- IQVIA (Bridgewater, NJ)
- … pharmacy audit requests. **Principal Accountabilities:** + Responsible for conducting pharmacy claims audits at the request of operations and management ... and contracting teams, as necessary. + Responsible for collaboration with pharmacy facilities to acquire and review documentation necessary for assessing and… more
- Chesapeake Regional Healthcare (Chesapeake, VA)
- …services, home health care services, durable medical equipment, rehabilitative therapies, and pharmacy reviews from finance and/or claims department + Prepare ... Summary With direction from the Patient Financial Services Director, the Nurse Auditor / Revenue Integrity/ CDM Analyst is responsible for performing audits of… more
- Henry Ford Health System (Troy, MI)
- Reporting to the Manager, Revenue Integrity, the Revenue Integrity Auditor must have a comprehensive understanding of medical terminology, coding, charge entry, and ... healthcare revenue cycle processes. The Revenue Integrity (RI) Auditor provides support for timely, accurate and inclusive charge capture, coding, billing functions… more
- Health Advocates Network (Coral Springs, FL)
- …! This is a full-time contract position at a nationally recognized independent pharmacy / DME company located in **Coral Springs, FL.** + **Pay Rate: $20.00 per ... group of clinicians to ensure the documentation is clinically sufficient before claims are submitted to insurance companies for payment. Prioritize workloads to… more
- The Cigna Group (Seattle, WA)
- …contractual requirements. **ESSENTIAL FUNCTIONS** + Perform efficient and effective network pharmacy claims audits to produce results consistent with ... professional input to complex Quality Assurance/Audit assignments/projects to identify pharmacy audit risks. Works autonomously, only requiring "expert" level… more