- Centene Corporation (Tallahassee, FL)
- …process and tools related to: authorizations, appeals, quality events, and case management in CCMS; interrater reliability related to InterQual; and data entry into ... Registered Nurse (RN), or Licensed Psychologist (Ph.D. or Psy.D.) This supports our Behavioral Health Team in Florida. Pay Range: $55,100.00 - $99,000.00 per year… more
- Elevance Health (Hanover, MD)
- **Clinical Provider Auditor I** **Supports Payment Integrity & Behavioral Health** _Lo_ _cation: This is a field position expected to be in clinic 60% of the ... formerly Payment Integrity, is determined to recover, eliminate and prevent unnecessary medical -expense spending. A proud member of the Elevance Health family of… more
- Legacy Treatment Services (Marlton, NJ)
- Revenue Cycle Management Auditor Job Details Level Entry Job Location Administration - Marlton, NJ Position Type Full Time Education Level High School Travel ... Percentage None Job Shift Day The Revenue Cycle Management Auditor is responsible for auditing Insurance...of Paid Time Off during the first year + Medical , vision, dental and life insurance + 403(b) employee… more
- The County of Los Angeles (Los Angeles, CA)
- …other aspects of the facility including medical , nursing, pharmaceutical, medical record, and social services, program management , diagnostic and treatment ... CONTRACT PROGRAM AUDITOR / EMERGENCY APPOINTMENT HOMELESSNESS Print (https://www.governmentjobs.com/careers/lacounty/jobs/newprint/4263643) Apply CONTRACT PROGRAM … more
- State of Georgia (Fulton County, GA)
- …certification, pricing methodology, and performance monitoring reporting. The Internal Auditor will regularly interact with mid-to-senior level management ... Internal Auditor Georgia - Fulton - Atlanta (https://careers.georgia.gov/jobs/60307/other-jobs-matching/location-only) Financial… more
- Charles Evans Center (Bethpage, NY)
- …and Coding, or related field (Bachelor's degree preferred). + Certified Professional Medical Auditor (CPMA), Certified Coding Specialist (CCS), or similar ... Medical Records Auditor - Independent Contractor;...for historically underserved individuals by offering high-quality and comprehensive medical , dental, and behavioral health care. Our… more
- University of Pennsylvania (Philadelphia, PA)
- …services; and communicating value-added outcomes to the Board of Trustees and senior management . Duties: The Senior Internal Auditor is responsible for planning ... resources, and much more. Posted Job Title Senior Internal Auditor Job Profile Title Internal Auditor Senior...Life, and Flexible Spending Accounts : Penn offers comprehensive medical , prescription, behavioral health, dental, vision, and… more
- Washington Metropolitan Area Transit Authority (Washington, DC)
- Auditor II - Office of Inspector General Job ID: 240754 Location: DC - L'Enfant Plaza Full/Part Time: Full-Time Posting Open-Close 12/30/2024 - 01/20/2025 Union NRP ... **m Qualifications:** **Education** + Bachelor's degree in Accounting, Business Administration/ Management , Finance, or related field **Experience** + A minimum of… more
- Texas Health Resources (Plano, TX)
- …for internal/external auditors to clarify charging methodologies. Works closely with Medical Management ; Corporate Compliance; Central Business Office and entity ... Nurse Auditor Billing Our growing hospital is seeking a...Do * Performs audits of patient charge sheet and medical records to ensure accuracy of charges using knowledge… more
- MedKoder (Mandeville, LA)
- …MedKoder's internal coding/auditing policies and expectations set forth by department management . Physician Coding Auditor must prioritize daily duties, ... remote position that offers a flexible schedule. Description: Physician Coding Auditor is responsible for reviewing and accurately coding all professional… more
- State of Indiana (Indianapolis, IN)
- BMV Senior Internal Auditor Date Posted: Jan 6, 2025 Requisition ID: 454463 Location: Indianapolis, IN, US, 46204 Work for Indiana Begin a fulfilling career with the ... systems + Embrace product innovation Role Overview: The Senior Internal Auditor completes risk-based internal audits in operations, finance, and information… more
- Baylor Scott & White Health (Temple, TX)
- …on position type and/or level **JOB SUMMARY** **HYBRID POSITION** The Appeals & Grievances ( Medical Auditor ) RN conducts reviews of medical records, and plan ... adverse determinations, including all age ranges (newborn to elderly), inpatient/outpatient medical and behavioral settings, medical /surgical procedures, and… more
- LifePoint Health (Brentwood, TN)
- *Senior Specialist Process Auditor * *Who we are:* At Lifepoint Health, we provide quality healthcare to rural communities. As a valued member of our team, you will ... healthcare delivery network.Our network includes 60 community hospitals, 60 rehabilitation/ behavioral health hospitals, and 250 additional sites of care across… more
- Williams Adley (Washington, DC)
- …be trained on information pertaining to Federal laws, the US Office of Management and Budget, and the National Institute of Standards and Technology (NIST) ... lead in this role. Duties and Responsibilities: + Assist Management and Senior Associates in performing test procedures +...Cybersecurity, Accounting, or equivalent experience working as an IT Auditor or Consultant for a public accounting firm or… more
- Sage Hospitality Group (Denver, CO)
- …Date: 1/10/25 or until filled** Sage Hospitality Group is set to hire a **Night Auditor ** to join the Hotel Teatro team! Step into a world where history meets modern ... Audit, balance and prepare, verify and report on Room information to provide rooms management with a picture of how they are performing. Prepare and input statistics… more
- Kanaan Communications, LLC (Alpharetta, GA)
- …you may have found your next career move. We're looking for a Quality Control Auditor , based out of Alpharetta, GA, to join our team and help connect America. **This ... + Paid Time Off, Parental Leave, and Holidays + Insurance (including medical , prescription drug, dental, vision, disability, life insurance) + 401(k) w/ Company… more
- Molina Healthcare (Mesa, AZ)
- …3-5 years in case management , disease management , managed care or medical or behavioral health settings. + One year of auditing/ clinical review ... of registered nurse and other clinical functions in Utilization Management (UM), Case Management (CM), Member Assessment...+ Audits for clinical gaps in care from a medical and/or behavioral perspective to ensure member… more
- Molina Healthcare (Reno, NV)
- …, disease management or utilization management in managed care, medical or behavioral health settings. + Two years of clinical auditing/review ... monthly auditing of registered nurse and other clinical functions in Utilization Management (UM), Case Management (CM), Member Assessment Team (MAT), Health… more
- Molina Healthcare (San Francisco, CA)
- …and process audits, as needed. + Audits for clinical gaps in care from a medical and/or behavioral perspective to ensure member needs are being met. + Assesses ... monthly auditing of registered nurse and other clinical functions in Utilization Management (UM), Case Management (CM), Member Assessment Team (MAT), Health… more
- A Bright Future, Inc. (American Canyon, CA)
- TITLE: RBT - Registered Behavioral Technician STATUS: Full - Time Regular CLASSIFICATION: Non-Exempt PROGRAM HOURS: Specific to the Assigned Region or Region(s) ... to ensure continued growth and prosperity. DEFINITION: An RBT - Registered Behavioral Technician; is a specialized Behavior Therapist who provides direct in-home… more