- Vanderbilt University Medical Center (Nashville, TN)
- … subject matter expertise with staff. Performs audits of inpatient and/or outpatient coding . Understands and applies quality standards to all aspects of the ... improvement. Supports denials management process and other initiatives. . **INPATIENT CODING EXPERIENCE REQUIRED / Auditor Background Preferred** KEY… more
- UNC Health Care (Chapel Hill, NC)
- …clarifies existing documentation. 4. Performs pre-bill and/or post-bill audits for assigned coding teams. 5. Adheres to departmental quality and production ... and well-being of the unique communities we serve. Summary: Serves as a lead employee who audits coded records for multiple specialties. Analyzes coded records for… more
- State of Maine, Bureau of Human Resources (Augusta, ME)
- UC Quality Assurance Auditor Augusta , Maine , United States | Audit | Full-time Apply by: June 17, 2024 Apply with Linkedin Apply Department of Labor - Bureau ... our team! We currently have an opening for a Quality Assurance Auditor (QAA) in our Benefit...employers, claimants, and other parties, summarizing findings and entering coding into a USDOL system application. BAM investigation findings… more
- Vanderbilt University Medical Center (Nashville, TN)
- …with staff. Performs audits of inpatient documentation. Understands and applies quality standards to all aspects of the documentation integrity program. Provides ... data, to identify trends and patterns. Identifies areas for strategic audits, coding education and improvement. * Creates detailed reports based on audit findings… more
- Sevita (San Antonio, TX)
- …deserves to live a full, more independent life. We provide people with quality services and individualized supports that lead to growth and independence, ... and experience a career well lived. Summary The Senior Clinical Compliance Auditor is responsible for developing, auditing plans, and collaborating with Operations… more
- Capital One (Mclean, VA)
- …function is a dedicated group of professionals focused on delivering top- quality assurance services to the organization's Audit Committee. Audit professionals are ... opportunity.** **Capital One is seeking an energetic, self-motivated Cyber Risk Auditor (Experienced Senior) with experience evaluating and analyzing technology and… more
- Point32Health (SC)
- …established coding standards as well as CMS and ACA Risk Adjustment guidelines. The Coding Specialist II will lead efforts to evaluate the HCC coding ... to everyone in our communities. At Point32Health, we are building on the quality , nonprofit heritage of our founding organizations, Tufts Health Plan and Harvard… more
- Capital One (Plano, TX)
- …function is a dedicated group of professionals focused on delivering top- quality assurance services to the organization's Audit Committee. Audit professionals are ... cloud and cyber, emerging technology, application and project audits; ability to lead and inspire a team of high performing individuals; demonstrated success… more
- Capital One (Mclean, VA)
- …function is a dedicated group of professionals focused on delivering top- quality assurance services to the organization's Audit Committee. Audit professionals are ... cybersecurity, risk management, application, and third-party management, as well as lead small to medium size audits. -Perform risk assessments of business… more
- Trinity Health (Columbus, OH)
- …collection, verification, integration and reporting. **What you'll do:** + Responsible for overall quality of input and output from the plan's data system for both ... meeting MCHP's strategic initiatives while assisting with health plan scorecards, quality analytic applications and models. + Analyzes the effectiveness, efficiency,… more
- Capital One (Mclean, VA)
- …function is a dedicated group of professionals focused on delivering top- quality assurance services to the organization's Audit Committee. Audit professionals are ... risk management, application, and third-party management, as well as lead small to medium size audits.** + **Perform risk...multiple priorities and tasks across the team to deliver quality results.** + **Coordinate with others and proactively take… more
- Penn Medicine (Bala Cynwyd, PA)
- …Subject matter expert for hospital related content to include ICD-10/CPT/HCPCS coding , medical necessity, and appeal activity. vi) Coordinates internal medical ... assistance of legal counsel should be sought. + Directs appeals process for coding , validation, and medical necessity reviews. + Main point of contact with external… more
- University of Rochester (Rochester, NY)
- …, primarily reviewing selected patient cases to ensure compliance with protocol; assist Lead Auditor in compiling information gathered during the audit for the ... sites using a wide variety of data capture methods and ensuring data quality and security **Research related activities** + Use independent judgment on how and… more
- Beth Israel Lahey Health (Charlestown, MA)
- …to include cash, A/R days, productivity by area, denial reduction, quality measures, staff productivity and other Revenue Cycle KPI's. Communicates organizational ... to support Medicare, Medicaid, and other regulatory filings, supporting financial and government auditor data requests, and serving as a liaison to the System &… more
- Ventura County (Ventura, CA)
- …National Recreation Area. Ventura County's beauty and weather combined with a wonderful quality of life are among the many reasons our residents choose to call ... of multiple operational factors; positions may also be assigned functional, technical and lead supervisory duties over lower level staff when such assignments are a… more
- CIBC (Chicago, IL)
- …responsibility in the US Region over the SOX/ICFR Governance Office and the Quality Assurance over Regulatory Reporting function, and also will be responsible for ... impact financial and regulatory reporting, and changed regulatory guidance or auditor expectations with respect to design and operating effectiveness of internal… more
- General Dynamics Information Technology (Salt Lake City, UT)
- …- Global Information Assurance Certification (GIAC), CISA: Certified Information Systems Auditor - ICASA, GCIH: GIAC Certified Incident Handler - Global Information ... system/security engineering principles, secure design, secure architecture, and secure coding techniques. This position's main function is working within Special… more
- University of Rochester (Rochester, NY)
- …Supports strategy development for student benefit design by ensuring that a high quality , affordable health insurance plan is available for UR students by reviewing ... from DFS, Aetna, our actuary, our accountant and our auditor and make recommendations on how to best respond...laws, and medical billing rules. + Ensures compliance with coding and billing for services provided, including educating providers… more
- Dignity Health (Rancho Cordova, CA)
- …in San Francisco Dignity Health is dedicated to providing compassionate high- quality and affordable patient-centered care with special attention to the poor ... and directs Revenue Integrity staff to include; Revenue Integrity Manager, Clinical Auditor (RN) and Revenue Integrity Analysts and Charge Capture Analysts +… more