Jobs for Senior Premium Auditor - Large National Accounts

Energy Auditor

Salary : $45,760.00 - $51,979.20 Annually Location : 111 Liberty St Suite 100 Columbus, OH Job Type: Full-Time Remote Employment: Flexible/Hybrid Job Number: RS-1-25 Department: Residential Services Opening Date: 01/13/2025 Closing Date: 3/2/2025 11:59 PM Eastern Description As Central Ohio's regional council, MORPC is an association of cities, villages, townships, counties and regional organizations and serves rural, suburban, and urban areas. We take pride in bringing communities of all sizes and interests together to collaborate on best practices and plan for the future of our growing region. We do this through a variety of programs, services, projects and initiatives - all with the goal of improving the lives of our residents and making Central Ohio stand out on the world stage. One of Central Ohio's greatest strengths is the diversity of our communities, and to best serve our region, MORPC assertively values diversity and inclusion and strives to reflect those values in our team, our work, and our positive impact for the region. Our work progresses when our team can draw on a wide range of personal experiences and backgrounds, and when each member is open to learning from the experiences of others, both internally and externally. As an equal opportunity employer, we fully support all applicable state and federal laws and regulations and do not discriminate against applicants for employment or employees because of race, color, creed, religion, ancestry, national origin, sexual orientation sex or gender, gender identity or expression, pregnancy, medical conditions, age, disability or other handicap, genetic information, marital/familial status, veteran status, military status, or income or status with regard to public assistance in any aspects of our personnel policies, working conditions, or hiring and recruitment. To create and nourish a workforce as diverse as the Central Ohio region, MORPC encourages members of groups traditionally underrepresented in local government and professional positions to apply for our open career opportunities. MORPC recognizes the value of a healthy work/life balance for our team members and as such, we provide a variety of benefits to promote that balance. Eligible employees receive a free system-wide transit pass and discounted access toother alternative transportation modes to provide options for commuting to work. MORPC encourages opportunities for career advancement through generous tuition and professional development incentives, leadership programs, and participation in local and national organizations. For eligible permanent positions, MORPC also offers flexible schedules and remote work options as well as paid time off and holidays. MORPC employees may also be eligible for excellent health, vision and dental insurance, employee assistance programs, employer paid short-term & long-term disability coverage, employer paid life insurance in the amount of $50,000 coverage, participation in the Ohio Public Employees Retirement System, plus two Deferred Compensation Plans that employees can opt into for additional retirement funding. More info can be found in the benefits link within the online posting. Examples of Duties This is an entry level position and training's provided by and paid for by MORPC. The Energy Auditor position is responsible for the inspection of weatherization standards for the HWAP and WarmChoice funded programs, and future programs as they become available. This position is also responsible for completing training to allow the position to perform energy audits for all programs. This position is responsible for scheduling, completion, and billing of work orders. This position coordinates and reports to the Lead Field Technician and the Inspection Coordinator to ensure priorities are aligned and will take on special projects as needed to support the overall success of programs. This position will perform Energy Audits as required by program demands. This position is an excellent opportunity to assist the residence within Franklin County in reducing energy consumption and improving their household comfort. Customer service and customer education is an essential duty for this position. •Ensure weatherization measures are installed correctly per program standards. •Install weatherization measures as outlined by work order instructions and training. •Schedule appointments with clients to perform weatherization work. •Enter completed work order information into the Columbia Gas of Ohio's Information Management System (Hancock), and the Neighborly software system. •Maintain, upkeep, and secure all tools and equipment daily. •Maintain, upkeep, and secure agency supplied vehicle daily. •Order materials as necessary to ensure jobs can be completed as scheduled. •Develops familiarity with cultural diversity and applies diversity and inclusion efforts in daily business. •Fully support all MORPC personnel policies and procedures. •Perform other duties as assigned, including special projects that support overall program success. •Successfully complete all crew person training. •Successfully complete all Energy Auditor training. •Perform Energy Audits as assigned. •Compile and submit progress reports as required Typical Qualifications REQUIRED KNOWLEDGE, SKILLS, AND ABILITIES: •This position requires the ability to use a computer. •Must have excellent customer relation skills. •Must have good verbal and written communications skills, as well as problem solving skills. •Must be able to work independently or as part of a team. •Must be able to carry and use an extension ladder. •Must be able to lift up to 50 pounds. This position requires entry into confined spaces. •This position requires the ability to work with insulation. •Must have experience working with power tools and hand tools. •The individual must possess and maintain a positive working relationship with other team members, funders, and the public. •Must have the ability to attend meetings both inside and outside the office and to work in a dynamic environment. •Should understand the ideas and concepts involved with the weatherization program. •Must have the ability to successfully attend and pass training courses. QUALIFICATIONS: •This is an entry level position. •Must have a high school diploma or equivalent. •Must have a strong interest in residential construction, HVAC, energy efficiency or related field. •Additional training is provided and paid for by MORPC. •Previous certifications and/or experience is preferred when available, however training will be provided as necessary. •Must have valid driver's license, good driving record and maintain liability insurance coverage as required by MORPC. •Should be willing to use agency or personal vehicle with mileage reimbursed to conduct MORPC business. Supplemental Information MORPC is an EOE/AAP employer. Please apply online at or you may mail a resume to: MORPC Attn:RS-1-25 111 Liberty St., Suite 100 Columbus, OH 43215 No phone calls please. Personal Time Off- (PTO) LEAVE 15-33 days depending on the length of continuous service HOLIDAYS 11 Paid Holidays = New Year's Day, Martin Luther King Jr. Day, President's Day, Memorial Day, Juneteenth, Independence Day, Labor Day, Indigenous Peoples Day, Veteran's Day, Thanksgiving Day, Christmas Day MAJOR MEDICAL & HOSPITALIZATION Employee cost share for individual and family plans DENTAL CARE Employee cost share for individual and family plans VISION Employee cost share for individual and family plans PRESCRIPTION DRUG COVERAGE Employee cost share for individual and family plans EAP Employee cost share for individual and family plans BENEFITS EFFECTIVE First day of the month after employment begins LIFE INSURANCE Paid $50,000 of term coverage PERS - Public Employees Retirement System Employee contribution of 10%, MORPC contribution 14% MEDICARE Employee contribution 1.45% matched by MORPC for employees hired on or after April 1, 1986 DEFERRED COMPENSATION Deferred Compensation plans available through the State of Ohio or the County Commissioners Association of Ohio CREDIT UNION Columbus Municipal Employees Federal Credit Union for checking, savings and loans or other services ALTERNATE WORK SCHEDULE Flexible and staggered working hours may be available for employee's individual requirements, when work duties permit. Must be approved by department head and executive director. EMPLOYEE DEVELOPMENT Tuition reimbursement program, seminars, conferences and training offered to develop employees to enhance MORPC outcomes. TRANSIT PASS COTA C-Pass-Free to all employees who regularly work more than 15 hours per week. HYBRID WORKING ENVIRONMENT A combination of in-office & remote work, with the potential of scheduled days per each, for all positions

Dynamic Environment

Night Auditor - AC Columbus Downtown

Concord Hospitality Columbus, OH

We are hiring a Night Auditor! We are looking for people that have a passion to serve others! Working at the front desk means you are at the hub of the hotel with the most interaction with our guests. The department is open 24/7....so each front desk role is as important as the others. Associates working the front desk are the key to the overall experience the guest will have. As the late shift you are essentially working without management supervision so your responsibility is seen as even greater as you assist in closing out the business for the day as well as check in or out those guests during non- traditional hours. Your keen sense of being proactive, responsive and caring will make all the difference. The night shift also assures the guest a stay that is safe whereby you are monitoring abnormal activity inside and outside of the hotel and monitoring any weather issues that could become threatening to our resting guests. If you enjoy working semi-independently from others and have a winning personality and high sense of responsibility - this role is perfect for you! We have a great company culture at Concord Hospitality where everyone is valued and treated with respect. Role Responsibilities: As a Front Desk Night Auditor you have the responsible to give our guests the best hospitality experience they can have by: Processing credit card transactions and other (restaurant, events, lounge) for the day Handling phone system, transferring calls, reservations, etcc Verify, balance and review hotel room availability Perform Check-in and Check-out procedures Administer guest payment policies and look for errors from the day shifts Prepare folios for the morning departing guests Maintain overall lobby appearance and assist with AM breakfast set up if needed Be versed in all hotel emergency procedures Here are some reasons our associates like working for us: Benefits We offer competitive wages. Full-time associates are eligible to participate in a comprehensive benefit package, which includes medical/dental/vision plans, life insurance, ST/LT disability options, 401K options, tuition assistance, discounted room rates at Concord managed hotels, plus training & development and career advancement opportunities. Why Concord? Our culture is based on our five Cornerstones and they are what we consider our foundation: Quality, Integrity, Community, Profitability, and Fun. It's important to us to provide a great work environment for our associates and we strive to hire the BEST associates in the market. At Concord, you can enjoy a culture where you are valued and our Associate First policy is a way of life. Utilize your hospitality talents with a Company that cares about you and your development. We do many fun things on property to stay engaged with our associates and show you we care about you. You take pride in your work, the hotel, and your employer to make sure we exceed our guests' expectations. If this is you, we want you to contact us... Now! If you are seeking a position where you can grow and be a part of a fun team, this job may be your answer. We are proud to be an EEO employer M/F/D/V. We maintain a drug-free workplace.

