- HCA Healthcare (Brownsville, TX)
- …Do you want to join an organization that invests in you as a Coding Quality Audit Reviewer ? At Parallon, you come first. HCA Healthcare has committed up to $300 ... difference. We are looking for a dedicated Coding Quality Audit Reviewer like you to be a...result in appropriate reimbursement and data integrity. You will review outcomes are communicated to the HSC team to… more
- City of New York (New York, NY)
- …Services Program (HCSP) is recruiting for one (1) Accountant II, to function as an Audit Reviewer in the Home Care Contract Management Services Unit, who will: - ... Review audit reports for accuracy and compliance... Review audit reports for accuracy and compliance with prescribed ...Interface with CPA firms to ensure correct resolution of audit discrepancies, review requests for extension of… more
- Bank of America (Plano, TX)
- Business Control Specialist - Identity & Access Management QA Reviewer Plano, Texas **Job Description:** At Bank of America, we are guided by a common purpose to ... comply with Bank standards and policies. **Responsibilities:** + IAM QA Reviewer is responsible for conducting IAM application tests against requirements outlined… more
- State of Minnesota (St. Paul, MN)
- **Working Title: Supplemental Nutrition Assistance Program (SNAP) Quality Control Reviewer ** **Job Class: Auditor Senior** **Agency: Children Youth & Families Dept** ... As a Supplemental Nutrition Assistance Program (SNAP) Quality Control Reviewer , you will work on a team that has...you will work on a team that has direct audit responsibility for two performance measures: Payment error rates… more
- PeaceHealth (Vancouver, WA)
- …PeaceHealth Home Health in Vancouver, WA is seeking a Home & Community Quality Reviewer for a Per Diem/Relief, 0.00 FTE, Day position. The salary range for this ... Must reside in Washington, Oregon, or Alaska. **Job Summary** Responsible for the quality review of all OASIS/HIS admission documents and Plan of Care to ensure CMS… more
- Magellan Health Services (Baton Rouge, LA)
- …other clinical staff. + Provides training, interpretation and support for QI Clinical Reviewer staff. + Audits and validates internal audit results and/or ... engagement, and system-level collaboration with other child-serving agencies. The Clinical Reviewer will support the implementation and ongoing oversight of quality… more
- City of New York (New York, NY)
- …required, for sample selection revision. Collect all policies and procedures necessary for the audit review and share documents with the Quality Control Case ... Associate II to function as a Quality Control Case Reviewer , who will: - Ensure the accuracy of the...Control Case Review Supervisor. - Prepare case review summaries related to audit findings to… more
- Conduent (Alexandria, VA)
- …individuality is noticed and valued every day. **Pharmacist - Claims Auditor/ Reviewer (Part-Time)** **Conduent Payment Integrity Solutions** **Are you a licensed ... audits on behalf of major healthcare payers. As a **Pharmacist - Claims Auditor/ Reviewer ** , you'll apply your clinical knowledge and regulatory expertise to assess… more
- City of New York (New York, NY)
- …THE PRINCIPAL ADMINISTRATIVE ASSOCIATE CIVIL SERVICE TITLE. The Process Evaluation Review Team (PERT) is tasked with aggressively monitoring program compliance with ... Administrative Associate, who will function as a Senior Case Reviewer who will: - Conduct legally mandated case reviews...(Reynolds, Lovely H., MKB, Dajour, Davila, Brown, etc). Convert audit findings into reports that is presented to Family… more
- City of New York (New York, NY)
- …(DSS) and Department of Homeless Services (DHS). Within DSS-AO, the Process Evaluation Review Team (PERT) was created as an independent unit within the Office of ... compliance and foster uniform interpretation/application of policy. PERT auditors review cases, monitor application and recertification interviews, check for… more
- Magellan Health Services (Albuquerque, NM)
- …other clinical staff. + Provides training, interpretation and support for QI Clinical Reviewer staff. + Audits and validates internal audit results and/or ... management according to medical necessity criteria. General Job Information Title Clinical Reviewer III, Behavioral Health - Albuquerque, NM Grade 26 Work Experience… more
- Actalent (Boca Raton, FL)
- …associated documents for correctness and verify all reagents, standards, and equipment used. + Review raw data for audit trails and instrument logs on cGMP ... is Hiring a QC Scientist ReviewerJob Description The role of the Data Reviewer involves meticulous examination of all analytical reports and raw and electronic data… more
- City of New York (New York, NY)
- …identify areas of programmatic deficiencies. Within that area is the Process Evaluation Review Team (PERT). The unit analyzes error trends and determines the need ... identification of problems and issues can prevent derogatory external audit findings. PERT is recruiting for (1) one Principal...Associate II to function as a NCA PERT Case Reviewer , who will: - Conduct NCA Supplemental Nutrition Assistance… more
- Fujifilm (College Station, TX)
- **Position Overview** The Sr. QC Data Reviewer is responsible for ensuring compliance with Fujifilm's Quality systems, policies, and procedures in accordance with US ... and international guidance. This role involves leading the data review process to ensure accuracy, thoroughness, and timely completion... time of use logs on cGMP instrumentation and audit trails on computer systems used for data acquisition… more
- Fujifilm (College Station, TX)
- …Undertake other tasks as assigned by management to support departmental objectives. + Review time-of-use logs on cGMP instrumentation and audit trails on ... **Position Overview** The QC Data Reviewer plays a vital role in Quality control...and international guidance. This role involves leading the data review process to ensure accuracy, thoroughness, and timely completion… more
- City of New York (New York, NY)
- …one Management Auditor I to function as a Supplemental Needs Trust Monitoring Reviewer , who will: - Review and analyze, utilizing generally accepted accounting ... before final determination is made. Draft reports containing recommendations based on audit findings. - Correct decisions on approval of trust expenditures are… more
- City of New York (New York, NY)
- …accuracy of benefits issued and compare to State Quality Control error findings or to the month under review in the EQAS audit . - Audit for the EQAS QC on 16 ... as a Quality Control Case Reviewers, who will: - Review POS, HRA One Viewer of imaged/scanned documents, Welfare...in Order to obtain critical information. Complete a desk audit to secure documentation pertinent to quality control eligibility… more
- Fallon Health (Worcester, MA)
- …summary of purpose:** Under the general supervision of the Manager of Configuration Audit and Directories, staff will perform an audit sampling of provider ... a score form in a Microsoft Access tool, prepares audit summaries, and sign off forms for staff and...training needs. Meets with Provider Specialist staff monthly to review error trends and collaborate solutions for issues related… more
- City of New York (New York, NY)
- …legal and federal, state and city regulatory requirements. The Process Evaluation Review Team (PERT) is tasked with aggressively monitoring program compliance with ... Assurance & Fiscal Integrity (OQA&FI) / The Process Evaluation Review Team (PERT) is recruiting for (2) one Principal...(Reynolds, Lovely H., MKB, Dajour, Davila, Brown, etc.). Convert audit findings into reports that will be presented to… more
- Actalent (Pompano Beach, FL)
- …associated documents for correctness and verify all reagents, standards, and equipment used. + Review raw data for audit trails and instrument logs on cGMP ... analytical data meets company standards and regulatory requirements. + Review test results and raw data for various materials...instrumentation and equipment. + Review validation and method optimization reports. + Ensure chemists… more
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