Title: Field Premium Auditor - Salt Lake County Location: Draper United States Job Description: A career at Auto-Owners is challenging and rewarding. Our group of caring associates create financial security by helping individuals and businesses make a new start when a loss occurs. Job Description We offer a merit-based work-from-home program based on job responsibilities. After initial training in-person, you could have the flexibility of work-from-home time as defined by the leadership team. Auto-Owners Insurance, a top-rated insurance carrier, is seeking a motivated Field Premium Auditor to join our team. The position requires the person to: - Audit insured records to determine the proper exposure classifications and premium basis and provides reports and recommendations to Underwriting. - For assigned policies, determine the proper exposure classification, premium basis and scope of operations through the use of observation, discussion with insureds and the review of accounting records. - Report and discuss exposures present on an insured's property to determine underwriting eligibility and acceptability. - Communicate with claims and underwriting associates, appointed agents and insureds. - Make recommendations to Underwriting, as necessary, to terminate coverage based on observed exposure to loss. - Manage assigned territory by effectivity scheduling assigned audits to maximize the number of physical audits accurately completed. - Establish weekly agenda of scheduled appointments. Desired Skills & Experience - Bachelor's degree or equivalent experience. - Has completed or is in the process of completing the Associate in Premium Auditing (APA) designation. - These requirements may be waived or changed, at Company discretion, based on prior education and/or experience. - Ability to drive an automobile, possess a valid driver license and maintain a driving record consistent with the Company's underwriting guidelines for coverage. Benefits Auto-Owners offers a wide range of career opportunities, and we are seeking talent that will help us continue our long tradition of success. We offer a friendly work environment, structured training program, employee mentoring and an excellent compensation/benefits package. Along with a competitive base salary, matched 401(k), fully-funded pension plan (once vested), and bonus programs, Auto-Owners also provides generous paid time off including holidays, vacation days, personal time, and sick leave. If you're looking to do rewarding work alongside great people, Auto-Owners is the place for you! Equal Employment Opportunity Auto-Owners Insurance is an equal opportunity employer. The Company hires, transfers, and promotes on the basis of ability, without consideration of disability, age, sex, race, color, religion, height, weight, marital status, sexual orientation, gender identity or national origin, or any factor contrary to federal, state or local law. - Please note that the ability to work in the U.S. without current or future sponsorship is a requirement. #LI-BK1 #LI-Hybrid

Role Description The Itemization Review Nurse provides a summary and analysis of items by reviewing all charges on a UBIB submitted by a medical facility to determine accuracy of billed charges. This is a remote position. Essential Functions & Responsibilities: - Collects supporting data and analyzes information to make decisions regarding accuracy of billing - Appropriately documents work and final conclusions in designated computer program - Understanding of Surgical Implants - Meets department's expectations and standards - Additional duties as assigned Qualifications - Understanding of Itemization Review for designated clients - Understanding of CERIS systems and Data Base informatics - Understanding of HIPAA regulations - Exceptional organizational skills with the ability to handle stressful situations and adapt accordingly - Demonstrated leadership skills; ability to work with Leadership Team(s) within a positive team environment - Strategic problem solving, analytical, and critical thinking skills - Effective written and verbal communication skills - Ability to work independently and within a team environment - Proficiency with Microsoft Office Suite, including Excel, Outlook, Teams Requirements - Must maintain current licensure as a Registered Nurse in the state of employment - Must have a minimum of 5 years’ experience in the O.R., ICU, or E.R. as an R.N. - Associate Degree in Nursing or higher - Experience in medical bill auditing preferred but not mandatory Benefits - Comprehensive benefits package for full-time regular employees - Medical (HDHP) w/Pharmacy - Dental - Vision - Long Term Disability - Health Savings Account - Flexible Spending Account Options - Life Insurance - Accident Insurance - Critical Illness Insurance - Pre-paid Legal Insurance - Parking and Transit FSA accounts - 401K - ROTH 401K - Paid time off Company Description CERIS, a division of CorVel Corporation, a certified Great Place to Work® Company, offers incremental value, experience, and a sincere dedication to our valued partners. Through our clinical expertise and cost containment solutions, we are committed to accuracy and transparency in healthcare payments. We are a stable and growing company with a strong, supportive culture along with plenty of career advancement opportunities. We embrace our core values of Accountability, Commitment, Excellence, Integrity and Teamwork (ACE-IT!).

• Plan and conduct external audits for manufacturing auditing systems • Evaluate compliance against documented processes and identify nonconformities, risks and improvement opportunities • Produce clear, accurate audit reports and verify the effectiveness of corrective actions • Maintain audit schedules, records, and documentation in line with accreditation requirements • Champion a strong customer service and quality culture while ensuring compliance with SGS policies and integrity standards

Role Description This role will provide coding quality auditing services to ensure compliance with Optum and CMS coding guidelines and accuracy of coding data reported. Must maintain compliance with Optum Coding Guidelines/policies. The minimum productivity goal is set by project, with minimum 96% coding accuracy rate required. You’ll enjoy the flexibility to work remotely from anywhere within the U.S. as you take on some tough challenges. Primary Responsibilities: - Assists with execution of the daily activities of the National Quality Assurance program - Performs first level quality audits on vendor coding results - Performs first level quality audits on Care Delivery coding teams coding results - Provides support and assists all markets within Care Delivery on various coding initiatives, such as concurrent review, query compliance audits and retrospective coding quality reviews - Must be able to work with multiple coding tools and EMR systems - Ensure that Optum Coding Guidelines are consistently applied in all processes - Identifies issues and trends in coding and documentation that affect coding accuracy - Provides input and valuable feedback on audit results - Recommends process improvement - Perform all other related duties as assigned You’ll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in. Qualifications - Coding Certification required (CPC, COC, CIC, CCS, CCS-P, or RHIT; the CPC-A or CCA designation is not acceptable) - 4+ years of recent experience ICD-10-CM coding, preferably in a Managed Care setting, with solid attention to detail, and proficient knowledge of ICD-10-CM coding guidelines. - 2+ years of recent Medicare Risk Adjustment experience (HCC coding) with proficient knowledge of CMS HCC model and guidelines - 1+ years of recent experience in a coding auditor role– auditing the work of other coders - Compliant Physician query experience/knowledge - Ability to work during normal business hours, Monday-Friday 8am-5pm CST (flexibility to select an earlier or later shift start time, after successful completion of training) - Ability to continuously meet the requirements for a telecommuter, i.e. live in a location that can receive a UnitedHealth Group approved high speed internet connection, have a secure designated office space to maintain PHI, smartphone/device for Multi Factor Authentication purposes, meet or exceed all performance expectations Preferred Qualifications - CRC (Certified Risk Coder) in addition to required coding certification - Inpatient coding experience - Microsoft Office proficiency (Word, Excel, PowerPoint & Outlook) - Excellent organizational, problem solving, and critical thinking skills - Excellent verbal/written communication and interpersonal skills Benefits - Comprehensive benefits package - Incentive and recognition programs - Equity stock purchase - 401k contribution (all benefits are subject to eligibility requirements) - Hourly pay for this role will range from $24.00 to $43.00 per hour based on full-time employment Application Deadline This will be posted for a minimum of 2 business days or until a sufficient candidate pool has been collected. Job posting may come down early due to volume of applicants.