High salary

Energy Auditor

MORPC Columbus, OH

As Central Ohio’s regional council, MORPC is an association of cities, villages, townships, counties, and regional organizations serving rural, suburban, and urban areas. We take pride in bringing communities of all sizes and interests together to collaborate on best practices and plan for the future of our growing region. We do this through a variety of programs, services, projects, and initiatives – all with the goal of improving the lives of our residents and making Central Ohio stand out on the world stage. One of Central Ohio’s greatest strengths is the diversity of our communities. To best serve our region, MORPC assertively values diversity and inclusion and strives to reflect those values in our team, our work, and our positive impact for the region. Our work progresses when our team can draw on a wide range of personal experiences and backgrounds. As an equal opportunity employer, we fully support all applicable state and federal laws and regulations and do not discriminate against applicants for employment or employees because of race, color, creed, religion, ancestry, national origin, sexual orientation, sex or gender, gender identity or expression, pregnancy, medical conditions, age, disability, genetic information, marital/familial status, veteran status, military status, or income or status with regard to public assistance. To create and nourish a workforce as diverse as the Central Ohio region, MORPC encourages members of groups traditionally underrepresented in local government and professional positions to apply for our open career opportunities. MORPC recognizes the value of a healthy work/life balance for our team members and provides a variety of benefits to promote that balance. Eligible employees receive a free system-wide transit pass and discounted access to alternative transportation modes. MORPC encourages opportunities for career advancement through generous tuition and professional development incentives, leadership programs, and participation in local and national organizations. For eligible permanent positions, MORPC also offers flexible schedules and remote work options, as well as paid time off and holidays. MORPC employees may also be eligible for excellent health, vision, and dental insurance, employee assistance programs, employer-paid short-term & long-term disability coverage, employer-paid life insurance, and participation in the Ohio Public Employees Retirement System. This is an entry-level position, and training is provided by and paid for by MORPC. The Energy Auditor position is responsible for the inspection of weatherization standards for the HWAP and WarmChoice funded programs, and future programs as they become available. This position is also responsible for scheduling, completion, and billing of work orders. This position coordinates and reports to the Lead Field Technician and the Inspection Coordinator to ensure priorities are aligned and will take on special projects as needed to support the overall success of programs. This position will perform Energy Audits as required by program demands. Customer service and customer education are essential duties for this position. Key Responsibilities: Ensure weatherization measures are installed correctly per program standards. Install weatherization measures as outlined by work order instructions and training. Schedule appointments with clients to perform weatherization work. Enter completed work order information into the Columbia Gas of Ohio’s Information Management System (Hancock) and the Neighborly software system. Maintain, upkeep, and secure all tools and equipment daily. Maintain, upkeep, and secure agency-supplied vehicle daily. Order materials as necessary to ensure jobs can be completed as scheduled. Develop familiarity with cultural diversity and apply diversity and inclusion efforts in daily business. Fully support all MORPC personnel policies and procedures. Perform other duties as assigned, including special projects that support overall program success. Successfully complete all crew person training. Successfully complete all Energy Auditor training. Perform Energy Audits as assigned. Compile and submit progress reports as required. Required Knowledge, Skills, and Abilities: Ability to use a computer. Excellent customer relation skills. Good verbal and written communication skills, as well as problem-solving skills. Ability to work independently or as part of a team. Ability to carry and use an extension ladder. Ability to lift up to 50 pounds; entry into confined spaces is required. Ability to work with insulation. Experience working with power tools and hand tools. Positive working relationship with team members, funders, and the public. Ability to attend meetings both inside and outside the office. Understanding of ideas and concepts involved with the weatherization program. Ability to successfully attend and pass training courses. Qualifications: This is an entry-level position. Must have a high school diploma or equivalent. Strong interest in residential construction, HVAC, energy efficiency, or related field. Additional training is provided and paid for by MORPC. Previous certifications and/or experience is preferred when available; however, training will be provided as necessary. Must have a valid driver’s license, good driving record, and maintain liability insurance coverage as required by MORPC. Willingness to use agency or personal vehicle with mileage reimbursed to conduct MORPC business. MORPC is an EOE/AAP employer. Please apply online at http://www.morpc.org/careers/ or mail a resume to: MORPC Attn: RS-1-25 111 Liberty St., Suite 100 Columbus, OH 43215 No phone calls please. #J-18808-Ljbffr

Senior Auditor

The Griffin Groupe Columbus, OH

Hiring Company: Client of The Griffin Groupe Executive Search Job Title: Senior Auditor Salary Range: $95,000+ Location: Columbus, GA Relocation: Offered to Experienced Candidates Job Type: Full Time - Onsite Role SENIOR AUDITOR THE OPPORTUNITY The Griffin Groupe is sourcing senior auditing professionals for a Fortune 200 company in Columbus, GA. Our client company is a leader in the insurance industry. They have been recognized by FORTUNE magazine as one of the 100 Best Companies to Work for in America. Join our client company’s team for great benefits, opportunities for growth and a collaborative/positive work environment. IDEAL CANDIDATE TRAITS Acting with Integrity Communicating Effectively Pursuing Self-Development Serving Customers Supporting Change Supporting Organizational Goals Working with Diverse Populations REQUIRED SKILLS/ KNOWLEDGE Knowledge of economic and accounting principles, financial markets, banking, and financial data analysis and reporting Logical reasoning skills to evaluate alternative solutions and approaches to problems Excellent presentation, oral, written, and interpersonal communication skills Professionalism in accordance with corporate standards Proficiency in Microsoft Office, with intermediate to advanced skills in Word and Excel REQUIRED QUALIFICATIONS/ EXPERIENCE Bachelor’s degree in accounting, finance, business administration, or related field Four years of job-related work experience or equivalent combination of education and experience Certified Internal Auditor (CIA), Certified Public Accountant (CPA), or Certified Management Accountant (CMA) designation TRAVEL Less than or equal to 10% RESPONSIBILITIES Analyze audit results to ensure internal controls effectiveness, operational efficiency, and asset protection Identify and report occurrences of fraud or violation of laws Prepare draft audit reports and presentations for supervisory review Evaluate management action plans and participate in SOX process and system development projects Participate in educational opportunities and special projects as requested Travel required approximately 10% of the time Perform other related duties as required BENEFITS Comprehensive benefits including medical, dental, vision coverage, prescription drug coverage, flexible spending accounts, supplemental policies, 401(k) plans, annual bonuses, and stock purchase opportunity 11 paid holidays, up to 20 days PTO, and state-mandated sick leave (where applicable) Compliance with all applicable leave laws including sick and safe leave, and adoption and parental leave Join our client company's dynamic team and enjoy competitive compensation, comprehensive benefits, and ample opportunities for professional growth and development in the vibrant city of Columbus, GA. #J-18808-Ljbffr

Energy Auditor

Mid-Ohio Regional Planning Commission Columbus, OH

As Central Ohio’s regional council, MORPC is an association of cities, villages, townships, counties, and regional organizations that serves rural, suburban, and urban areas. We take pride in bringing communities of all sizes and interests together to collaborate on best practices and plan for the future of our growing region. Our goal is to improve the lives of our residents and make Central Ohio stand out on the world stage. One of Central Ohio’s greatest strengths is the diversity of our communities. To best serve our region, MORPC values diversity and inclusion and strives to reflect those values in our team, our work, and our positive impact for the region. Our work progresses when our team can draw on a wide range of personal experiences and backgrounds, and when each member is open to learning from the experiences of others. As an equal opportunity employer, we fully support all applicable state and federal laws and regulations and do not discriminate against applicants for employment or employees based on various personal characteristics. MORPC encourages members of groups traditionally underrepresented in local government and professional positions to apply for our open career opportunities. We recognize the value of a healthy work/life balance and provide a variety of benefits to promote that balance. Eligible employees receive a free system-wide transit pass, discounted access to alternative transportation modes, and opportunities for career advancement through tuition and professional development incentives. This is an entry-level position, and training is provided by MORPC. The Energy Auditor position is responsible for the inspection of weatherization standards for the HWAP and WarmChoice funded programs, and future programs as they become available. Responsibilities include: Ensure weatherization measures are installed correctly per program standards. Install weatherization measures as outlined by work order instructions and training. Schedule appointments with clients to perform weatherization work. Enter completed work order information into the Columbia Gas of Ohio’s Information Management System (Hancock) and the Neighborly software system. Maintain, upkeep, and secure all tools and equipment daily. Maintain, upkeep, and secure agency supplied vehicle daily. Order materials as necessary to ensure jobs can be completed as scheduled. Develop familiarity with cultural diversity and apply diversity and inclusion efforts in daily business. Fully support all MORPC personnel policies and procedures. Perform other duties as assigned, including special projects that support overall program success. Successfully complete all crew person training. Successfully complete all Energy Auditor training. Perform Energy Audits as assigned. Compile and submit progress reports as required. REQUIRED KNOWLEDGE, SKILLS, AND ABILITIES: This position requires the ability to use a computer. Must have excellent customer relation skills. Must have good verbal and written communication skills, as well as problem-solving skills. Must be able to work independently or as part of a team. Must be able to carry and use an extension ladder. Must be able to lift up to 50 pounds. This position requires entry into confined spaces. This position requires the ability to work with insulation. Must have experience working with power tools and hand tools. Must possess and maintain a positive working relationship with other team members, funders, and the public. Must have the ability to attend meetings both inside and outside the office and to work in a dynamic environment. Should understand the ideas and concepts involved with the weatherization program. Must have the ability to successfully attend and pass training courses. QUALIFICATIONS: This is an entry-level position. Must have a high school diploma or equivalent. Must have a strong interest in residential construction, HVAC, energy efficiency, or a related field. Additional training is provided and paid for by MORPC. Previous certifications and/or experience is preferred when available; however, training will be provided as necessary. Must have a valid driver’s license, good driving record, and maintain liability insurance coverage as required by MORPC. Should be willing to use agency or personal vehicle with mileage reimbursed to conduct MORPC business. MORPC is an EOE/AAP employer. Please apply online at http://www.morpc.org/careers/ or you may mail a resume to: MORPC Attn: RS-1-25 111 Liberty St., Suite 100 Columbus, OH 43215 No phone calls please. #J-18808-Ljbffr

