- NTT America, Inc. (Little Rock, AR)
- …an inclusive, adaptable, and forward-thinking organization, apply now. We are currently seeking a Medicaid Privacy Auditor to join our team in Little Rock, ... Arkansas (US-AR), United States (US). The Privacy Auditor , working closely with the DHS Privacy Officer, will be a key contributor in conducting audits and… more
- State of Michigan (Grand Rapids, MI)
- Auditor 9-12 - LTC Grand Rapids or Grayling Region Section Print (https://www.governmentjobs.com/careers/michigan/jobs/newprint/5060718) Apply Auditor 9-12 - ... please visit our MDHHS Diversity, Equity, and Inclusion Plan. Auditor 9-P11 This position is responsible for the full...purpose is to satisfy the federal mandate for auditing Medicaid Providers and to ensure that the provider's reimbursement… more
- Mount Sinai Health System (New York, NY)
- **Job Description** **Clinical Revenue Auditor -CDM Patient Financial Services-Corporate-Full-Time-Days-Option to work remote or hybrid.** The Clinical Revenue ... Auditor for the Mount Sinai Health System (MSHS) and...and governmental programs, regulations, and billing processes (eg, Medicare, Medicaid , etc.), managed care contracts and coordination of benefits… more
- CVS Health (IN)
- …the ICD-10 codes that are submitted to the Centers for Medicare and Medicaid Services (CMS) for the purpose of risk adjustment processes are appropriate, accurate, ... + Required to act in ethical manner at all times as required under HIPAA's Privacy and Security rules to handle patient data with uncompromised adherence to the law.… more
- Guthrie (Sayre, PA)
- Option to be Hybrid/Remote. Summary: A senior level compliance coding auditor conducting assessments in accordance with The Guthrie Clinic's policies and procedures ... as well as The Guthrie Clinic policies, as applicable, Medicare, Medicaid , and LCD (Local Coverage Determinations), and NCD (National Coverage Determinations),… more
- Datavant (Denver, CO)
- …educational and life experiences to realize our bold vision for healthcare. As an Auditor , HCC Risk Adjustment Coder, you will review medical records to identify and ... coding. + Experienced in HCC coding across Medicare, commercial, and Medicaid sectors. + In-depth knowledge of medical terminology, abbreviations, pharmacology, and… more
- Insight Global (St. Petersburg, FL)
- …your private information, please review Insight Global's Workforce Privacy Policy: https://insightglobal.com/workforce- privacy -policy/. Skills and Requirements ... medical terminology Knowledge of medical coding systems Knowledge of Medicaid /Medicare Guidelines Knowledge of billing rules and regulations. Strong organizational… more
- AdventHealth (Orlando, FL)
- …+ Write/review audit programs, supervise staff, and conduct compliance and privacy audits that support the Hospitals corporate responsibility plan. + Implement ... determine they are adequate to meet compliance requirements and privacy laws and regulations + Ability to write QMF...and software programs + Working knowledge of Medicare and Medicaid billing issues + Demonstrated expertise with Microsoft Office… more
- Excellus BlueCross BlueShield (Rochester, NY)
- …the Food and Drug Administration (FDA), and Centers for Medicare and Medicaid Services (CMS). Provides routine interaction and coordination with the BCBS Association ... Maintains accurate and up-to-date knowledge of all Government Programs regulations ( Medicaid , Medicare, Federal Employee Program, New York State Department of… more
- MyFlorida (Milton, FL)
- …Champion for the Statewide Travel Management System (STMS), 2) Performs budgetary monitoring; 3) Medicaid Cost Report 4) Serves as Internal Auditor for FDOH in ... and input for revenues by program and overall CHD. Serves as Internal Auditor : Ensures vendor invoices received have been reviewed and processed in accordance with… more
- Excellus BlueCross BlueShield (Rochester, NY)
- …accordance with departmental, corporate, NYS Department of Health (DOH), Centers for Medicaid & Medicare Services (CMS), Federal Employee Program (FEP) and National ... values and beliefs. + Maintains high regard for member privacy in accordance with the corporate privacy ...NYS DOH, CMS, NCQA, and HEDIS, serving as internal auditor within the group. + Responsible for all aspects… more
- Option Care Health (Bannockburn, IL)
- …workplans, focusing on key risk areas such as regulatory changes, billing and coding, privacy and security, and fraud and abuse. + Perform data analysis and review ... and regulations, preferably with compliance requirements related to billing and coding, privacy and security, and fraud, waste and abuse, including but not limited… more