Top 69 Senior auditor Jobs in Tennessee

Claims Auditor- Remote
American Health Plans —Franklin, TN
- Remote
- Mid-level
- 2 years
- Paid holidays
- Disability insurance
Quick Apply
Senior Auditor
AutoZone —Memphis, TN
- Online Application
- CPA
- Mid-level
- Office
- Store discount
- Employee stock purchase plan
Senior Manager of Accounting
Habitat for Humanity of Greater Nashville —Nashville, TN
- From $70,000 a year
- Full-time
- CPA
- 5 years
- Finance
- Health savings account
- Disability insurance
Quick Apply
Senior Accountant
Toyota Tsusho —Maryville, TN
- Full-time
- Background check
- CPA
- 5 years
- Health savings account
- Paid holidays
Quick Apply
Sr Corporate Accountant
CHS Corporate —Franklin, TN
- Full-time
- Remote
- CPA
- Mid-level
- Finance
Quick Apply
Senior Auditor
Tennessee Valley Authority —Knoxville, TN
- Temporary
- Mid-level
Senior IT Internal Auditor
Baptist Memorial Health Care —Memphis, TN
- Computer science
- Computer Science
- HIPAA
Audit & Assurance Senior - Pricing & Profitability CoE
Deloitte —Memphis, TN
- $72,900 - $149,700 a year
- Full-time
- Research
- Finance
- Analysis skills
8d
Senior Internal Auditor - Hybrid
The Cigna Group —Nashville, TN
- Online Application
- Microsoft Excel
- CPA
- Mid-level
Information Technology (IT) Senior Internal Auditor - Hybrid
The Cigna Group —Franklin, TN
- Online Application
- Hybrid work
- Research
- Office
- 3 years
Auditor-Internal Senior
Baptist Memorial Health Care —Memphis, TN
- Computer literacy
- Mid-level
- 3 years
Senior Financial Internal Auditor - Hybrid
The Cigna Group —Franklin, TN
- Online Application
- Microsoft Excel
- CPA
- 3 years
Senior Internal Auditor
Erlanger Health System —Chattanooga, TN
- Full-time
- Microsoft Word
- Microsoft Access
- CPA
9d
Professional Practices Sr. Analyst
First Horizon Bank —Memphis, TN
- CPA
- Mid-level
- Office
- Wellness program
- Health savings account
SENIOR STAFF AUDITOR
Brown Jake & McDaniel, PC —Knoxville, TN
- Email
- CPA
- Mid-level
- Analysis skills
- Paid time off
- Opportunities for advancement
Auditor-Internal Coding Senior
Baptist Memorial Health Care —Memphis, TN
- Microsoft Word
- Microsoft Excel
- 3 years
Audit Senior Associate
Brown Edwards —Kingsport, TN
- $60,000 - $95,000 a year
- Full-time
- CPA
- Research
- Office
- Profit sharing
- Health savings account
Senior Internal Auditor
FirstBank —Nashville, TN
- Full-time
- CPA
- Office
- Finance
Quick Apply
COMSEC Auditor Senior
Mayvin, Inc. —Oak Ridge, TN
- Full-time
- Databases
- Analysis skills
- Bachelor's degree
Quick Apply
Senior Audit Manager, Real Estate
Aprio —Nashville, TN
- $125,000 - $228,000 a year
- Full-time
- Hybrid work
- 7 years
- CPA
- Master's degree
- Profit sharing
- Wellness program

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senior auditor jobs near tennessee

Claims Auditor- Remote

American Health Plans -
Franklin, TN

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Job Details

Benefits

Paid holidays
Disability insurance
Health insurance
Dental insurance
401(k)
Paid time off
Employee assistance program
Vision insurance
Referral program

Qualifications

Medicare
Managed care
Managed care organization experience
CMS
Regulatory compliance in claims processing
Medical claims processing software
CMS regulatory compliance
Health insurance knowledge
Medicare regulations
Centers for Medicare & Medicaid Services (CMS) billing regulations
Medicaid
Quality audits
Insurance (Financial sectors)
Healthcare claims compliance audits
Audit support
Healthcare coding compliance audits

Full Job Description

American Health Plans, a division of Franklin, Tennessee-based American Health Partners Inc. owns and operates Institutional Special Needs Plans (I-SNPs) for seniors who reside in long-term care facilities. In partnership with nursing home operators, these Medicare Advantage plans manage medical risk by improving patient care to reduce emergency room visits and avoidable hospitalizations. This division currently operates in Tennessee, Georgia, Missouri, Kansas, Oklahoma, Utah, Texas, Mississippi, Louisiana, Iowa, and Idaho with planned expansion into other states in 2024. For more information, visit AmHealthPlans.com (https://amhealthplans.com/).