Internal Auditor

Creative Financial Staffing (CFS) Columbus, OH

INTERNAL AUDITOR Direct Hire Salary Range: $90,000 - $110,000 Amazing client in Columbus, OH is looking to add an Internal Auditor to their team. Company is an industry leading non profit. The Internal Auditor will report directly to the Auditing Manager. ABOUT THE COMPANY Outstanding company culture. Company has been in business for many years – stable company. Innovative company constantly looking to improve consumer experience. Fun and friendly work environment. Relevant and specific growth opportunities. Competitive salary and enticing benefits package. RESPONSIBILITIES OF THE INTERNAL AUDITOR Conducting internal audits. Coordinate quarterly and annual audits with appropriate external auditors. Plan internal client meetings and oversee financial disclosures. Various assignments working across several different divisions. REQUIREMENTS FOR THE INTERNAL AUDITOR Bachelor's Degree in Accounting or Finance. 3+ years of auditing experience. Proficient with Microsoft Excel and experience with SOX preferred. Strong organizational skills, time management and prioritization skills. #J-18808-Ljbffr

Internal Auditor

Ohio's Electric Cooperatives Columbus, OH

Manages the Internal Audit process for Cardinal Operating Company, Buckeye Power, Inc. and related companies. Essential Duties and Responsibilities Responsible for creating, maintaining, and updating the policies and procedures for all companies. Develops a core understanding of risks and controls associated with business activities, isolates gaps in the established control environments, and suggests process improvements. Performs internal operational audits of Cardinal Operating Company, Buckeye Power, Inc. and related companies. Reviews transactions, documents, records, reports, procedures, and methods for completeness, accuracy, and effectiveness. Obtains and analyzes data as a basis for an informed objective opinion on the adequacy and effectiveness of policies and procedures reviewed. Prepares reports, as requested, to address audit findings, discuss deficiencies, recommend corrective action, and suggest improvements in operations. Assists Buckeye Power, Inc. and related companies in general accounting functions as necessary. Prepares schedules, analysis, answers audit inquiries, and provides recommendations, as necessary, during annual company audits. Follows the reporting guidelines regarding illegal, dishonest, or wrongful activity as outlined in the Whistleblower Board Policy, number 111. Performs other duties as assigned. Qualifications Licenses and Certifications: Valid driver’s license. Experience: • Must have three (3) to five (5) years of progressively responsible audit or accounting experience. • Relevant on-the-job experience or education may be substituted for part of the experience requirements. Skills & Abilities Required: • Working knowledge of accounting principles and procedures, internal accounting controls, and professional standards and regulations. • Knowledge of utility accounting, the Federal Energy Regulatory Commission, and the Uniform System of Accounts of the Rural Utilities Service is a plus. • Demonstrated ability to apply accounting principles. • Ability to organize work, set priorities, and work independently. • Proficient with various business software programs, including Excel, PowerPoint, and Word. • Excellent oral and written communication skills. • Demonstrated ability to treat confidential information with discretion. Physical Requirements For this onsite auditor; frequent sedentary work, often standing or sitting for prolonged periods, close visual acuity, work with a computer, keyboard, and communicate with others. Periodic: Lift objects of nominal weight. Work Environment Occasional work outside normal schedule is required. Overnight travel involved (20%). Equal Opportunity Employer, including disabled and veterans. #J-18808-Ljbffr

Insurance Field Auditor

ARM Strong Receivables Management, Inc. Columbus, OH

ARMStrong Receivable Management is the leading and most trusted name in the world of debt recovery and financial solutions. With a track record of excellence and reliability, we have proudly served businesses across various industries for decades, ensuring efficient B2B collections and tailored debt recovery solutions. As the parent company, ARMStrong is proud to own and operate Altus Receivables Management, Amalgamated Financial Group, Brown & Joseph, Paragon, CP Audits, and SubroIQ, each a powerhouse in their own right, providing specialized expertise in debt management and financial services. NEIS is seeking Premium Auditors as we continue to grow our team! Premium Auditors examine the financial records of insurance companies to make sure they are following laws and regulations. As a premium auditor, looking for evidence of fraud and checking that insurance companies adhere to these regulations are your primary responsibilities. Your job will be based from home with required daily travel to each audit location. Car travel will be on average of 4 days per week within your assigned territory. Job Responsibilities: Conduct insurance premium audits for Workers Compensation, General Liability, and Automobile policies by auditing policyholder’s records, and applying manual rules and company standards. Prepare for the audit by identifying the necessary information and type of records needed. Prepare schedule to maximize optimal use of time. Correspond with insured via phone, email and mail to setup audit appointments. Examine the policyholder’s records, gather data to determine correct classifications for business activities and write an effective description of operations. Prepare complete audit document, explain results to insured and communicate the results to the home office. Travel to multiple audit locations daily/weekly. Job Requirements: Associate’s Degree or equivalent plus two years’ performing premium audits or equivalent combination of education and experience highly desired. Ability to read, analyze and interpret financial documents. General PC knowledge including Microsoft Excel and Word. Knowledge of Visual Audit is a plus. Ability to communicate well with customers and staff. Valid driver’s license and satisfactory driving record. Compensation and Benefits: Benefit package with health, dental, vision, life and disability coverage options. 401(k) retirement plan option with company matching. Generous paid time off policy and 7 paid holidays. Salary is $44,700 - $55,000 (greatly depending on experience). Weekly pay. 401(k) plan with company matching and immediate vesting. We look forward to you joining the team! Armstrong Receivable Management is an Equal Opportunity Employer. We do not discriminate on the basis of race, color, religion, marital status, age, national origin, ancestry, physical or mental disability, medical condition, pregnancy, genetic information, gender, sexual orientation, gender identity or expression, veteran status, or any other status protected under federal, state, or local law. #J-18808-Ljbffr

Insurance Field Auditor

Brown & Joseph, LLC Columbus, OH

ARMStrong Receivable Management is the leading and most trusted name in the world of debt recovery and financial solutions. With a track record of excellence and reliability, we have proudly served businesses across various industries for decades, ensuring efficient B2B collections and tailored debt recovery solutions. As the parent company, ARMStrong is proud to own and operate Altus Receivables Management, Amalgamated Financial Group, Brown & Joseph, Paragon, CP Audits, and SubroIQ, each a powerhouse in their own right, providing specialized expertise in debt management and financial services. NEIS is seeking Premium Auditors as we continue to grow our team! Premium Auditors examine the financial records of insurance companies to ensure they are following laws and regulations. As a premium auditor, looking for evidence of fraud and checking that insurance companies adhere to these regulations are your primary responsibilities. Your job will be based from home with required daily travel to each audit location. Car travel will be on average of 4 days per week within your assigned territory. Job Responsibilities: Conduct insurance premium audits for Workers Compensation, General Liability, and Automobile policies by auditing policyholder’s records and applying manual rules and company standards. Prepare for the audit by identifying the necessary information and type of records needed. Prepare a schedule to maximize optimal use of time. Correspond with insured via phone, email, and mail to set up audit appointments. Examine the policyholder’s records, gather data to determine correct classifications for business activities and write an effective description of operations. Prepare complete audit documents, explain results to insured, and communicate the results to the home office. Travel to multiple audit locations daily/weekly. Job Requirements: Associate’s Degree or equivalent plus two years performing premium audits or equivalent combination of education and experience highly desired. Ability to read, analyze, and interpret financial documents. General PC knowledge including Microsoft Excel and Word. Knowledge of Visual Audit is a plus. Ability to communicate well with customers and staff. Valid driver’s license and satisfactory driving record. Compensation and Benefits: Benefit package with health, dental, vision, life, and disability coverage options. 401(k) retirement plan option with company matching. Generous paid time off policy and 7 paid holidays. Salary is $44,700 - $55,000 (greatly depending on experience). Weekly pay. 401(k) plan with company matching and immediate vesting. We look forward to you joining the team! Armstrong Receivable Management is an Equal Opportunity Employer. We do not discriminate on the basis of race, color, religion, marital status, age, national origin, ancestry, physical or mental disability, medical condition, pregnancy, genetic information, gender, sexual orientation, gender identity or expression, veteran status, or any other status protected under federal, state, or local law. #J-18808-Ljbffr

