- New York State Civil Service (Albany, NY)
- …HELP No Agency Information Technology Services, Office of Title Information Systems Auditor 3 ITS - 10265 Occupational Category IT Engineering, Sciences Salary Grade ... with directing activities of the Internal Audit Unit. The Information Systems Auditor 3 ITS establishes priorities of technical and operational audits for all… more
- Actalent (Paramus, NJ)
- Job Title: GCP Auditor /Senior Auditor , Quality AssuranceJob Description This position focuses on ensuring GXP compliance with regulatory authorities, driving and ... and conduct audits of specific clinical processes based on risk . + Perform clinical vendor audits along with various...team currently consists of four people, including one GCP auditor and one PV auditor , with additional… more
- Amazon (Herndon, VA)
- …(AWS). We are looking for a motivated Health and Safety (H&S) Lead Auditor to drive safety compliance, continuous improvement, and operational excellence across our ... organizational H&S performance - Support the design and delivery of internal auditor training - Earn trust of operations partners through proactive and continuous… more
- Humana (Richmond, VA)
- …Auditing, Actuarial + Certified Internal Auditor , CPA or CPC strongly preferred + Risk Adjustment knowledge + Experience with risk adjustment ... first** The Risk Management Lead acts as a consultant to the Risk Adjustment team leaders, as programs and initiatives are executed upon. Leveraging risk … more
- Hackensack Meridian Health (Hasbrouck Heights, NJ)
- …obtain within one (1) year of hire. **Licenses and Certifications Preferred:** + Certified Risk Adjustment Coder (CRAC). If you feel that the above description ... serve as a leader of positive change. The **Physician Billing (PB) Coding Auditor and Educator** is responsible for auditing and educating healthcare providers on… more
- UCLA Health (Los Angeles, CA)
- …and Prescription Drug (Part D) programs. In this vital role, you will conduct Risk Adjustment Data Validation (RADV) audits, compliance risk -based audits, ... contribute to the organization's audit work plan, assess operational risk areas, and prepare audit findings that help guide...audit toolkits based on Medicare Advantage and Part D risk areas. * Collaborate with stakeholders and leadership to… more
- WelbeHealth (Columbia, SC)
- …education and experience in coding and auditing + Minimum of two (2) years of Risk Adjustment (HCC) coding experience in a managed care environment + Current ... At the direction of the Coding Supervisor, the Coding Auditor and Educator focuses on ensuring coding is accurate...in provider education programs to ensure compliance with CMS risk adjustments diagnosis coding guidelines + Work closely with… more
- WMCHealth (Valhalla, NY)
- …a large multispecialty practice setting, including surgical speacialties is required. HCC Risk adjustment Coding esperience is preferred. Education: High school ... Network Practice Coder/ Auditor Company: NorthEast Provider Solutions Inc. City/State: Valhalla, NY Category: Clerical/Administrative Support Department: Health Info… more
- Aston Carter (Schaumburg, IL)
- …+ Applied knowledge of accounting concepts, audit methodologies, and risk -based auditing techniques. + Familiarity with The IIA's International Professional ... would like to request a reasonable accommodation, such as the modification or adjustment of the job application process or interviewing process due to a disability,… more
- Dollar Tree (Odessa, TX)
- …Repackages, salvages or destroys according to established guidelines. Provides damage adjustment information to Inventory Control Management. Complies with all FDA, ... policies and procedures. **Safety Conscious:** Does not put self or others at risk of injury. Must be aware of personal responsibility in safety of themselves… more
- Ascension Health (Austin, TX)
- …AAPC and/or AHIMA: Certified Professional Coder (CPC), Certified Risk Adjustment Coder (CRC), Certified Professional Medical Auditor (CPMA), Certified ... Medical Coding experience with at least 2 years specific to Medicare Risk Adjustment /HCC Coding required. + ICD-10 coding experience required. + Experience with… more
- Amazon (Redmond, WA)
- …an individual contributor who is creative, and passionate about delivering Governance, Risk and Compliance solutions to meet Leo's regulatory and external assurance ... responsibilities - Design and drive scalable processes within a GRC (Governance, Risk , and Compliance) framework to ensure compliance with Leo's regulatory and… more
- AIG (Atlanta, GA)
- …of the unit's field operations. This role assists the underwriters by screening risk offerings and with pre and post-binding processes. The role also performs ... the region + Review new submissions against prescribed criteria to determine if risk qualifies for LOB risk appetite. Triages submission for missing information… more
- Amazon (San Francisco, CA)
- …financial and risk analysis. -Support ongoing actuarial support for outside auditor review of financial estimates and results. -Design studies to monitor the ... reporting and ad-hoc analysis relating to cost of care management -Medicare Risk score projections and premium estimation -Design and implement an actuarially sound… more
- SSM Health (MO)
- …scoring. + Collaborates with others regardingclinical documentation improvement (CDI) and risk adjustment (mortality) findings. + Maintains knowledge of Centers ... Performs as a vital member of the interdisciplinary care team member, an auditor , and an educator ensuring medical records are complete and clinical documentation… more
- NCH (Naples, FL)
- …well as applicable organizational policies and procedures. * Experience in MS-DRG and APR-DRGs, risk adjustment , HACs and PSIs, O/E mortality, and LOS. * Working ... assure documentation is clinically appropriate, accurately reflects the severity of illness and risk of mortality for the patient and is reflective of current CMS or… more
- WMCHealth (Valhalla, NY)
- …Applicant link Job Details: Job Summary: Serves as an internal expert on Risk Adjustment and Hierarchical Conditions Categories (HCC) coding. Specific duties ... setting with one or more of the following credentials: Certified Risk Coder (CRC), Certified Professional Coder certification (CPC), Certified Professional Medical… more
- State of Indiana (Indianapolis, IN)
- …This position starts at an annual salary of $47,320 with the opportunity for adjustment based on relevant experience and skill sets of the applicant. The Department ... utilizes three auditor -level classifications based on acquired competencies and demonstrated skill...& TRIU: Work as part of the Department's Taxpayer Risk Investigations Unit to deter, detect and prevent tax… more
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