannabis manufacturing, productions, or retail is a must!
Excellent organizational and project management skills
Excellent analytical and reporting skills
Advanced Microsoft Office skills specifically with Word, Excel, and PowerPoint
Must be able to secure appropriate work credentials from the Colorado Department of Labor Marijuana Enforcement Division
Working current knowledge of the Oregon cannabis industry/laws
Available to work 50+ hours a week
Must be comfortable working in a fast-paced environment
Excellent communication skills
Organizational astuteness, managing processes, process improvement, reporting skills, developing standards
Administrative writing skills
Education:
Bachelors Degree or similar work-related experience
Knowledge:
Experience with METRC and BIOTRACK systems is required
Additional Information
All your information will be kept confidential according to EEO guidelines.
Field Inventory Auditor
Auditor job in Hillsboro, OR
Acumed LLC As a part of the global industrial organization Marmon Holdings-which is backed by Berkshire Hathaway-you'll be doing things that matter, leading at every level, and winning a better way. We're committed to making a positive impact on the world, providing you with diverse learning and working opportunities, and fostering a culture where everyone's empowered to be their best.
Job Scope
The Field Inventory Auditor ensures the accuracy and integrity of Acumed field inventory by conducting regular inventory audits at sales agent locations. The Auditor will need to maintain a level of knowledge of Acumed products and a proficiency in the technology and tools utilized to execute field inventory counts. The Auditor will partner with internal and external teams that support sales operations to capture complete and accurate inventory counts. Upon review of inventory counts, the Auditor will ensure inventory records and batch traceability are transacted appropriately.
Responsibilities
* Perform field inventory site audits monthly to ensure the accuracy of inventories consigned to sales agents.
* Work with sales leadership, field agents, sales operations and finance to ensure the on-time completion of inventory audits.
* Coordinate and conduct physical inventory counts in each territory (sales rep trunk stock, hospitals/facilities, agent offices and warehouses.)
* Complete audit discrepancy analysis and communicate results with appropriate sales partners and sales managers to identify and locate unaccounted inventory.
* Ensure reconciliation adjustments meet company variance threshold and inventory loss policy is enforced.
* Execute required physical inventory reconciliation in SAP and report results to Agent Inventory team and Finance.
* Perform consignment set location reviews to verify full set assets are accounted for and location detail is updated accordingly.
* Collaborate with Audit team to define auditing schedule across physical locations and maintain proper inventory controls and traceability.
* Engage with field sales partners to review inventory management policy, procedure, and best practices, while providing other audit related training and support.
* Provide routine count status and activity reports.
* Support other departments while not counting in the field (Agent Inventory, Loaners, Logistics)
* Assist with other sales operations related activities as needed.
* Ensure compliance with all relevant company policies and procedures.
Qualifications
* 2+years relevant work experience
* Strong analytical skills with ability to work with ERP system using inventory data and metrics
* Strong verbal and written communication skills
* Strong interpersonal skills with the ability to build relationships with internal and external partners
* Problem solving and analytical skills
* High level of attention to detail
* Maintain a high level of professionalism
* Motivated and self-disciplined with the ability to complete critical tasks with a sense of urgency
* Exercise sound judgment with an ability to independently conduct research, analyze and discern the cause of discrepancies and logically resolve issues
* Ability to adapt in a changing environment
* Ability to multi-task and manage time effectively
* Ability to work well both independently and in a team environment
* Proficiency with MS Office (Excel, Outlook, Word), experience with SAP a plus
* Valid driver's license
Will travel domestically (approximately 50% of the time.) Required to obtain appropriate immunizations necessary to enter sterile surgical areas for inventory counts.
Credentialing: The responsibilities of this position include surgery visits/observations. The incumbent will be required to obtain hospital-required credentials, which may include but not limited to the following: OR Protocol Training, Bloodborne Pathogens Training, National Background check, Product/Service Training, HIPAA Training, MMR, Hep B Vaccinations, TB Skin Test, Varicella, Influenza, Covid-19, General Expectations & Hospital Safety, Government Watch List, Sign-off on General Policies. This list is subject to change based on requirements in the territory.
Following receipt of a conditional offer of employment, candidates will be required to complete additional job-related screening processes as permitted or required by applicable law.
We are an equal opportunity employer, and all applicants will be considered for employment without attention to their membership in any protected class. If you require any reasonable accommodation to complete your application or any part of the recruiting process, please email your request to ******************, and please be sure to include the title and the location of the position for which you are applying.
Auto-ApplyPremium Auditor
Auditor job in Gresham, OR
Gig Workers Wanted!
Are you tired of working for someone else? Have you thought about building a business for yourself? If you answered yes to either question - Welcome! We are excited to introduce Davies Risk Services to you!
Our Premium Auditors come from various backgrounds. If you are inquisitive, driven & self-directed, love numbers and spreadsheets, and being out in the field working with all different types of people - then check out the rest of this job description!
Davies is an industry leader and premier provider of premium audit and loss control services! Celebrating 30+ years in business, we owe our success to our talented field auditors in the field performing our work. At Davies our core values are our guiding principles, not just words we put on our website or company documents.
Our core values are simple; We are Connected - We are Dynamic
We are Innovative - We Succeed Together!
Why Partner with Davies Risk Services?
Grow a business for yourself and take control of your own destiny!