Premium Insurance Auditor

ARMStrong Receivable Management Columbus, OH

ARMStrong Receivable Management is the leading and most trusted name in the world of debt recovery and financial solutions. With a track record of excellence and reliability, we have proudly served businesses across various industries for decades, ensuring efficient B2B collections and tailored debt recovery solutions. As the parent company, ARMStrong is proud to own and operate Altus Receivables Management, Amalgamated Financial Group, Brown & Joseph, Paragon, CP Audits, and SubroIQ, each a powerhouse in their own right, providing specialized expertise in debt management and financial services. NEIS is seeking Premium Auditors as we continue to grow our team! Premium Auditors examine the financial records of insurance companies to make sure they are following laws and regulations. As a premium auditor, looking for evidence of fraud and checking that insurance companies adhere to these regulations are your primary responsibilities. Your job will be based from home with required daily travel to each audit location. Car travel will be on average of 4 days per week within your assigned territory. Job Responsibilities: Conduct insurance premium audits for Workers Compensation, General Liability, and Automobile policies by auditing policyholder’s records, and applying manual rules and company standards. Prepare for the audit by identifying the necessary information and type of records needed. Prepare schedule to maximize optimal use of time. Correspond with insured via phone, email and mail to set up audit appointments. Examine the policyholder’s records, gather data to determine correct classifications for business activities and write an effective description of operations. Prepare complete audit document, explain results to insured and communicate the results to the home office. Travel to multiple audit locations daily/weekly. Job Requirements: Associate’s Degree or equivalent plus two years’ performing premium audits or equivalent combination of education and experience highly desired. Ability to read, analyze and interpret financial documents. General PC knowledge including Microsoft Excel and Word. Knowledge of Visual Audit is a plus. Ability to communicate well with customers and staff. Valid driver’s license and satisfactory driving record. Compensation and Benefits: Benefit package with health, dental, vision, life and disability coverage options. 401(k) retirement plan option with company matching. Generous paid time off policy and 7 paid holidays. Salary is $65,000 - $85,000 (greatly depending on experience). Weekly pay. 401(k) plan with company matching and immediate vesting. We look forward to you joining the team! Armstrong Receivable Management is an Equal Opportunity Employer. We do not discriminate on the basis of race, color, religion, marital status, age, national origin, ancestry, physical or mental disability, medical condition, pregnancy, genetic information, gender, sexual orientation, gender identity or expression, veteran status, or any other status protected under federal, state, or local law. #J-18808-Ljbffr

Auditor III - CVA

EXL Service Columbus, OH

Tuesday, January 21, 2025 Company Overview and Culture EXL (NASDAQ: EXLS) is a leading data analytics and digital operations and solutions company. We partner with clients using a data and AI-led approach to reinvent business models, drive better business outcomes and unlock growth with speed. EXL harnesses the power of data, analytics, AI, and deep industry knowledge to transform operations for the world's leading corporations in industries including insurance, healthcare, banking and financial services, media and retail, among others. EXL was founded in 1999 with the core values of innovation, collaboration, excellence, integrity and respect. We are headquartered in New York and have more than 55,000 employees spanning six continents. For more information, visit http://www.exlservice.com . EXL is hiring a CVA Auditor III. This is a remote, work from home opportunity. Summary: In this fully remote position as a Clinical Validation Auditor you will apply your expert clinical knowledge in the auditing of inpatient medical records to validate or revise the provider's billed DRG code. You will utilize industry and EXL proprietary tools in the DRG assignment process, and will write professional communications documenting audit findings and supporting rationales. You will also apply your extensive clinical and industry knowledge to identify audit trends and identify referrals for DRG coding review. Responsibilities: Conduct MS-DRG and/or APR-DRG clinical reviews to verify the accuracy of the DRG assignment and reimbursement. Apply clinical guidelines to a variety of claim scenarios and effectively utilize industry and proprietary tools to maximize overpayment identifications. Document audit results in a clear, concise, and effective manner using clinical guidelines and ICD 10 CM/PCS coding rules and guidelines. Utilize proprietary workflow systems and encoder tools (e.g., 3M, Webstrat, etc.) efficiently and accurately to make audit determinations, generate audit rationales and move claims through workflow process correctly. Meet or exceed EXL established program productivity and quality goals, including uphold rate for appeals. Demonstrate knowledge of and compliance with changes and updates to clinical guidelines, reimbursement trends, and client processes and requirements. Comply with all EXL policies and procedures including HIPAA and other state and federal regulations. Qualifications: Registered Nurse, Associate's or Bachelor's degree 5+ years of acute care nursing experience with preference given to candidates with prior clinical or coding validation audit experience. Prefer candidate with prior DRG retrospective overpayment identification auditing experience. Prefer candidate with prior readmission (PPR) auditing experience. Preference given to candidates with CCS, RHIA, or RHIT coding credentials. Knowledge, Skills, Behaviors: Extensive knowledge and understanding of clinical criteria documentation requirements used to successfully substantiate code assignments. Experience with DRG encoder tools (3M, Webstrat). Works independently in a remote environment and delivers exceptional results during EXL core business hours. Possesses excellent time management and work prioritization skills. Takes ownership of problem solving. Demonstrates excellent written and verbal communication skills, strong analytical skills, and attention to detail. Proficient in Excel, Word, and OneNote with general computer literacy. Passionate about DRG Auditing with a desire to work in an environment thriving on teamwork, excellence, collaboration, inclusiveness, and support. EEO/Minorities/Females/Vets/Disabilities To view our total rewards offered click here —> https://www.exlservice.com/us-careers-and-benefits Base Salary Range Disclaimer: The base salary range represents the low and high end of the EXL base salary range for this position. Actual salaries will vary depending on factors including but not limited to: location and experience. The base salary range listed is just one component of EXL's total compensation package for employees. Other rewards may include bonuses, as well as a Paid Time Off policy, and many region specific benefits. Please also note that the data shared through the job application will be stored and processed by EXL in accordance with the EXL Privacy Policy. Application & Interview Impersonation Warning: Purposely impersonating another individual when applying and / or participating in an interview in order to obtain employment with EXL Service Holdings, Inc. (the “Company”) for yourself or for the other individual is a crime. We have implemented measures to deter and to uncover such unlawful conduct. If the Company identifies such fraudulent conduct, it will result in, as applicable, the application being rejected, an offer (if made) being rescinded, or termination of employment as well as possible legal action against the impersonator(s). EXL may use artificial intelligence to create insights on how your candidate information matches the requirements of the job for which you applied. While AI may be used in the recruiting process, all final decisions in the recruiting and hiring process will be taken by the recruiting and hiring teams after considering a candidate’s full profile. As a candidate, you can choose to opt out of this artificial intelligence screening process. Your decision to opt out will not negatively impact your opportunity for employment with EXL. #J-18808-Ljbffr

