- Lilly (Indianapolis, IN)
- …to analyze detailed technical scientific information, while understanding the bigger picture. The senior auditor should be able to clearly identify and assess ... the world. **Position Brand Description:** **The Sr. Principal Associate - Quality Auditor is part of the Global Quality Auditing and Compliance (GQAAC) division… more
- University of Washington (Seattle, WA)
- …noted for diversity, intellectual excitement, artistic pursuits, and natural beauty. The senior healthcare auditor is responsible for the completion of internal ... audits within the clinical integrated parts of the University of Washington/UW Medicine...based primary care clinics, and an air medical transport. Senior healthcare auditors are also expected to be familiar… more
- Mount Sinai Health System (New York, NY)
- **Job Description** ** Clinical Revenue Auditor -CDM Patient Financial Services-Corporate-Full-Time-Days- Hybrid.** The Clinical Revenue Auditor for the ... compliance of the organization and bridges the gap between clinical care and medical billing and reimbursement. This position...billing and reimbursement. This position will report to the Senior Director. This role will serve as a crucial… more
- Houston Methodist (Houston, TX)
- …variety of business functions that operate at the system level to help enable clinical departments to provide high quality patient care. Houston Methodist is an ... At Houston Methodist, the Sr. Internal Auditor is responsible for independently planning, coordinating, and...- State Licensure **OR** + CIA - Certified Internal Auditor (IIA) **OR** + CFE - Certified Fraud Examiner… more
- Rush University Medical Center (Chicago, IL)
- …origin, disability, veteran status, and other legally protected characteristics. **Position** Senior Auditor 1 **Location** US:IL:Chicago **Req ID** 22387 ... University, and Rush Health. RUSH Internal Audit performs Financial, Operational, Clinical , Technology, Construction and Information Security audits based up risk… more
- Texas Tech University Health Sciences Center - El Paso (El Paso, TX)
- **42910BR** **Extended Job Title:** Medical Coding Auditor **Org Level 1:** Texas Tech Unv Hlth Sci Ctr El Paso **Position Description:** Responsible for auditing ... compliance with healthcare laws and organizational policies. The Medical Coding Auditor collaborates with practice, providers, and other departmental leaders to … more
- Humana (Corpus Christi, TX)
- …caring community and help us put health first** The Home Health Quality Auditor ensures clinical documentation meets CMS regulations, OASIS accuracy, and ... accuracy, and completeness, helping reduce audit risk and billing delays. The auditor monitors QA metrics, identifies trends, and collaborates with leadership to… more
- UHS (Johnson City, NY)
- Position OverviewThe Pharmacy Charge Auditor Technician is responsible for the maintenance, audits, investigation and resolution of enterprise pharmacy charges and ... 340B rebates. The auditor -technician provides and ensures an efficient pharmacy department by...recognition, and initiatives like Walk in my Shoes for senior leaders are just a few ways we foster… more
- Guthrie (Sayre, PA)
- Option to be Hybrid/Remote. Summary: A senior level compliance coding auditor conducting assessments in accordance with The Guthrie Clinic's policies and ... Physician coding and billing and/or compliance field required 5 year of clinical experience and/or knowledge and understanding of Medical Records auditing process… more
- Geisinger (Danville, PA)
- Job Summary The Compliance Auditor position is responsible for supporting the organization's Revenue Management Compliance department in developing, implementing, ... and non-physician practitioners, as determined appropriate. + Serves as a clinical coding subject matter expert for multiple assigned specialties and utilizes… more
- University of Southern California (Alhambra, CA)
- … clinical service delivery (nursing or allied health), coding, provider billing, medical records, charge audit environment, CDM maintenance, Medicare/Medicaid ... As the center of clinical charge capture, the Revenue Integrity (RI) Specialist...the billing system and CDM management tools . The Senior RI Specialist shall ensure that the Chargemaster (CDM)… more
- The County of Los Angeles (Los Angeles, CA)
- SENIOR ACCOUNTING SYSTEMS TECHNICIAN/EMERGENCY APPOINTMENT Print (https://www.governmentjobs.com/careers/lacounty/jobs/newprint/4827686) Apply SENIOR ... Office of Diversion and Reentry seek qualified candidates to fill emergency Senior Accounting Systems Technician vacancies related to the homelessness crisis. Under… more
- Cardinal Health (Phoenix, AZ)
- …CAH) is a global healthcare services and products company. We provide customized solutions for hospitals, healthcare systems, pharmacies, ambulatory surgery centers, ... clinical laboratories, physician offices and patients in the home....operator of nuclear pharmacies and manufacturing facilities; and a provider of performance and data solutions. Working to be… more
- Dana-Farber Cancer Institute (Brookline, MA)
- …MA, RI, CT)** Reporting to the Director of Billing Compliance, the Senior Billing Compliance Reviewer ensures the integrity, accuracy, and regulatory compliance of ... payer, and institutional billing guidelines as well as national coding guidelines. The Senior Reviewer will assist in the development and execution of the annual… more
- Cardinal Health (Annapolis, MD)
- …CAH) is a global healthcare services and products company. We provide customized solutions for hospitals, healthcare systems, pharmacies, ambulatory surgery centers, ... clinical laboratories, physician offices and patients in the home....operator of nuclear pharmacies and manufacturing facilities; and a provider of performance and data solutions. Working to be… more
- GRAIL (Durham, NC)
- …and we are using the power of next-generation sequencing (NGS), population-scale clinical studies, and state-of-the-art computer science and data science to overcome ... companies. For more information, please visit grail.com . Reporting to the Senior Director, Quality Strategy & Operational Excellence, the Senior Quality… more
- Covenant Health Inc. (Knoxville, TN)
- Overview Insurance Appeals Senior , Revenue Integrity and Utilization Full Time, 80 Hours Per Pay Period, Day Shift Covenant Health Overview: Covenant Health is the ... and training for the financial services staff with regard to clinical and medical necessity insurance denials. Analyzes all correspondence regarding insurance… more
- Molina Healthcare (Rockford, IL)
- …surveys and federal/state QI compliance activities. **KNOWLEDGE/SKILLS/ABILITIES** The Senior Specialist, Quality Interventions / QI Compliance contributes to ... and Quality Improvement Compliance. + Acts as a lead specialist to provide project-, program-, and / or initiative-related direction and guidance for other… more
- Molina Healthcare (NV)
- **Job Description** **Job Summary** The Senior Specialist, Quality Program Management and Performance implements new and existing healthcare quality improvement ... for key quality program activities. Acts as a lead specialist to provide project, program, and/or initiative related direction. Provides guidance for other… more
- Molina Healthcare (Reno, NV)
- …Member & Community Interventions oversees and implements new and existing clinical quality member intervention initiatives including all lines of business (Medicare, ... other departments. **Job Duties** + Acts as a lead specialist to provide project, program, and/or initiative related direction and guidance for other specialists… more
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