- ManpowerGroup (Allentown, PA)
- Senior Internal Auditor Allentown, PA Pay Rate $60 - $70/HR Jefferson Wells is working with a leading provider of healthcare services dedicated to delivering ... our client's organization, we are seeking a highly skilled Senior Healthcare Auditor to join our team...billing specialists, compliance officers, and legal counsel to address audit findings and implement corrective measures. + Develop and… more
- Humana (Louisville, KY)
- …service by evaluating the efficiency and effectiveness of Humana's operational processes. The Senior Internal Auditor owns audit engagements by leading ... community and help us put health first** The Internal Audit Consulting Group drives the achievement of Humana's strategic...performs testing in accordance with the Sarbanes-Oxley Act. The Senior Internal Auditor makes decisions on moderately… more
- Sevita (Minneapolis, MN)
- …each other. Join us, and experience a career well lived. Summary The Senior Compliance Auditor is responsible for developing, auditing plans, and ... and Compliance Officers to contribute to projects related to the Compliance Audit , Self-Monitoring, Data Mining and Risk Assessment programs. Supports the leadership… more
- Sevita (San Antonio, TX)
- …and each other. Join us, and experience a career well lived. Summary The Senior Clinical Compliance Auditor is responsible for developing, auditing plans, and ... all Company business units and service lines. Ensures that existing clinical audit standards and procedures are best practice according to legal and regulatory… more
- Healthfirst (New York, NY)
- The Sr QA Auditor is responsible for conducting operational audits to objectively support HF Management's ability to identify and mitigate key financial and ... training, coaching, and functioning as first-level of support. + Audit activities of various operational processes for compliance with...or more lines of business such as Medicare NY, Medicaid , Child Health Plus, QHP, EP, HARP. + Experience… more
- Centene Corporation (Columbus, OH)
- …Responsible for the development and implementation of the health plan's compliance audit work plan. Completes Prospective and retrospective audits on a monthly, ... + Identify regulatory oversight deficiencies, process gaps and communicate audit observations, analyzes findings to provide recommendations on process improvements… more
- State of Maine, Bureau of Human Resources (Augusta, ME)
- …THE POSITION: As a Staff Auditor I you will: + Perform professional audit work under direction of senior auditors on MaineCare Providers and Community ... Staff Auditor I Augusta , Maine , United States...partial telework with management approval. OVERVIEW: The Division of Audit is seeking a highly talented individual who will… more
- Northwell Health (Lake Success, NY)
- …coding and documentation requirements. + Drafts reports detailing coding audit findings. + Assists with billing/documentation and regulatory risk assessments. ... state laws and guidelines pertaining to Medicare and NYS Medicaid . + Completes thorough reviews of governmental coding audits...risk. + Provides general compliance education and support to audit and facility staff involved in coding and billing;… more
- HCA Healthcare (Nashville, TN)
- **Description** **Introduction** **DRG Inpatient Audit Coder** **Are you looking for a work environment where diversity and inclusion thrive? Submit your application ... for our Inpatient Coding Auditor opening with Parallon today and find out what...cycle management as well as targeted solutions, such as Medicaid Eligibility, for external clients across the country. Parallon… more
- HCA Healthcare (Nashville, TN)
- **Description** **Introduction** **DRG Inpatient Audit Coder** Are you looking for a work environment where diversity and inclusion thrive? Submit your application ... for our Inpatient Coding Auditor opening with Parallon today and find out what...cycle management as well as targeted solutions, such as Medicaid Eligibility, for external clients across the country. Parallon… more
- United Health Services (Binghamton, NY)
- Coding Auditor , 33 Lewis Rd United Health Services is seeking a Coding Auditor to join our Coding Support Svcs department at 33 Lewis Rd in Binghamton, NY. This ... and documentation compliance in accordance with all coding guidelines and Medicare/ Medicaid regulations. Assist with coding, documentation, and billing questions to… more
- CVS Health (Albany, NY)
- …and timely support. + Organizes educational initiatives for staff and providers based on audit findings. + Communicates the audit process and results to the ... appropriate departments and management. + Assists senior staff in providing recommendations for process improvements to achieve productivity and quality goals, and… more
- Point32Health (Canton, MA)
- …click here (https://youtu.be/S5I\_HgoecJQ) . **Job Summary** The Audit Manager reports to the Audit Senior Manager and supports the Audit Senior ... in the execution of the annual audit plan. The position supports the Audit Senior Manager in his/her leadership and oversight of operations related audits.… more
- University of Michigan (Ann Arbor, MI)
- Reimbursement Analyst Senior Apply Now **How to Apply** A cover letter is required for consideration for this position, and it should be attached as the first page ... analyst to provide support for cost report preparation, cost report appeals, audit preparation, revenue recognition, ad-hoc reporting, and other duties related to… more
- MyFlorida (Tallahassee, FL)
- …trainings, ensuring incorporation of all applicable laws, rules, and regulations. Ensure assigned audit requests (Internal Audit , Auditor General, DFS, etc.) ... and planning entity. The Agency is responsible for administering the Florida Medicaid program, the licensure and regulation of nearly 50,000 health care facilities,… more
- CGI Technologies and Solutions, Inc. (Dallas, TX)
- …frame stipulated by client contracts and service level agreements. * Works with Audit Team leaders and team members to provide meaningful insights, timely feedback, ... Provides meaningful and timely feedback to the Edit and audit teams to improve the quality of audit...or Agency charged with providing such licensure in the Auditor 's state of residence or RHIA/RHIT/CCS certified through the… more
- Covenant Health (Lewiston, ME)
- …Board of Directors for the system. The Director attends the Board Audit , Finance Committee, and Personnel Committee meetings. The Director directly supervises all ... internal controls established over financial activities. Assists the Internal Auditor as necessary. + Oversees the issuance of the...the overall financial operations. + Serves on the organization's Audit and Finance Committees of the Board. + Sets… more
- Molina Healthcare (AZ)
- …are being considered at this time.** **KNOWLEDGE/SKILLS/ABILITIES** The Senior Analyst, Quality Improvement (QI) Interventions/Compliance contributes to either ... providers and / or other key stakeholders; input from Molina employees and senior leaders, etc. + Produces reports and analyses that show graphically the results… more
- Molina Healthcare (Albuquerque, NM)
- …providers and / or other key stakeholders; input from Molina employees and senior leaders, etc. + Produces reports and analyses that show graphically the results ... impact of actions. + Participates in NCQA accreditation and regulatory audit preparedness activities including preparing reports, narratives, graphs, charts, etc.,… more