Auditor III - DRG

EXL Service Columbus, OH

Tuesday, January 21, 2025 Company Overview and Culture EXL (NASDAQ: EXLS) is a leading data analytics and digital operations and solutions company. We partner with clients using a data and AI-led approach to reinvent business models, drive better business outcomes and unlock growth with speed. EXL harnesses the power of data, analytics, AI, and deep industry knowledge to transform operations for the world's leading corporations in industries including insurance, healthcare, banking and financial services, media and retail, among others. EXL was founded in 1999 with the core values of innovation, collaboration, excellence, integrity, and respect. We are headquartered in New York and have more than 55,000 employees spanning six continents. For more information, visit http://www.exlservice.com . We are looking for a Sr. DRG Auditor to work 100% remotely from home! Do you have mastery level experience as a DRG Auditor looking for the next step in your career path? Is it time for a change? Explore this opportunity with a new, exciting, and dynamic growth-oriented team. In this fully remote position as a DRG Auditor, you will apply your expert knowledge of DRG coding and reimbursement, ICD-10 Official Coding Guidelines, and AHA Coding Clinic Guidelines in the auditing of inpatient medical records to validate or revise the provider's billed DRG code. You will utilize industry and EXL proprietary tools in the DRG assignment process and will write professional communications documenting audit findings and supporting rationales. You will also apply your extensive coding and industry knowledge to identify audit trends and referrals for Clinical Validation review. Mastery level understanding of MS-DRG and APR-DRG reimbursement, along with staying current with CMS changes related to IPPS. Job Responsibilities: Conduct MS-DRG and/or APR-DRG coding reviews to verify the accuracy of the DRG assignment and reimbursement. Apply coding guidelines to a variety of claim scenarios and effectively utilize industry and proprietary tools to maximize overpayment identifications. Document audit results in a clear, concise, and effective manner using appropriate AHA Coding Clinic Guidelines and ICD-10-CM/PCS coding rules and guidelines. Work independently with passion and drive towards excellence. Meet or exceed EXL established program productivity and quality goals. Identify and communicate audit trends encountered during the course of daily review to manager and SME. Qualifications: 7+ years of experience with MS-DRG and APR-DRG auditing with expert knowledge of AHA Coding Guidelines. Strong analytical skills, with attention to detail. Current with industry trends specific to DRG reimbursement, provider contracts, payer policies, and audit regulations. One or more of the following credentials: CCS, RHIA, RHIT; preference given to those with multiple credentials. Experience with DRG encoder tools (3M, Webstrat, Pricers). Prefer candidate with prior DRG retrospective overpayment identification auditing experience. Education & Required Certification: Active AHIMA Registered Health Information Management Administrator with CCS. Active AHIMA Registered Health Information Management Technician with CCS. Active AHIMA CCS. Work Experience Requirements: Must have 7 years of DRG Audit experience with expert knowledge of DRG reimbursement methodologies and contract language. Passionate about DRG Auditing, and a desire to work in an environment that thrives on teamwork, excellence, collaboration, inclusiveness, and support. EEO/Minorities/Females/Vets/Disabilities To view our total rewards offered click here —> https://www.exlservice.com/us-careers-and-benefits Base Salary Range Disclaimer: The base salary range represents the low and high end of the EXL base salary range for this position. Actual salaries will vary depending on factors including but not limited to: location and experience. The base salary range listed is just one component of EXL's total compensation package for employees. Other rewards may include bonuses, as well as a Paid Time Off policy, and many region-specific benefits. #J-18808-Ljbffr

Auditor III - Outpatient

EXL Service Columbus, OH

Wednesday, January 15, 2025 Company Overview and Culture EXL (NASDAQ: EXLS) is a leading data analytics and digital operations and solutions company. We partner with clients using a data and AI-led approach to reinvent business models, drive better business outcomes and unlock growth with speed. EXL harnesses the power of data, analytics, AI, and deep industry knowledge to transform operations for the world's leading corporations in industries including insurance, healthcare, banking and financial services, media and retail, among others. EXL was founded in 1999 with the core values of innovation, collaboration, excellence, integrity and respect. We are headquartered in New York and have more than 55,000 employees spanning six continents. For more information, visit www.exlservice.com . EXL Company is looking for an Auditor III – Outpatient. This is a work from home opportunity. In this fully remote position as an Outpatient Auditor, you will apply your expert knowledge of outpatient coding and reimbursement and CPT coding guidelines in the auditing of outpatient and professional fee medical records to validate or revise the provider's billed CPT codes. You will utilize industry and EXL proprietary tools in the CPT assignment process and will write professional communications documenting audit findings and supporting rationales. You will also apply your extensive coding and industry knowledge to identify audit trends and opportunities. Key Responsibilities: Conduct CPT/APC coding reviews to verify the accuracy of the CPT coding assignment and APC reimbursement on outpatient and professional claims. Apply Medicare, NCCI and other coding guidelines to a variety of claim scenarios and effectively utilize industry and proprietary tools to maximize overpayment identifications. Document audit results in a clear, concise, and effective manner using AHA Coding Clinic Guidelines and CPT coding rules and guidelines. Utilize proprietary workflow systems and encoder tools (e.g., 3M, Webstrat, Optum Encoder etc.) efficiently and accurately to make audit determinations, generate audit rationales and move claims through workflow process correctly. Meet or exceed EXL established program productivity and quality goals, including uphold rate for appeals. Demonstrate knowledge of and compliance with changes and updates to coding guidelines, reimbursement trends, and client processes and requirements. Comply with all EXL policies and procedures including HIPAA and other state and federal regulations. Qualifications: Required one or more of the following credentials: CCS, RHIA, RHIT, CPC; preference given to those with multiple credentials. 3+ years of professional and hospital outpatient coding with expert knowledge of AHA and CPT Coding Guidelines, APC reimbursement methodologies, and familiarity with HealthCare payer contract language. Prefer candidate with prior APC retrospective overpayment identification auditing experience. Knowledge and Skills: Superior knowledge of CPT coding, Official Guidelines for Coding and Reporting and Coding Clinic Guidance, NCCI coding guidelines coupled with APC payment methodologies including Medicare Outpatient Prospective Payment System (OPPS). Experience with encoder tools (3M, Webstrat, Optum Encoder). Works independently in a remote environment and delivers exceptional results during EXL core business hours. Possesses excellent time management and work prioritization skills. Takes ownership of problem solving. Demonstrates excellent written and verbal communication skills, strong analytical skills, and attention to detail. Proficient in Excel, Word, and OneNote with general computer literacy. Passionate about Outpatient Auditing with a desire to work in an environment thriving on teamwork, excellence, collaboration, inclusiveness, and support. EEO/Minorities/Females/Vets/Disabilities To view our total rewards offered click here —> Total Rewards Base Salary Range Disclaimer: The base salary range represents the low and high end of the EXL base salary range for this position. Actual salaries will vary depending on factors including but not limited to: location and experience. The base salary range listed is just one component of EXL's total compensation package for employees. Other rewards may include bonuses, as well as a Paid Time Off policy, and many region-specific benefits. Application & Interview Impersonation Warning – Purposely impersonating another individual when applying and / or participating in an interview in order to obtain employment with EXL Service Holdings, Inc. (the “Company”) for yourself or for the other individual is a crime. We have implemented measures to deter and to uncover such unlawful conduct. If the Company identifies such fraudulent conduct, it will result in, as applicable, the application being rejected, an offer (if made) being rescinded, or termination of employment as well as possible legal action against the impersonator(s). EXL may use artificial intelligence to create insights on how your candidate information matches the requirements of the job for which you applied. While AI may be used in the recruiting process, all final decisions in the recruiting and hiring process will be taken by the recruiting and hiring teams after considering a candidate’s full profile. As a candidate, you can choose to opt out of this artificial intelligence screening process. Your decision to opt out will not negatively impact your opportunity for employment with EXL. #J-18808-Ljbffr

Senior IT Auditor

Teradata Columbus, OH

At Teradata, we believe that people thrive when empowered with better information. That’s why we built the most complete cloud analytics and data platform for AI. By delivering harmonized data, trusted AI, and faster innovation, we uplift and empower our customers and our customers’ customers to make better, more confident decisions. The world’s top companies across every major industry trust Teradata to improve business performance, enrich customer experiences, and fully integrate data across the enterprise. What You'll Do We are seeking a candidate to join our global Enterprise Risk and Assurance Services (ERAS) Team. Teradata’s Internal Audit provides financial, operational, information systems and value added audit and consulting services to the Company on a global basis. The ideal candidate will be part of a team focused on building relationships with key Company leaders, assessing risks, acting as a consultant as needed on process design and optimization as well as documenting, assessing and testing IT processes and controls across the Company. This candidate must possess a strong personality because they will have heavy interactions with local, regional and corporate leadership at all levels of management. Lead and execute audits related to a variety of IT business activities, processes, and operations Counsel and guide business partners in identifying risks and potential risk mitigation alternatives commensurate with the risk identified and consistent with Company established risk appetite Develop and execute thorough audit programs and document related work to evaluate internal controls related to IT risks, operational activities, and compliance requirements Ensure compliance to guidance, standards and regulations such as the Payment Card Industry Data Security Standards (PCI-DSS), ISO 27001/27002, NIST Special Publications, FIPS, FedRAMP, and other Federal regulations and policies. Demonstrate strong interpersonal skills, including oral and written communications, listening, interviewing, fostering open communications, facilitating and influencing Using the NIST Risk Management Framework, conduct assessments of information security controls in order to measure the effectiveness of controls and identify control gaps. Work directly with technology and business partners to assess whether security controls adequately safeguard data Prepare detailed and summary reports of assessments, remediation plans, including customized reports, as needed Who You Will Work With Work directly with internal business partners to assist in the identification and assessment of potential security risks, and establish risk owners, ratings, and management action plans. What Makes You a Qualified Candidate 3+ years of experience in IT audit, information security, and compliance and internal / external audit experience Bachelor’s Degree in Computer Science, IT, Information/Cyber Security or other relevant business discipline from an accredited college or university. Experience with relevant security and risk management frameworks (NIST Risk Management Framework, NIST Cyber Security Framework, CIS Critical Security Controls, etc.) Strong understanding of public cloud infrastructure architecture and security controls Detailed understanding of internal auditing standards & requirements, as set out by IIA Experience with assisting/preparing risk assessments, audit programs and work paper documentation Experience with global data protection and privacy laws (e.g. GDPR, CCPA) What You'll Bring Internationally recognized auditing qualification such as CIA, CISA, CISM, or CISSP. Fluency in English (reading, writing and speaking) is required. A good understanding of technologies and controls including hosts, databases, networking, and applications Ability to effectively work and collaborate with technical and non-technical resources Demonstrated proficiency in the following areas: multi-tasking, critical thinking; and the ability to work quickly, efficiently and accurately in a dynamic and fluid environment. Travel is estimated at approximately 5-10% annually. The candidate for this senior level internal audit position will be based remotely, with an expectation of periodic travel to our corporate offices (San Diego, Atlanta) or location specific audits / projects (potentially international travel). Excellent communication skills (both written and oral) Pay Rate: $93,200.00 - $116,500.00 - $139,900.00 Annually Why We Think You’ll Love Teradata We prioritize a people-first culture because we know our people are at the very heart of our success. We embrace a flexible work model because we trust our people to make decisions about how, when, and where they work. We focus on well-being because we care about our people and their ability to thrive both personally and professionally. We are an anti-racist company because our dedication to Diversity, Equity, and Inclusion is more than a statement. It is a deep commitment to doing the work to foster an equitable environment that celebrates people for all of who they are. #LI-OC1 Teradata invites all identities and backgrounds in the workplace. We work with deliberation and intent to ensure we are cultivating collaboration and inclusivity across our global organization. We are proud to be an equal opportunity and affirmative action employer. We do not discriminate based upon race, color, ancestry, religion, creed, sex (including pregnancy, childbirth, breastfeeding, or related conditions), national origin, sexual orientation, age, citizenship, marital status, disability, medical condition, genetic information, gender identity or expression, military and veteran status, or any other legally protected status. Pay Rate: 96,000.00 - 120,000.00 - 144,000.00 Annually Starting pay for the successful applicant will depend on geographic location, internal equity, job-related knowledge, skills, and candidate experience. Learn more about Teradata’s competitive Total Rewards package at https://www.teradata.com/About-Us/Careers/Benefits #J-18808-Ljbffr

