- Covenant Health Inc. (Knoxville, TN)
- …Tennessee as RN with equivalent coding experience. Apply/Share Job Title REV INTEGRITY AUDITOR SR ID 4249133 Facility Covenant Health Corporate Department Name ... Overview Revenue Integrity Auditor Full Time, 80 Hours Per Pay Period,...Covenant Health Overview: Covenant Health is the region's top-performing healthcare network with 10 hospitals (http://www.covenanthealth.com/hospitals/) , outpatient and… more
- UPMC (Pittsburgh, PA)
- **Join UPMC Corporate Compliance as a Senior Compliance Auditor !** Are you passionate about ensuring accuracy and compliance in healthcare documentation and ... a significant impact? UPMC Corporate Compliance is seeking a dedicated and detail-oriented ** Senior Compliance Auditor ** to join our team! This position will be… more
- Elevance Health (Hanover, MD)
- **Clinical Provider Auditor Senior ** **Supports Payment Integrity line of business** _Location:_ This field-based role enables associates to primarily operate in ... recover, eliminate and prevent unnecessary medical-expense spending. The **Clinical Provider Auditor Senior ** is responsible for identifying issues and/or… more
- Chesapeake Regional Healthcare (Chesapeake, VA)
- Job Summary With direction from the Director, the Nurse Auditor /Revenue Integrity Specialist is responsible for auditing itemized charges versus the patient medical ... record and other applicable hospital documentation, assigning modifiers to appropriate claims , researching edited claims for medical necessity, and advising the… more
- Terumo Medical Corporation (Somerset, NJ)
- …for patients. **Join us and help shape wherever we go next!** **_Advancing healthcare with heart_** **Job Summary** The Senior Compliance Manager -Monitoring & ... Sr . Compliance Manager - Monitoring & Transparency Date:...broad range of applications for numerous areas of the healthcare industry. TMC places a premium on providing customers… more
- Ascension Health (Jacksonville, FL)
- …the time of the offer._ **Responsibilities** Perform periodic and ongoing audits of claims to ensure accuracy of coding and billing, and sufficiency of supporting ... providing caregivers in every discipline a rewarding career in healthcare since 1873. Ascension is a leading non-profit, faith-based...of care, including more than 140 hospitals and 40 senior living communities in 19 states. Our Mission, Vision… more
- Commonwealth Care Alliance (Boston, MA)
- …Summary:** Working under the direction of the Sr . Director, TPA Management and Claims Compliance, Healthcare Medical Claims Coding Sr . Analyst will ... **Essential Duties & Responsibilities:** + Develop enhanced, customized prospective claims auditing and clinical coding and reimbursement policies and necessary… more
- The Cigna Group (Sacramento, CA)
- …monitor and evaluate options and services in order to facilitate appropriate healthcare outcomes for members. Ensures that case management program objectives are met ... referrals, and select outpatient services. May review initial liability disability claims to determine extent and impact of insured's medical condition, medical… more
- University of Texas Rio Grande Valley (Mcallen, TX)
- …and regulations and UTRGV policies. To review and analyze medical records, claims , and workflow processes to ensure accuracy, completeness, and compliance with ... processes. + Reviews, assesses and analyzes medical records, coding, billing, claims , reimbursements and workflow processes to ensure accuracy, completeness, and… more
- Somatus (Mclean, VA)
- …grow, and be the best version of themselves, including: + Subsidized, personal healthcare coverage (medical, dental vision) + Flexible Paid Time Off (PTO) + ... relevant actuarial estimates. Leads the development/compilation of the risk premium, claims and shared savings forecasting models used in the corporate… more
- AdventHealth (Shawnee, KS)
- …management regulatory agencies, principles, and practices appropriate for the healthcare industry and non-profit organizations. Serves as the financial ... additional insurance protection to minimize risk Coordinate risk management/limit liability claims and lawsuits Optimize the handling of bank and deposit… more
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