- H&H (New Haven, CT)
- We are offering an exciting opportunity for a Quality Auditor to join the H&H Quality Department in our New Haven, CT office. The Quality Auditor ... inspection of the project's quality control documents and system. The Quality Auditor will prepare audit reports and assessments and assist the Quality … more
- Humana (Hartford, CT)
- … Quality Team is looking is an experienced and well-grounded medical coding auditor to quality review the inpatient hospital claims for proper reimbursement, ... and help us put health first** In this role, you will conduct quality reviews of coding processes within the Claims Cost Management organization, including offshore… more
- WTW (Hartford, CT)
- **Description** Quality Auditors Are Integral Members Of Our Account Management Teams Who Proactively Obtain, Compile And Follow Up On Information Critical To ... Surety, Including In An Insurance Brokerage Environment + Achieve And Maintain A 99+% Quality Score In Production + Experience Working With Epic And Sure Path EOE,… more
- Baylor Scott & White Health (Hartford, CT)
- **JOB SUMMARY** The Coding Auditor 1 is proficient in various types of coding and is responsible for performing coding quality audits and providing feedback to ... coders. The Coding Auditor 1 utilizes the International Classification of Disease (ICD-10-CM/PCS),...experience. **ESSENTIAL FUNCTIONS OF THE ROLE** Performs routine coding quality reviews on all coders including third party suppliers… more
- Elevance Health (Wallingford, CT)
- **Internal Auditor , Senior** **Location:** This role requires associates to be in-office 1-2 days per week, fostering collaboration and connectivity, while providing ... adaptable workplace. Alternate locations may be considered. The **Internal Auditor , Senior** is responsible for conducting financial/operationalaudits, internal control… more
- Elevance Health (Wallingford, CT)
- **DRG CODING AUDITOR ** **Location** : _This position will work virtually._ _Alternate locations may be considered._ The **DRG CODING AUDITOR ** is responsible for ... auditing inpatient medical records and generating high quality recoverable claims for the benefit of the company,...and generate audit findings letters. + Maintains accuracy and quality standards as set by audit management for the… more
- Elevance Health (Wallingford, CT)
- **Diagnosis Related Group Clinical Validation Auditor -RN** **Virtual:** This role enables associates to work virtually full-time, with the exception of required ... onboarding and skill development. The **Diagnosis Related Group Clinical Validation Auditor ** is responsible for auditing inpatient medical records to ensure… more
- Prime Therapeutics (Hartford, CT)
- …passion and drives every decision we make. **Job Posting Title** Pharmacy Claims Auditor - Remote **Job Description** The Pharmacy Claims Auditor is responsible ... year of work experience in an operations, audit or quality assurance environment + Must be eligible to work...new ideas and work collaboratively to provide the highest quality of care and service to our members. If… more
- Highmark Health (Hartford, CT)
- …and retrospective coding audit activities. Reviews medical records to determine data quality and accuracy of coding, billing and documentation related to DRGs, APCs, ... processes as it relates to the DRG/APC and other clinical data quality management factors. With technical direction and assistance from management, designs and… more
- Marriott (Wallingford, CT)
- …relationships with others; support team to reach common goals. Comply with quality assurance expectations and standards. Move, lift, carry, push, pull, and place ... objects weighing less than or equal to 25 pounds without assistance. Reach overhead and below the knees, including bending, twisting, pulling, and stooping. Stand, sit, or walk for an extended period of time or for an entire work shift. Perform other… more
- Allegion (Farmington, CT)
- …support end-user problem solving visits + Serve as subject matter expert and internal auditor for ISO9001 based quality system + Interface on regular basis with ... tools (caliper, micrometer, scale, height gage, etc.) + Lead auditor or competence within ISO-9001/TS-16949/AS 9100 quality ...Lead auditor or competence within ISO-9001/TS-16949/AS 9100 quality systems + Proficient in the use of Microsoft… more
- Hilton (Hartford, CT)
- …owner relations, and more, for all of Hilton's unique brands\! As Manager, QA Auditor , you will support the team that leads our brands with the steadfast goal ... growing the Hilton portfolio\. On the Brands team reporting to Area Manager Quality Assurance, you will perform numerous QA audits and have responsibility for 100… more
- CVS Health (Hartford, CT)
- …we do it all with heart, each and every day. **Position Summary** Claim Audit Quality Analysts need to have a wide depth and breadth of knowledge of several ... all these areas is imperative to be an effective auditor . The QA analyst must be able to effectively...work in a high production environment, while maintaining high quality standards. **Required Qualifications** 1-2 years of Claims 1+… more
- Nelnet (Rocky Hill, CT)
- …Certified Information System Security Professional (CISSP) + Certified Information Systems Auditor (CISA) + Certified Information Security Manager (CISM) + Certified ... Internal Auditor (CIA) + GIAC Systems and Network ...virtualization, cybersecurity principles, and emerging IT trends. + Creating high- quality deliverables using appropriate business and technical language. Our… more
- Eversource Energy (East Berlin, CT)
- …and other supporting documentation which supports audit conclusions to ensure the quality of audit work and accomplishment of audit objectives\. + Support staff ... Certifications:_ + Certification in an auditing related discipline \(Certified Internal Auditor \- CIA, Certified Public Accountant \- CPA, Certified Information… more
- Wolters Kluwer (Glastonbury, CT)
- …of Excellence ("LBACOE"), which consists of Legal Invoice Analysts, Quality Assurance Analysts, Operations Support Specialists, Managers, Associate Directors, and ... as needed. Further your responsibility is for the creation and implementation of quality assurance methodologies, subject to approval by management, as well as the… more
- Elevance Health (Wallingford, CT)
- …but are not limited to: + Lead the development and execution of high- quality assessments of the Company's complex processes and controls (including pharmacy) for ... to support the work performed. + Present any findings/deficiencies to the lead auditor along with recommendations for remediation. + Work with business partners to… more
- Elevance Health (Wallingford, CT)
- …is responsible for managing the process for claims and customer service audits/ quality control reviews, including implementation audits, for National and Large Local ... audit schedule. + Reviews, negotiates, and approves scope presented by external auditor . + For implementation audits, ensures the claims system is coded accurately… more
- State of Connecticut, Department of Administrative Services (Hartford, CT)
- …, providing you with peace of mind and access to quality healthcare. + Robust pension plan and supplemental retirement offerings to ... General and Special Experience: Certified Public Accountant, Certified Internal Auditor . PREFERRED QUALIFICATIONS + Experience preparing and reviewing governmental… more
- Trinity Health (Hartford, CT)
- …and Trinity goals and objectives. + Reviews and responds to various quality reports, including reports that identify missing charges, duplicate charges, late ... for decision making purposes. + Works collaboratively with the THMG Professional Billing, Auditor , and Educator team and manager on results of the regional coding… more