SOX Auditor Sr.

Huntington Bank Columbus, OH

Description The SOX Auditor Sr. is a part of the SOX Office, under the Controllership within Finance Huntington Bank’s Sarbanes Oxley 404 (SOX) and FDICIA programs and overall Finance Risk agenda. SOX is a significant regulatory requirement, which requires management to document, assess and make representations about the effectiveness of its internal control structure surrounding financial reporting. Participation in this requires understanding of internal control activities, interpretation of the regulation and coordination of activities across the organization. Summary: The SOX Auditor Sr. is a part of the SOX Office, under the Controllership within Finance Huntington Bank’s Sarbanes Oxley 404 (SOX) and FDICIA programs and overall Finance Risk agenda. Duties and Responsibilities: Identify, document and assess key controls across Finance and the Business Segments, as well as work with the Segments to institute proper controls and remediation strategies. Communicate findings and recommendations to management, determine root causes, obtain management's action plan for remediation in a timely manner and track findings through resolution. Develop and manage working relationships with key stakeholders, including Risk Segment Officers and Business Process owners. Assist in the development and rollout of scoping methodology, testing strategy, and integrated SOX and operational risk framework. Track metrics and coordinate reporting to project working groups, steering committees, senior management and external auditors. Document control deficiencies which are clear, concise and provide value to management. Comfortable with documenting front-to-back process and product flows. Able to identify gaps between implemented controls and key risks and recommend remediation actions. Perform other duties as assigned. Basic Qualifications: Bachelor's Degree 3+ years of related experience Preferred Qualifications: Proven understanding of testing methodologies and processes Proficiency with data management, End User Computing Tools (spreadsheets and databases) and other standard computing applications (PowerPoint and Word) Excellent verbal and written communication skills, with the ability to communicate with key stakeholders and Management Ability to work effectively on multiple projects under tight deadlines Superior analytical thinking and problem solving abilities Ability to understand and apply complex concepts Experience in risk and control environment (SOX/Operational Risk/Internal Audit), including control design and testing Exempt Status: Yes (not eligible for overtime pay) Workplace Type: Office Compensation Range: $57,000 - $113,000 Annual Salary The compensation range represents the low and high end of the base compensation range for this position. Actual compensation will vary and may be above or below the range based on various factors including but not limited to location, experience, and performance. Colleagues in this position are also eligible to participate in an applicable incentive compensation plan. In addition, Huntington provides a variety of benefits to colleagues, including health insurance coverage, wellness program, life and disability insurance, retirement savings plan, paid leave programs, paid holidays and paid time off (PTO). Huntington is an equal opportunity and affirmative action employer and is committed to providing equal employment opportunities for all regardless of race, color, religion, sex, national origin, age, disability, sexual orientation, veteran status, gender identity and expression, genetic information, or any other basis protected by local, state, or federal law. Tobacco-Free Hiring Practice: Visit Huntington's Career Web Site for more details. Agency Statement: Huntington does not accept solicitation from Third Party Recruiters for any position. Huntington will not sponsor applicants for this position for immigration benefits, including but not limited to assisting with obtaining work permission for F-1 students, H-1B professionals, O-1 workers, TN workers, E-3 workers, among other immigration statuses. Applicants must be currently authorized to work in the United States on a full-time basis. #J-18808-Ljbffr

Auditor III - Outpatient

ExlService Holdings, Inc. Columbus, OH

Thursday, January 23, 2025 Company Overview and Culture EXL (NASDAQ: EXLS) is a leading data analytics and digital operations and solutions company. We partner with clients using a data and AI-led approach to reinvent business models, drive better business outcomes and unlock growth with speed. EXL harnesses the power of data, analytics, AI, and deep industry knowledge to transform operations for the world's leading corporations in industries including insurance, healthcare, banking and financial services, media and retail, among others. EXL was founded in 1999 with the core values of innovation, collaboration, excellence, integrity and respect. We are headquartered in New York and have more than 55,000 employees spanning six continents. For more information, visit www.exlservice.com . About EXL Health We leverage Human Ingenuity and domain expertise to help clients improve outcomes, optimize revenue and maximize profitability across the healthcare ecosystem. Technology, data and analytics are at the heart of our solutions. We collaborate closely with clients to transform how care is delivered, managed and paid. EXL was founded on the core values of innovation, collaboration, excellence, integrity, and respect. We are looking for a Sr. Outpatient Auditor to work 100% remotely from home! Are you a mastery level experienced Managed Care Commercial Outpatient Facility Auditor looking for the next step in your career path? Explore this opportunity with a new, exciting, and dynamic growth-oriented team. The successful candidate will be passionate, quality focused and retain a 98% or greater accuracy rating. Possess expert level skillset in ICD-10-PCS/CM, CPT and HCPCS Coding Guidelines. Mastery level understanding of Outpatient reimbursement methodologies, along with staying current with CMS changes related to OPPS. Job Responsibilities: Perform post-payment reviews of the medical record to validate the accuracy of the charges billed and determine if a discrepancy exists based on both documentation and medical standards. Perform comprehensive post-payment reviews of client accounts to determine if correct payments were made to providers in compliance with coding guidelines and payer requirements. Audit a wide variety of complex Outpatient Facility services including, but not limited to: Interventional Radiology, a wide variety of Ambulatory Surgeries, Cardiac Cath, Implants, Injections and Infusions, Emergency Room and Observation including carve-outs. Have thorough working knowledge of Outpatient payment methodologies including Medicare Outpatient Prospective Payment System (OPPS) and Ambulatory Payment Classification (APC) with preferred exposure to Enhanced Ambulatory Patient Grouping (EAPG) System. Expert knowledge of NCCI Guidelines, including the appropriate use and application of coding modifiers, CPT/HCPCs and ICD-10 Coding Systems. Have a sound knowledge of ICD-10-PCS/CM, CPT and HCPCs Coding Guidelines. Be proficient with Medicare Local Coverage Determinations (LCDs) and National Coverage Determinations (NCDs). Write a professional finding note based on official CPT and HCPCs coding guidelines, CPT Assistant, AHA Coding Clinic, and/or other industry standard resources. Ability to work independently. Meet or exceed program productivity and quality goals. Perform other duties as assigned. Qualifications: 5-7 years of experience with Outpatient Facility Coding/Auditing Strong Outpatient Surgery and Observation Coding/Auditing experience Sound knowledge of ICD-10-PCS/CM, CPT and HCPCs Coding Guidelines Experience performing post payment reimbursement-based audits Expertise with Medicare LCDs and NCDs Expertise with NCCI, OPPS, and APC Guidelines Excellent verbal and written communication skills Strong attention to detail Experience with encoder tools (3M, Webstrat, Optum, Truecode) Education & Required Certification: Active AHIMA CCS, RHIT or RHIA Work Experience Requirements: Must have 5-7 years of Outpatient Facility experience with expert knowledge of Outpatient reimbursement methodologies, coding guidelines and contract language. Passionate about Outpatient Auditing, and a desire to work in an environment that thrives on teamwork, excellence, collaboration, inclusiveness, and support. What We Offer: EXL Health offers an exciting, fast paced and innovative environment, which brings together a group of sharp and entrepreneurial professionals who are eager to influence business decisions. You will have the opportunity to learn many aspects of businesses that our clients engage in and develop effective teamwork and time-management skills. We provide guidance/ coaching to every employee through our mentoring program wherein every junior level employee is assigned a senior level professional as an advisor. The unique experiences gathered at EXL Health sets the stage for further growth and development in our company and beyond. EEO/Minorities/Females/Vets/Disabilities To view our total rewards offered click here —> https://www.exlservice.com/us-careers-and-benefits #J-18808-Ljbffr

