- Houston Methodist (GA)
- …remote must live in TX, LA, FL, TN, WA or GA** At Houston Methodist, the Coding Quality Auditor position is responsible for ensuring accuracy in code ... and procedures, and coding and documentation training. + Assists with quality assurance (peer) reviews to ensure data integrity and accuracy of coding ,… more
- Elevance Health (Chicago, IL)
- …with vendor based DRG Coding / Clinical Validation Audit setting or hospital coding or quality assurance environment preferred. + Broad knowledge of ... **DRG CODING AUDITOR ** **Location** : _This position...minimum of 5 years of experience in claims auditing, quality assurance , or recovery auditing. + Requires… more
- McLaren Health Care (Shelby Township, MI)
- …**Essential Functions and Responsibilities As Assigned** **:** 1. Responsible for completing quality assurance audits on professional coding specialists, ... onboarding audits and training of newly hired coding specialists, validating the coding specialist is accurately abstracting data into medical record systems,… more
- Capital One (Plano, TX)
- …Audit function is a dedicated group of professionals focused on delivering top- quality assurance services to the organization's Audit Committee. Audit ... Principal Auditor - Cyber, Risk & Analysis Technology Audit (Hybrid)...multiple priorities and tasks across the team to deliver quality results.** **-Coordinate with others and proactively take on… more
- Addiction Recovery Care (Lexington, KY)
- …conditions. + Follows policies and procedures, performance improvement objectives, quality assurance initiatives, and safety and environmental standards. ... care, proper documentation of services, and the billing and coding of claims. The Compliance Auditor assists...+ Supports and maintains a culture of safety and quality . + Performs additional duties as assigned. Key Experience… more
- Elevance Health (Seattle, WA)
- …state(s). + Requires a minimum of 10 years of experience in claims auditing, quality assurance , or clinical documentation improvement, and a minimum of 5 years ... **Diagnosis Related Group Clinical Validation Auditor -RN** **Virtual:** This role enables associates to work...+ Analyzes and audits claims by integrating medical chart coding principles, clinical guidelines, and objectivity in the performance… more
- Mohawk Valley Health System (Utica, NY)
- …coding education initiatives. + Trains and precepts new CDI team members. Quality Assurance and Compliance + Ensures compliance with regulations, denial ... CDI III Educator Auditor - Full Time - Days Department: CLINICAL...processes and responses, maintaining compliance with regulatory guidelines and coding conventions. This role emphasizes denial management, educational program… more
- CHS (Clearwater, FL)
- …diploma or equivalent is required + Experience in medical customer service, quality assurance , or insurance training is preferred. **Certificates, Licenses, ... **Overview** ** ** **Claims and Call Auditor (Call Center QC) - Clearwater, FL** **...Reviews Current Procedural Terminology (CPT) and Healthcare Common Procedure Coding System (HCPCS) to determine proper category for benefit… more
- University of Texas Rio Grande Valley (Mcallen, TX)
- …Education may be substituted with experience on a one-to-one basis Preferred Experience Coding , auditing or quality assurance review experience. Bilingual ... as needed. + Collaborates with the medical billing team to improve the quality of clinical documentation for compliance, billing, coding , and reimbursement… more
- Astellas Pharma (Westborough, MA)
- **Validation Lead, Quality Assurance ** Do you want to be part of an inclusive team that works to develop innovative therapies for patients? Every day, we are ... is headquartered in Massachusetts. Astellas is announcing a **Validation Lead, Quality Assurance ** opportunity at their **Astellas Institute for Regenerative… more
- Komatsu (Peoria, IL)
- Quality Assurance Engineer Date: May 13,...for PMO manufactured products. This involves the reading and coding of 2000-3000 TSI, and 60 -80 ETSI annually. ... Onsite Position K Job Overview This position provides the Quality Assurance Manager and the Sr. ...includes but is not limited to being an internal auditor . Qualifications/Requirements + Minimum of a BS degree in… more
- Capital One (Mclean, VA)
- …Audit function is a dedicated group of professionals focused on delivering top- quality assurance services to the organization's Audit Committee. Audit ... different perspectives into deliverables.** + **Manage timely and high quality delivery of multiple tasks, including audits, projects, special assignments,… more
- Capital One (Mclean, VA)
- …Audit function is a dedicated group of professionals focused on delivering top- quality assurance services to the organization's Audit Committee. Audit ... independently and ensure work is completed to schedule and meets our high- quality standards. -Prepare clear, organized and complete documentation to support work… more
- Johns Hopkins University (Baltimore, MD)
- …SOM clinical department directors and administrators. Will ensure the Billing Quality Assurance compliance and training programs are appropriately coordinated ... or other related regulatory matters. + Oversees the management of the quality assurance review program to continuously assess physician and non-physician… more
- LA Care Health Plan (Los Angeles, CA)
- …reviews medical records to ensure completeness, compliance with National Committee for Quality Assurance (NCQA), California Department of Health Care Services ... HEDIS Abstractor II (Temporary) Job Category: Clinical Department: Quality Performance Management Location: Los Angeles, CA, US, 90017 Position Type: Full Time… more
- Carrier (Beverly, MA)
- …prioritize, and address security-related issues. Additionally, the specialist provides assurance , both internally and externally, to demonstrate the robustness of ... security measures in place. This position also interfaces directly with the Quality department, serving as the primary administrator for system access and… more