- Hartford HealthCare (Farmington, CT)
- …recognition programs and other common practices across the system. *_Position Summary:_* The Audit & Education Specialist develops and implements an ... professional standards and healthcare revenue cycle industry practices. The audit and education specialist will support documentation practices that comply… more
- Hartford HealthCare (Farmington, CT)
- …departments as needed . Manages relationship with external denials vendor. Reviews audit findings and schedules quarterly meeting to provide updates on denial ... other resources as appropriate. . Assists with processing HIM Coding validation denial and audit finding letters to third party vendor. . Monitors and follows up on… more
- Hartford HealthCare (Farmington, CT)
- …and other common practices across the system. *_JOB SUMMARY_* The Denials Specialist 1 is responsible for HIM Coding denial resolution and prevention activities ... * Assists with processing HIM Coding validation denial and audit finding letters to third party vendor (HROI). *...the HIM Coding team and communicates findings to Manager. * Education * * Provides education and training on… more
- Elevance Health (Wallingford, CT)
- **Senior Implementation Specialist ** **Location:** This position will work a hybrid model (remote and in office one day per week). Ideal candidates will live within ... CT, Grand Prairie, TX or Louisville, KY. The **Senior** **Implementation Specialist ** will be responsible for implementing payment integrity concepts and executing… more
- RTX Corporation (Farmington, CT)
- …safer, more secure world. We have an exciting opportunity for a Principal Specialist , Business Process Management, also known within the organization as a Material ... Addresses inquiries from SC Compliance regarding customer contract requirements and assists audit research and response activities. + With guidance from SC Advisors,… more
- Paychex (Rocky Hill, CT)
- …clients and service providers via phone, chat, and email. + Completes daily reprint audit and uploads the documentation to the internal audit dashboard. + ... will be determined based on factors such as geographic location, skills, education , and/or experience which may result in total compensation outside of this… more
- Product Connections (Newington, CT)
- …all work assigned. * Assists with preparation for client visits and completes audit corrections. * Builds and maintains rapport with store personnel to effectively ... in an injury. **Qualifications** _Education/Experience:_ High school diploma or general education degree (GED); or one to three months' related experience and/or… more
- Eversource Energy (Berlin, CT)
- …in the applicable systems + Performs system reconciliations and supports SOX and audit requirements\. + Acts as point of contact and communication for end users ... + Provides training and support to end users\. Assists in management reporting projects as required\. **Qualifications:** _Technical Knowledge/Skill:_ + Knowledge of IBM Planning Analytics, PowerPlan, Board, Dimensional Insight and other financialor… more
- Paychex (Rocky Hill, CT)
- …and security of package flow and location. + Complies with all security and audit procedures as required by procedures and policy in order to protect client ... will be determined based on factors such as geographic location, skills, education , and/or experience which may result in total compensation outside of this… more
- Elevance Health (Wallingford, CT)
- …principles, clinical guidelines and objectivity in the performance of medical audit activities. + Draws on advanced ICD-10 coding expertise, clinical guidelines, ... and industry knowledge to substantiate conclusions. + Utilizes audit tools and auditing workflow systems and reference information to make audit determinations… more
- Elevance Health (Wallingford, CT)
- …coding principles, clinical guidelines, and objectivity in the performance of medical audit activities. + Draws on advanced ICD-10 coding expertise, mastery of ... clinical guidelines, and industry knowledge to substantiate conclusions. + Utilizes audit tools, auditing workflow systems and reference information to generate … more
- Hartford HealthCare (Farmington, CT)
- …and payer medical record audits. Provides oversight for designated regulatory audit activity throughout HHC HIM. Oversees and monitor payment protocol through ... and time sensitive; Centers for Medicare & Medicaid Services (CMS) Recovery Audit Contractor (RAC), Executive Health Resources (EHR), appeals and legal requestor(s),… more