Manage your own schedule and work out of your home office
You determine how much work you take from us and manage your volume
Our contractors are paid by the job - you determine how much money you make!
Learn a valuable, highly marketable trade in a growing industry!
What does a Premium Auditor do?
Our Premium Auditors meet with our client's policyholders onsite, virtually or via the phone, usually at the end of the policy period to conduct a review of business operations, specific financial records such as payroll, sales and/or cost records, and to verify class codes assigned per industry and client standards as required by their insurance contract.
Premium Audit Video Link: ***************************************
Individually scheduling appointments with clients to conduct the premium audit and obtain necessary information
Submitting audit reports via web-portal and Davies' exclusive premium auditing software
Contacting clients and communicating via phone, email, and face to face discussions
Examining commercial businesses' payroll and tax records
Evaluating operational practices
Adhering to customer requirements and quality standards
Maintaining confidentiality and acting with integrity
Qualifications:
Successful candidate must live in the geographic area advertised!
Accounting or bookkeeping experience is required.
Strong customer service and people skills are a must!
Numbers-oriented
Knowledgeable of Microsoft Office, particularly Excel, Word and Outlook.
Strong analytical skills
Ability to use deductive reasoning to find solutions
Premium Audit experience is not required! Davies Risk Services provides best in class training, allowing entrepreneurial minded individuals the opportunity to own their own Premium Audit business and build a new career! For more information apply today!
**Davies Risk Services is an equal opportunity employer. All employment decisions are based on business needs, job requirements and individual qualifications, without regard to race, color, religion, gender, gender identity, age, national origin, disability, veteran status, marital status, sexual orientation, genetic information or any other status or condition protected by the laws or regulations in the locations where we operate. **
#LI-SM1
#LI-HYBRID
Auto-ApplyMedical Claims Auditor I
Auditor job in Milwaukie, OR
Let's do great things, together!
About Moda Founded in Oregon in 1955, Moda is proud to be a company of real people committed to quality. Today, like then, we're focused on building a better future for healthcare. That starts by offering outstanding coverage to our members, compassionate support to our community and comprehensive benefits to our employees. It keeps going by connecting with neighbors to create healthy spaces and places, together. Moda values diversity and inclusion in our workplace. We aim to demonstrate our commitment to diversity through all our business practices and invite applications from candidates that share our commitment to this diversity. Our diverse experiences and perspectives help us become a stronger organization. Let's be better together.
Position Summary
Provides accurate quality assurance auditing of post-payment claims to determine correct adjudication and benefit application. Completes complex reports and provide feedback on accuracy. This is a FT WFH position.
Pay Range
$18.03 - $20.18 hourly, DOE.
**Actual pay is based on qualifications. Applicants who do not exceed the minimum qualifications will only be eligible for the low end of the pay range.
Please fill out an application on our company page, linked below, to be considered for this position.
************************** GK=27758424&refresh=true
Benefits:
Medical, Dental, Vision, Pharmacy, Life, & Disability
401K- Matching
FSA
Employee Assistance Program
PTO and Company Paid Holidays
Requirements:
High school diploma or equivalent.
6 months - 2 years claim processing or customer service dealing with all types of plans/claims consistently exceeding performance levels.
Strong reading, writing, and verbal communication skills.
Good analytical, problem solving, decision making, organizational and detail-oriented skills with ability to shift priorities.
10-key proficiency on a computer numeric keypad.
Type a minimum of 25 wpm net on a numeric keyboard.
Good organizational skills, ability to work well under pressure and ability to handle a variety of functions to meet timelines.
Ability to maintain confidentiality and project a professional business image.
Ability to come into work on time and daily.
Proficiency in Facets claims processing applications and Benefit Tracker.
Knowledge of Business Objects and Employer Online Services is helpful.
Knowledge and understanding of Delta Dental's administrative policies affecting claims and customer service.
Computer proficiency in Microsoft office applications.
Primary Functions:
Audit claims daily using a statistically valid sampling method, and prescriber audit criteria. Performs simple adjustments as necessary.
Conduct in-depth claims audits on performance groups, as well as focus audits for specifically identified situations on a scheduled basis.
Compiles and publishes reports based on the results of claim audits as well as processor productivity on a weekly, monthly, and quarterly basis.
Run report in Business Objects to conduct audits.
Prepares required monthly and/or quarterly reports for specific group performance guarantee, production, and accuracy results.
Identify trends from audit results and recommend improvements to increase overall quality.
Assists in the investigation and response to Market Conduct Examination inquiries.
Other duties as assigned
Contact with Others
Internally with Claims, Sales & Account Services, Membership Accounting, Benefit Configuration, Information Services, Customer Service and Provider Relations.
Working Conditions
Office environment with extensive close PC and keyboard work, constant sitting, and phone work. Must be able to navigate multiple screens. Work in excess of standard work week, including evenings and occasional weekends, to meet business need.
Together, we can be more. We can be better.
Moda Health seeks to allow equal employment opportunities for all qualified persons without regard to race, religion, color, age, sex, sexual orientation, national origin, marital status, disability, veteran status or any other status protected by law. This is applicable to all terms and conditions of employment, including recruiting, hiring, placement, promotion, termination, layoff, recall, transfer, leaves of absences, compensation, and training.
For more information regarding accommodations please direct your questions to Kristy Nehler & Danielle Baker via our ***************************** email.
Easy Apply