EH&S Auditor/Trainer

Centerline Columbus, OH

Overview Who We Are: Centerline Communications, LLC works with major wireless operators and equipment manufacturers in the U.S. and is a leader in the industry ecosystem. It is a full-service operation, specializing in the development, construction, and maintenance of wireless telecommunications networks. Centerline Communications, LLC’s success in the telecommunications infrastructure industry is built on a foundation of highly experienced professionals who embrace responsibility and an unwavering commitment to clients. In less than a decade, the company has grown from 5 employees to more than 1,200 employees and continues to grow in cities across the U.S and globally. Responsibilities Position Summary The EHS Auditor & Trainer is responsible for providing comprehensive on-site safety audits and developing and conducting environmental health and safety training to employees while maintaining course materials. They are self-motivated, coachable, growth-oriented individuals who possess the skills necessary to develop and implement training for not only meeting, but exceeding, health, safety, and environmental performance. The EHS Auditor & Trainer will interact with a variety of personnel including executives, engineers, and other business professionals. This individual will be required to possess excellent written and oral communication skills (including public speaking) to effectively describe problems, solutions, and ideas. They will join a team of environmental professionals that are well-versed in the telecommunications industry and who are committed to furthering our mission of being a nationally recognized consulting company shaping environmental responsibility and creating distinction for clients, employees, and partners. Responsibilities Develop and implement training programs for company employees including onboarding and professional development. Required to travel in and out of markets to conduct comprehensive safety audits on a monthly basis. Expected up to 60% travel, with 40% work from home or office. Maintain records and prepare reports to evaluate training progress and support the organization in assessing training needs. Conduct EHS compliance evaluations for Centerline, subsidiaries, and subcontracted crews on a monthly basis. Monitor compliance with safety procedures. Draft inspection reports to document inspection findings. Self-starter with the ability to work independently and/or in a team environment. Demonstrate strong analytical ability and technical skills, and coordinate with team members the review of project deliverables to ensure project success. Perform other related duties as assigned. Independently manage scheduling to align with auditing and training requirements as outlined in the schedule. The following reflects management’s definition of essential functions for this job but does not restrict the tasks that may be assigned. Management may assign or reassign duties and responsibilities to this job at any time due to reasonable accommodation or other reasons. Qualifications Requirements: 3-5 years of related experience. Excellent communication, analytical, and interpersonal skills, including strong document production skills (proficiency in Word and Excel), and technical writing ability. Strong organizational and problem-solving skills; with the ability to meet deadlines independently. Working knowledge of Safety Data Management System preferred. Ability to travel on short notice to the U.S. and Canada as required. Openness to change, personal growth, and coaching. The pay range for this position is $80,000-92,000. However, base pay offered may vary depending on job-related knowledge, skills, and experience (in addition to medical, financial, and/or other benefits, dependent on the position offered). #J-18808-Ljbffr

Clinical Validation Auditor III

EXL Service Columbus, OH

Tuesday, January 28, 2025 Company Overview and Culture EXL (NASDAQ: EXLS) is a leading data analytics and digital operations and solutions company. We partner with clients using a data and AI-led approach to reinvent business models, drive better business outcomes and unlock growth with speed. EXL harnesses the power of data, analytics, AI, and deep industry knowledge to transform operations for the world's leading corporations in industries including insurance, healthcare, banking and financial services, media and retail, among others. EXL was founded in 1999 with the core values of innovation, collaboration, excellence, integrity and respect. We are headquartered in New York and have more than 55,000 employees spanning six continents. For more information, visit http://www.exlservice.com . About EXL Health We leverage Human Ingenuity and domain expertise to help clients improve outcomes, optimize revenue and maximize profitability across the healthcare ecosystem. Technology, data and analytics are at the heart of our solutions. We collaborate closely with clients to transform how care is delivered, managed and paid. EXL Health combines deep domain expertise with analytic insights and technology-enabled services to transform how care is delivered, managed, and paid. Leveraging Human Ingenuity, we collaborate with our clients to solve complex problems and enhance their performance with nimble, scalable solutions. With data on more than 260 million lives, we work with hundreds of organizations across the healthcare ecosystem. We help payers improve member care quality and network performance, manage population risk, and optimize revenue while decreasing administrative waste and reducing health claim expenditures. We help Pharmacy Benefit Managers (PBMs) manage member drug benefits and reduce drug spending while maintaining quality. We help provider organizations proactively manage risk, improve outcomes, and optimize network performance. We provide Life Sciences companies with enriched data, insights through advanced analytics and data visualization tools to get the right treatment to the right patient at the right time. EXL is hiring a Clinical Validation Auditor III. This is a remote, work from home opportunity. Summary: In this fully remote position as a Clinical Validation Auditor you will apply your expert clinical knowledge in the auditing of inpatient medical records to validate or revise the provider's billed DRG code. You will utilize industry and EXL proprietary tools in the DRG assignment process, and will write professional communications documenting audit findings and supporting rationales. You will also apply your extensive clinical and industry knowledge to identify audit trends and identify referrals for DRG coding review. Responsibilities: Conduct MS-DRG and/or APR-DRG clinical reviews to verify the accuracy of the DRG assignment and reimbursement. Apply clinical guidelines to a variety of claim scenarios and effectively utilize industry and proprietary tools to maximize overpayment identifications. Document audit results in a clear, concise, and effective manner using clinical guidelines and ICD 10 CM/PCS coding rules and guidelines. Utilize proprietary workflow systems and encoder tools (e.g., 3M, Webstrat, etc.) efficiently and accurately to make audit determinations, generate audit rationales and move claims through workflow process correctly. Meet or exceed EXL established program productivity and quality goals, including uphold rate for appeals. Demonstrate knowledge of and compliance with changes and updates to clinical guidelines, reimbursement trends, and client processes and requirements. Comply with all EXL policies and procedures including HIPAA and other state and federal regulations. Qualifications: Registered Nurse, Associate's or Bachelor's degree 5+ years of acute care nursing experience with preference given to candidates with prior clinical or coding validation audit experience. Prefer candidate with prior DRG retrospective overpayment identification auditing experience. Prefer candidate with prior readmission (PPR) auditing experience. Preference given to candidates with CCS, RHIA, or RHIT coding credentials. Knowledge, Skills, Behaviors: Extensive knowledge and understanding of clinical criteria documentation requirements used to successfully substantiate code assignments. Experience with DRG encoder tools (3M, Webstrat). Works independently in a remote environment and delivers exceptional results during EXL core business hours. Possesses excellent time management and work prioritization skills. Takes ownership of problem solving. Demonstrates excellent written and verbal communication skills, strong analytical skills, and attention to detail. Proficient in Excel, Word, and OneNote with general computer literacy. Passionate about DRG Auditing with a desire to work in an environment thriving on teamwork, excellence, collaboration, inclusiveness, and support. EEO/Minorities/Females/Vets/Disabilities #J-18808-Ljbffr

