- Humana (Augusta, ME)
- …caring community and help us put health first The Inpatient Medical Coding Auditor extracts clinical information from a variety of medical records and assigns ... codes (eg, ICD-10-CM, CPT) to patient records. The Inpatient Medical Coding Auditor work assignments involve moderately complex to complex issues where the analysis… more
- Humana (Augusta, ME)
- …our caring community and help us put health first** The Medical Coding Auditor reviews medical claims submitted against medical records provided to ensure correct ... coding guidelines are met. The Medical Coding Auditor work assignments are varied and frequently require interpretation and independent determination of the… more
- Baylor Scott & White Health (Augusta, ME)
- **JOB SUMMARY** The Coding Auditor 1 is proficient in various types of coding and is responsible for performing coding quality audits and providing feedback to ... coders. The Coding Auditor 1 utilizes the International Classification of Disease (ICD-10-CM/PCS),...year of the experience should be as a coding auditor : Registered Health Information Administrator (RHIA) Registered Health Information… more
- Zurich NA (Augusta, ME)
- Premium Audit Auditor II 117003 Zurich North America is hiring an Premium Audit Auditor II to join our team! We are open to hiring talent in one of the following ... Texas, Vermont, Virginia, West Virginia, or Wisconsin. As a Premium Audit Auditor II you will be performing examination of policyholder's accounting and financial… more
- WelbeHealth (Augusta, ME)
- …better quality and compassion in a value-based model. The Regulatory Compliance Auditor is accountable for administering internal and external audits to ensure ... compliance with WelbeHealth, state, and federal requirements. The Compliance Auditor facilitates collaborative relationships across internal WelbeHealth teams and… more
- ISC2 (Augusta, ME)
- …empowers all of our successes. Learn more. **Position Summary** The Staff Internal Auditor plays a crucial role in ensuring ISC2's internal controls over financial, ... operational, and compliance activities. The Staff Internal Auditor will work closely with the internal audit team to conduct audits, evaluate internal controls, and… more
- Teradata (Augusta, ME)
- …That's why we built the most complete cloud analytics and data platform for AI. By delivering harmonized data, trusted AI, and faster innovation, we uplift and ... empower our customers and our customers' customers to make better, more confident decisions. The world's top companies across every major industry trust Teradata to improve business performance, enrich customer experiences, and fully integrate data across the… more
- J&J Family of Companies (Augusta, ME)
- …specific assignments. + May conduct internal and supplier audits. Certified as a lead auditor in ISO13485:2016 would be an asset. Familiarity with IEC 60601 and IEC ... 62304 is an asset. + Processing, investigating, and completing customer complaints, which could require direct email responses to customers. + Composes technical complaint reports timely and accurately based on reported information and device investigation… more
- Humana (Augusta, ME)
- …annual standard and nonstandard supplemental data audit with NCQA and DTS auditor . **Use your skills to make an impact** **Required Qualifications** + Bachelor's ... Degree in any of the following disciplines: Computer Science, Management Information Systems, Math, Statistics or equivalent work experience + Minimum 5 years' experience working with healthcare or lab data + Minimum 3 years of experience in a data focused… more
- Hilton (Augusta, ME)
- …owner relations, and more, for all of Hilton's unique brands\! As Manager, QA Auditor , you will support the team that leads our brands with the steadfast goal ... of strengthening and growing the Hilton portfolio\. On the Brands team reporting to Area Manager Quality Assurance, you will perform numerous QA audits and have responsibility for 100 hotels in your territory\. Your main duty is to protect the integrity of the… more
- CVS Health (Augusta, ME)
- …Certification - Certified Professional Biller (CPB), Certified Professional Medical Auditor (CPMA), Certified Outpatient Coder (COC), Certified Risk Adjustment Coder ... (CRC) Licensed Clinical Social Worker (LCSW) Licensed Independent Social Worker (LISW) Licensed Master Social Worker (LMSW) **Education** Bachelor, Associates Degree or work equivalent Certification as a Certified Professional Coder (CPC) **Pay Range** The… more
- Sedgwick (Augusta, ME)
- …and procedures are implemented and followed to achieve efficient operations and meet auditor requirements. + Acts as a resource and emissary for clients through ... attending Board meetings, assisting with strategic planning, financial analyses, benchmarking, and other strategies. + Takes ownership of accounting and reporting needs for a national pooling organization. + Plans, organizes, and reports financial status and… more
- Humana (Augusta, ME)
- …Support annual standard and nonstandard supplemental data audit with NCQA and DTS auditor . **Use your skills to make an impact** **Role Essentials** + Bachelor's ... degree + Minimum 8 years' experience working with healthcare data and/or lab data experience + Minimum 3 years' experience of data analytics and business intelligence platform to include but not limited to SQL, Tableau, PowerBI, and others + Minimum 5 years'… more
- Ryder System (Augusta, ME)
- …Other Certified Information Systems Security Professional (CISSP), Certified Information Systems Auditor (CISA), or Certified in Risk and Information Systems Control ... (CRISC) or Certified Cloud Security Professional (CCSP) credentials or International Association of Privacy Professionals (IAPP) **Travel:** 1-10% **DOT Regulated:** None **Job Category:** Information Security **Compensation Information** : The compensation… more
- Highmark Health (Augusta, ME)
- …Certified Information Security Manager (CISM), Certified Information Systems Auditor (CISA), Global Information Assurance Certification Security Essentials ... Certification (GSEC), SANS or similar industry certifications **TRAVEL REQUIREMENT:** 0%- 25% **LANGUAGE REQUIREMENT (** **_other than English_** **)?** None **PHYSICAL, MENTAL DEMANDS AND WORKING CONDITIONS** ( _The physical, mental demands and working… more