- BrightSpring Health Services (Dunbar, WV)
- …ensuring service quality and fostering compliance, apply today! Responsibilities + The Quality Audit Specialist will ensure that qualified providers of ... provide education for field operations regarding requirements and the audit process + Conduct Qualified Provider Quality ...the audit process + Conduct Qualified Provider Quality Audits using the required tool(s), based on service… more
- Sedgwick (Charleston, WV)
- …medical management of claims, ensuring appropriate recommendations are made. + Consistently achieves high- quality audit scores. + Acts as a clinical resource to ... Fortune Best Workplaces in Financial Services & Insurance Remote Accommodations Clinical Specialist - Bilingual French, Hindi, Bengali or more **We are looking for… more
- SitusAMC (Charleston, WV)
- …expertise related to work products under management and ability to complete quality control and provide deal risk assessments. Essential Job Functions: Apply subject ... matter expertise to production, quality control, and/or training to junior staff in one...of funds based on loan document covenants. + Perform audit of accounts payable and accounts receivable documentation to… more
- Highmark Health (Charleston, WV)
- …retrospective coding audit activities. Reviews medical records to determine data quality and accuracy of coding, billing and documentation related to DRGs, APCs, ... identified in the audits compliant with regulatory requirements. Provides written audit guidance. Participates with management in the assessment of external … more