Revenue Integrity Nurse Auditor

Trinity Health Mid-Atlantic Columbus, OH

Revenue Integrity Nurse Auditor page is loaded Revenue Integrity Nurse Auditor Apply locations Mount Carmel Corporate Services Center Time Type: Full time Posted on: Posted 3 Days Ago Job Requisition ID: 00562834 Employment Type: Full time Shift: Day Shift, Monday - Friday Description: Nurse Auditor, Revenue Integrity Position Purpose: Responsible for coordinating denials with Patient Business Service (PBS) center and ensures compliant and complete clinical documentation, assists with denials and related appeals, and identifies opportunities for revenue optimization. Investigates denials and root causes, which includes performing thorough chart reviews, providing education to clinical colleagues and tracking of identified trends. Leverages clinical knowledge and standard procedures to ensure timely attention to denials as requested by PBS and applicable appeal data gathering. Responsible for third party charge audits and trauma reviews. May be required to travel between locations within the Region. Minimum Requirements: Registered Nurse and graduate of an accredited school of nursing plus at least four (4) years of nursing experience, including two (2) years of utilization review/case management, managed care or comparable patient payment processing experience. Must have current registration with the State Board of Nursing Examiners or have a temporary permit to practice nursing in the assigned state (Ohio). Bachelor's Degree preferred. Must possess a demonstrated knowledge of revenue cycle and denial management functions. Knowledge of and experience in health care including government payers, applicable federal and state regulations, healthcare financing and managed care. Knowledge of and experience in case management and utilization management. Knowledge of insurance and governmental programs, regulations and billing processes (e.g., Medicare, Medicaid, Social Security Disability, Champus, Supplemental Security Income Disability, etc.), managed care contracts and coordination of benefits is required. Working knowledge of medical terminology, and medical record coding experience (ICD-9, CPT, HCPCS) are highly desirable. Position Highlights and Benefits: Competitive compensation and benefits packages including medical, dental, and vision with coverage starting on day one. Retirement savings account with employer match starting on day one. Generous paid time off programs. Employee recognition programs. Tuition/professional development reimbursement. Relocation assistance (geographic and position restrictions apply). Discounted tuition and enrollment opportunities at the Mount Carmel College of Nursing. Employee Referral Rewards program. Mount Carmel offers DailyPay - if you’re hired as an eligible colleague, you’ll be able to see how much you’ve made every day and transfer your money any time before payday. You deserve to get paid every day! Opportunity to join Diversity, Equity, and Inclusion Colleague Resource Groups. Ministry/Facility Information: Mount Carmel, a member of Trinity Health, has been a transforming healing presence in Central Ohio for over 135 years. Mount Carmel serves over 1.3 million patients each year at our four hospitals, free-standing emergency centers, outpatient facilities, surgery centers, urgent care centers, primary care and specialty care physician offices, community outreach sites and homes across the region. Mount Carmel College of Nursing offers one of Ohio's largest undergraduate, graduate, and doctor of nursing programs. If you’re seeking a rewarding career where your purpose, passion, and desire to make a difference come alive, we invite you to consider joining our team. Here, care is provided by all of us For All of You! Our Commitment to Diversity and Inclusion Trinity Health is one of the largest not-for-profit, Catholic healthcare systems in the nation. Built on the foundation of our Mission and Core Values, we integrate diversity, equity, and inclusion in all that we do. Our colleagues have different lived experiences, customs, abilities, and talents. Together, we become our best selves. A diverse and inclusive workforce provides the most accessible and equitable care for those we serve. Trinity Health is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, status as a protected veteran, or any other status protected by law. About Us Trinity Health is one of the largest not-for-profit, faith-based health care systems in the nation. Together, we’re 121,000 colleagues and nearly 36,500 physicians and clinicians caring for diverse communities across 27 states. Nationally recognized for care and experience, our system includes 101 hospitals, 126 continuing care locations, the second largest PACE program in the country, 136 urgent care locations, and many other health and well-being services. Based in Livonia, Michigan, in fiscal year 2023, we invested $1.5 billion in our communities through charity care and other community benefit programs. #J-18808-Ljbffr

Energy Auditor

Mid-Ohio RPC Columbus, OH

Salary : $45,760.00 - $51,979.20 Annually Location : 111 Liberty St Suite 100 Columbus, OH Job Type: Full-Time Remote Employment: Flexible/Hybrid Job Number: RS-1-25 Department: Residential Services Opening Date: 01/13/2025 Closing Date: 3/2/2025 11:59 PM Eastern Description As Central Ohio's regional council, MORPC is an association of cities, villages, townships, counties and regional organizations and serves rural, suburban, and urban areas. We take pride in bringing communities of all sizes and interests together to collaborate on best practices and plan for the future of our growing region. We do this through a variety of programs, services, projects and initiatives - all with the goal of improving the lives of our residents and making Central Ohio stand out on the world stage. One of Central Ohio's greatest strengths is the diversity of our communities, and to best serve our region, MORPC assertively values diversity and inclusion and strives to reflect those values in our team, our work, and our positive impact for the region. Our work progresses when our team can draw on a wide range of personal experiences and backgrounds, and when each member is open to learning from the experiences of others, both internally and externally. As an equal opportunity employer, we fully support all applicable state and federal laws and regulations and do not discriminate against applicants for employment or employees because of race, color, creed, religion, ancestry, national origin, sexual orientation sex or gender, gender identity or expression, pregnancy, medical conditions, age, disability or other handicap, genetic information, marital/familial status, veteran status, military status, or income or status with regard to public assistance in any aspects of our personnel policies, working conditions, or hiring and recruitment. To create and nourish a workforce as diverse as the Central Ohio region, MORPC encourages members of groups traditionally underrepresented in local government and professional positions to apply for our open career opportunities. MORPC recognizes the value of a healthy work/life balance for our team members and as such, we provide a variety of benefits to promote that balance. Eligible employees receive a free system-wide transit pass and discounted access toother alternative transportation modes to provide options for commuting to work. MORPC encourages opportunities for career advancement through generous tuition and professional development incentives, leadership programs, and participation in local and national organizations. For eligible permanent positions, MORPC also offers flexible schedules and remote work options as well as paid time off and holidays. MORPC employees may also be eligible for excellent health, vision and dental insurance, employee assistance programs, employer paid short-term & long-term disability coverage, employer paid life insurance in the amount of $50,000 coverage, participation in the Ohio Public Employees Retirement System, plus two Deferred Compensation Plans that employees can opt into for additional retirement funding. More info can be found in the benefits link within the online posting. Examples of Duties This is an entry level position and training's provided by and paid for by MORPC. The Energy Auditor position is responsible for the inspection of weatherization standards for the HWAP and WarmChoice funded programs, and future programs as they become available. This position is also responsible for completing training to allow the position to perform energy audits for all programs. This position is responsible for scheduling, completion, and billing of work orders. This position coordinates and reports to the Lead Field Technician and the Inspection Coordinator to ensure priorities are aligned and will take on special projects as needed to support the overall success of programs. This position will perform Energy Audits as required by program demands. This position is an excellent opportunity to assist the residence within Franklin County in reducing energy consumption and improving their household comfort. Customer service and customer education is an essential duty for this position. • Ensure weatherization measures are installed correctly per program standards. • Install weatherization measures as outlined by work order instructions and training. • Schedule appointments with clients to perform weatherization work. • Enter completed work order information into the Columbia Gas of Ohio's Information Management System (Hancock), and the Neighborly software system. • Maintain, upkeep, and secure all tools and equipment daily. • Maintain, upkeep, and secure agency supplied vehicle daily. • Order materials as necessary to ensure jobs can be completed as scheduled. • Develops familiarity with cultural diversity and applies diversity and inclusion efforts in daily business. • Fully support all MORPC personnel policies and procedures. • Perform other duties as assigned, including special projects that support overall program success. • Successfully complete all crew person training. • Successfully complete all Energy Auditor training. • Perform Energy Audits as assigned. • Compile and submit progress reports as required Typical Qualifications REQUIRED KNOWLEDGE, SKILLS, AND ABILITIES: • This position requires the ability to use a computer. • Must have excellent customer relation skills. • Must have good verbal and written communications skills, as well as problem solving skills. • Must be able to work independently or as part of a team. • Must be able to carry and use an extension ladder. • Must be able to lift up to 50 pounds. This position requires entry into confined spaces. • This position requires the ability to work with insulation. • Must have experience working with power tools and hand tools. • The individual must possess and maintain a positive working relationship with other team members, funders, and the public. • Must have the ability to attend meetings both inside and outside the office and to work in a dynamic environment. • Should understand the ideas and concepts involved with the weatherization program. • Must have the ability to successfully attend and pass training courses. QUALIFICATIONS: • This is an entry level position. • Must have a high school diploma or equivalent. • Must have a strong interest in residential construction, HVAC, energy efficiency or related field. • Additional training is provided and paid for by MORPC. • Previous certifications and/or experience is preferred when available, however training will be provided as necessary. • Must have valid driver's license, good driving record and maintain liability insurance coverage as required by MORPC. • Should be willing to use agency or personal vehicle with mileage reimbursed to conduct MORPC business. Supplemental Information MORPC is an EOE/AAP employer. Please apply online at or you may mail a resume to: MORPC Attn:RS-1-25 111 Liberty St., Suite 100 Columbus, OH 43215 No phone calls please. Personal Time Off- (PTO) LEAVE 15-33 days depending on the length of continuous service HOLIDAYS 11 Paid Holidays = New Year's Day, Martin Luther King Jr. Day, President's Day, Memorial Day, Juneteenth, Independence Day, Labor Day, Indigenous Peoples Day, Veteran's Day, Thanksgiving Day, Christmas Day MAJOR MEDICAL & HOSPITALIZATION Employee cost share for individual and family plans DENTAL CARE Employee cost share for individual and family plans VISION Employee cost share for individual and family plans PRESCRIPTION DRUG COVERAGE Employee cost share for individual and family plans EAP Employee cost share for individual and family plans BENEFITS EFFECTIVE First day of the month after employment begins LIFE INSURANCE Paid $50,000 of term coverage PERS - Public Employees Retirement System Employee contribution of 10%, MORPC contribution 14% MEDICARE Employee contribution 1.45% matched by MORPC for employees hired on or after April 1, 1986 DEFERRED COMPENSATION Deferred Compensation plans available through the State of Ohio or the County Commissioners Association of Ohio CREDIT UNION Columbus Municipal Employees Federal Credit Union for checking, savings and loans or other services ALTERNATE WORK SCHEDULE Flexible and staggered working hours may be available for employee's individual requirements, when work duties permit. Must be approved by department head and executive director. EMPLOYEE DEVELOPMENT Tuition reimbursement program, seminars, conferences and training offered to develop employees to enhance MORPC outcomes. TRANSIT PASS COTA C-Pass-Free to all employees who regularly work more than 15 hours per week. HYBRID WORKING ENVIRONMENT A combination of in-office & remote work, with the potential of scheduled days per each, for all positions