If you would like to be part of a collaborative, supportive and caring team, we look forward to receiving your application!

Benefits and Perks include:

Affordable Medical/Dental/Vision insurance options
Generous paid time-off program and paid holidays for full time staff
TeleMedicine 24/7/365 access to doctors
Optional short- and long-term disability plans
Employee Assistance Plan (EAP)
401K retirement accounts
Employee Referral Bonus Program

ESSENTIAL JOB DUTIES:

To perform this job, an individual must accomplish each essential function satisfactorily, with or without a reasonable accommodation.

Conduct pre-pay and post-pay audits to ensure accurate claims payments and denials
Ensure regulatory compliance and overall quality and efficiency by utilizing strong working knowledge of claims processing standards
Work closely with delegated claim processor to ensure errors are reviewed and corrected prior to final payment
Work assigned claim projects to completion
Provide a high level of customer service to internal and external customers; achieve quality and productivity goals
Escalate appropriate claims/audit issues to management as required; follow departmental/organizational policies and procedures
Maintain production and quality standards as established by management
Participate in and support ad-hoc audits as needed
Other duties as assigned

JOB REQUIREMENTS:

Proficient in processing/auditing claims for Medicare and Medicaid plans
Strong knowledge of CMS requirements regarding claims processing, especially regarding skilled nursing facilities and other complex claim processing rules and regulations
Current experience with both Institutional and Professional claim payments
Knowledge of automated claims processing systems
Hybrid role that may require 2-3 days per week onsite at the Franklin, TN office.

REQUIRED QUALIFICATIONS:

Experience:
- Two (2) years’ experience with complex claims processing and/or auditing experience in the health insurance industry or medical health care delivery system
- Two (2) years’ experience in managed healthcare environment related to claims processing/audit
- Two (2) years’ experience with standard coding and reference materials used in a claim setting, such as CPT4, ICD10 and HCPCS
- Two (2) years’ experience with CMS requirements regarding claims processing; especially Skilled Nursing Facility and other complex claim processing rules and regulations
- Two (2) years’ experience processing/auditing claims for Medicare and Medicaid plans
License/Certification(s):
- Coding certification preferred

EQUAL OPPORTUNITY EMPLOYER

Our Organization does not discriminate based on race, color, religion, sex, handicap, disability, age, marital status, sexual orientation, national origin, veteran status, or any other characteristic(s) protected by federal, state, and local laws. The Organization will also make reasonable accommodations for qualified individuals with disabilities should a request for an accommodation be made.

This employer participates in E-Verify.

Equal Opportunity Employer
This employer is required to notify all applicants of their rights pursuant to federal employment laws. For further information, please review the Know Your Rights (https://www.eeoc.gov/poster) notice from the Department of Labor.

Quick Apply

Refine Your Search

senior auditor jobs in tennessee

Claims Auditor- Remote

Senior Auditor

Senior Manager of Accounting

Senior Accountant

Sr Corporate Accountant

Senior Auditor

Senior IT Internal Auditor

Audit & Assurance Senior - Pricing & Profitability CoE

Senior Internal Auditor - Hybrid

Information Technology (IT) Senior Internal Auditor - Hybrid

Auditor-Internal Senior

Senior Financial Internal Auditor - Hybrid

Senior Internal Auditor

Professional Practices Sr. Analyst

SENIOR STAFF AUDITOR

Auditor-Internal Coding Senior

Audit Senior Associate

Senior Internal Auditor

COMSEC Auditor Senior

Senior Audit Manager, Real Estate

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