- AIG (Atlanta, GA)
- Claims , QA Specialist - Worker's Compensation Join us as a Claims QA Specialist to make more of your specialist expertise and experience. Make your ... to succeed + Fluent English with additional language skills, desirable. + Proven claims experience handling and auditing Workers Compensation claims . Similar… more
- Abbott (Orlando, FL)
- …Analyst I, QA, you'll have the chance to analyze and audit claims , including the billing, collections and insurance verification functions. Apply sampling methods ... and other procedures that ensure that quality standards are met. **Principle Responsibilities** The following reflects management's definition of essential functions… more
- Southwire (Starkville, MS)
- EHS & Quality Specialist Apply now " **Date:** Nov 26, 2024 **Location:** Starkville, MS, US, 39759 **Company:** Southwire Company LLC A leader in technology and ... the general supervision of the site leader, the COZ specialist supports the EHS and Quality standards,...and assist CSC personnel and management with safety and quality related problems. Assists in auditing CSC… more
- Trinity Health (Livonia, MI)
- …program. This role is primarily responsible for the functions of coding, auditing , monitoring, and education delivery efforts for professional services which relies ... thorough understanding of the Medicare Physician Fee Schedule, Medicare Claims Processing Manual, National Correct Coding Initiatives, current procedural… more
- Koniag Government Services (Chantilly, VA)
- …Solutions,** a Koniag Government Services company, is seeking an Oracle Database Specialist to support **ATS** and our government customer in Chantilly, VA. **This ... IV, ESSENCE, and PHIMT, which are essential for managing healthcare claims , provider credentialing, human resources, cost allocation, disease surveillance, and… more
- Air National Guard Units (Toledo, OH)
- …EXCEPTED SERVICE POSITION. This National Guard position is for an IT CYBERSECURITY SPECIALIST (INFOSEC), Position Description Number NGT5894000 and is part of the OH ... of the Intelligence Flight Chief. Responsibilities As an IT CYBERSECURITY SPECIALIST (INFOSEC), GS-2210-12, you will perform the following duties: 1. Serves… more
- MyFlorida (St. Petersburg, FL)
- …action, equal employment opportunity, regulatory work as a paraprofessional or higher, claims adjusting, auditing , financial examining, land appraisal work, land ... OPS INVESTIGATION SPECIALIST II - 64801128 Date: Nov 8, 2024...Estimator Tool (https://compcalculator.myflorida.com/) Department of Health Division of Medical Quality Assurance Bureau of Enforcement Investigative Services Unit -… more
- Actalent (Waltham, MA)
- Job Title: Safety Specialist Job Description: We are seeking a dedicated Safety Specialist to ensure compliance with safety protocols and regulations on active ... providing onsite safety training and education. Collaborating with project management, quality control, subcontractors, and other personnel, you will help foster a… more
- Wabtec Corporation (Minneapolis, MN)
- …generations, and we want someone who is ready to move with us. **Materials Specialist - Locomotive Maintenance Facility - Minneapolis, MN** **Who will you be working ... required, including having a flexible work schedule to perform auditing and training on various shifts. + The ability...We provide in-depth technical training to give our materials specialist the knowledge and expertise needed to be successful.**… more
- Wabtec Corporation (Chicago, IL)
- …we want someone who is ready to move with us. **Locomotive Materials Specialist ** Don't have experience with locomotives? That's ok! We provide in-depth training to ... give our materials specialist the knowledge and expertise needed to be successful....required, including having a flexible work schedule to perform auditing and training on various shifts. **What will your… more
- St. Luke's University Health Network (Allentown, PA)
- …of a patient's ability to pay for health care. The Coding Appeals Specialist retrospectively reviews patient medical records, claims data and coding of ... CPT, are assigned to support the services/treatment rendered. The Coding Appeals Specialist also prepares appeal arguments and/or letters to support and defend the… more
- UCLA Health (Los Angeles, CA)
- …and appeals. Leverage your expertise to support UCLA Health's commitment to accuracy and quality in claim processing. As an Audit and Appeals Specialist , you ... initiatives Join UCLA Health to uphold high standards in healthcare auditing and compliance, contributing to operational excellence. Salary Range: $28.30 -… more
- Wabtec Corporation (St. Paul, MN)
- …on various days as required, including having a flexible work schedule to perform auditing and training on various shifts. + The ability to maintain reliable and ... That's ok! We provide in-depth technical training to give our materials specialist the knowledge and expertise needed to be successful.** **What will your… more
- Government Publishing Office (Washington, DC)
- …District of Columbia. Responsibilities Plan, conduct, and complete Generally Accepted Government Auditing Standards audits that are of high quality , accurate, ... A. You must have a degree in accounting or auditing from an accredited college or university; or a...provide transcripts or other documentation to support your educational claims . Unless otherwise stated: (1) official or unofficial transcripts… more
- Elevance Health (Morristown, NJ)
- …in applicable state(s). + Requires a minimum of 10 years of experience in claims auditing , quality assurance, or clinical documentation improvement, and a ... The **Diagnosis Related Group Clinical Validation Auditor** is responsible for auditing inpatient medical records to ensure clinical documentation supports the… more
- Chesapeake Regional Healthcare (Chesapeake, VA)
- …record and other applicable hospital documentation, assigning modifiers to appropriate claims , researching edited claims for medical necessity, and advising ... patient requested audits in a timely manner. Perform random quality audits as schedule permits + Work and review...integrity of charge data prior to billing interface and claims submission + Utilize a computerized encoding system to… more
- Ascension Health (Indianapolis, IN)
- **Details** + **Department:** Quality Assurance + **Schedule:** Monday-Friday + **Hospital:** Ascension Medical Group, Clinic + **Location:** Off-site, Indianapolis, ... Advisor for additional specifics._ **Responsibilities** Perform periodic and ongoing audits of claims to ensure accuracy of coding and billing, and sufficiency of… more
- Hackensack Meridian Health (Hackensack, NJ)
- …ensuring coding accuracy, coding consistency and efficiency in filing of inpatient claims . Collaborates with the Clinical Documentation Quality Liaison to assist ... processing and data management responsibilities. + Knowledge in Patient Safety/ Quality Management. + Auditing experience. **Licenses and Certifications… more
- Office of Inspector General (Alexandria, VA)
- …must also include one of the following: Twenty-four semester hours in accounting or auditing courses of appropriate type and quality . This can include up to ... or equivalent or higher grade, in the Federal Service. Basic Requirement: Degree: accounting, auditing ; or a degree including auditing courses in a related field… more
- Walmart (Bentonville, AR)
- …mode/data set). Articulates the levers that influence data. Ensures data quality and organizes processes information for analysis. Leverages visualization techniques ... Possesses knowledge of: OSHA guidelines; compliance, safety, and food safety auditing processes; regulatory inspection processes; emergency evacuations plans. To be… more