- Elevance Health (Atlanta, GA)
- **Nurse Auditor Senior - Payment Integrity Complex and Clinical Audit** **Location:** This role enables associates to work virtually full-time, with the ... eliminate and prevent unnecessary medical-expense spending. The **Nurse Audit Senior ** will be responsible for identifying, monitoring, and analyzing aberrant… more
- Actalent (Paramus, NJ)
- Job Title: GCP Auditor / Senior Auditor , Quality Assurance The GCP Quality Assurance Auditor / Senior Auditor will play a crucial role in ensuring ... will conduct both internal and external GXP audits and provide day-to-day support to the GXP QA Director in... day-to-day support to the GXP QA Director in clinical operations, non- clinical , and manufacturing processes. This… more
- Mount Sinai Health System (New York, NY)
- **Job Description** ** Clinical Revenue Auditor -CDM Patient Financial Services-Corporate-Full-Time-Days- Hybrid.** The Clinical Revenue Auditor for the ... compliance of the organization and bridges the gap between clinical care and medical billing and reimbursement. This position...billing and reimbursement. This position will report to the Senior Director. This role will serve as a crucial… more
- University of Washington (Seattle, WA)
- **Job Description** The senior healthcare auditor is responsible for the completion of internal audits within the clinical integrated parts of the University ... based primary care clinics, and an air medical transport. Senior healthcare auditors are also expected to be familiar...and conclusions drawn so other reviewers can follow the auditor 's logic and methodology. . Effectively evaluates audit results,… more
- Integra LifeSciences (Princeton, NJ)
- …to advance patient outcomes and set new standards of care. **SUMMARY** The Senior Quality Compliance Manager will lead, coordinate and perform corporate audits of ... status of the facilities audited. This role as a Subject Matter Expert (SME), will provide internal consultancy on area(s) of expertise to the audit team as well as… more
- Memorial Sloan-Kettering Cancer Center (New York, NY)
- …our mission at MSK and around the globe. Exciting Opportunity at MSK: ** Senior Healthcare Coding & Billing Compliance Specialist ( Auditor )** At Memorial Sloan ... highest standards of integrity and accountability across our institution. As a ** Senior Healthcare Coding & Billing Compliance Specialist ( Auditor )** , you'll… more
- Bristol Myers Squibb (Indianapolis, IN)
- …your application should be directed to Chat with Ripley. R1594472 : Senior Quality Auditor **Company:** Bristol-Myers Squibb **Req Number:** R1594472 ... environment. We offer a wide variety of competitive benefits, services and programs that provide our employees with the resources to pursue their goals, both at work… more
- Northwell Health (Lake Success, NY)
- …data and identify trends. + Exceptional communication skills for engaging with senior leadership and clinical staff. + Experience working with regulatory ... **Req Number** 174853 Lead Compliance Auditor - Heavy Anesthesia & Healthcare Expertise Needed. This is a HYBRID position- MUST be in the office located in… more
- Guthrie (Sayre, PA)
- Option to be Hybrid/Remote. Summary: A senior level compliance coding auditor conducting assessments in accordance with The Guthrie Clinic's policies and ... Physician coding and billing and/or compliance field required 5 year of clinical experience and/or knowledge and understanding of Medical Records auditing process… more
- University of Southern California (Alhambra, CA)
- … clinical service delivery (nursing or allied health), coding, provider billing, medical records, charge audit environment, CDM maintenance, Medicare/Medicaid ... As the center of clinical charge capture, the Revenue Integrity (RI) Specialist...the billing system and CDM management tools . The Senior RI Specialist shall ensure that the Chargemaster (CDM)… more
- The County of Los Angeles (Los Angeles, CA)
- SENIOR ACCOUNTING SYSTEMS TECHNICIAN/EMERGENCY APPOINTMENT Print (https://www.governmentjobs.com/careers/lacounty/jobs/newprint/4827686) Apply SENIOR ... Office of Diversion and Reentry seek qualified candidates to fill emergency Senior Accounting Systems Technician vacancies related to the homelessness crisis. Under… more
- Cardinal Health (Phoenix, AZ)
- …CAH) is a global healthcare services and products company. We provide customized solutions for hospitals, healthcare systems, pharmacies, ambulatory surgery centers, ... clinical laboratories, physician offices and patients in the home....operator of nuclear pharmacies and manufacturing facilities; and a provider of performance and data solutions. Working to be… more
- University of Maryland, Baltimore (Baltimore, MD)
- …financial and budgetary reports to ensure timely and effective decision making by senior department management. * Provide general direction and leadership for ... an exciting opportunity for a Director, Finance for a Clinical Department.* The Department of Psychiatry has a tripartite...staffed with 85 full-time and 30 part-time faculty, and provide a robust array of evidence based services both… more
- Cardinal Health (Annapolis, MD)
- …CAH) is a global healthcare services and products company. We provide customized solutions for hospitals, healthcare systems, pharmacies, ambulatory surgery centers, ... clinical laboratories, physician offices and patients in the home....operator of nuclear pharmacies and manufacturing facilities; and a provider of performance and data solutions. Working to be… more
- Dana-Farber Cancer Institute (Brookline, MA)
- …MA, RI, CT)** Reporting to the Director of Billing Compliance, the Senior Billing Compliance Reviewer ensures the integrity, accuracy, and regulatory compliance of ... payer, and institutional billing guidelines as well as national coding guidelines. The Senior Reviewer will assist in the development and execution of the annual… more
- Covenant Health Inc. (Knoxville, TN)
- Overview Insurance Appeals Senior , Revenue Integrity and Utilization Full Time, 80 Hours Per Pay Period, Day Shift Covenant Health Overview: Covenant Health is the ... and training for the financial services staff with regard to clinical and medical necessity insurance denials. Analyzes all correspondence regarding insurance… more
- Molina Healthcare (WA)
- **Job Description** **Job Summary** The Senior Specialist, Quality Program Management and Performance implements new and existing healthcare quality improvement ... for key quality program activities. Acts as a lead specialist to provide project, program, and/or initiative related direction. Provides guidance for other… more
- Molina Healthcare (NE)
- …Member & Community Interventions oversees and implements new and existing clinical quality member intervention initiatives including all lines of business (Medicare, ... other departments. **Job Duties** + Acts as a lead specialist to provide project, program, and/or initiative related direction and guidance for other specialists… more
- The County of Los Angeles (Los Angeles, CA)
- …-AND- One year's professional auditing or accounting experience at the level of Senior Accountant Auditor ,** Senior Accounting Systems Technician, or ... medical specialty and subspecialty. In addition to its direct clinical services, DHS also runs the Emergency Medical Services...at the level of Los Angeles County class of Senior Accountant Auditor is defined as: Supervises… more
- Stanford Health Care (Palo Alto, CA)
- …direction of the Controller's Office at Stanford Health Care. + Ability to provide clear and concise information/presentations to Senior Executive Team. + ... critical role in shaping the financial integrity of the organization. As a senior member of the team, this individual actively contributes to process improvement… more
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