- Guardian Life (Bethlehem, PA)
- …governance processes. Under the direction of the Head of Infrastructure, Cybersecurity and Data /AI - Internal Audit, this position functions as a working IT audit ... integrated audit team. This job is predominately focused on performing high quality , value-add, assurance services that identify, evaluate and report on complex IT… more
- St. Luke's University Health Network (Allentown, PA)
- …of a patient's ability to pay for health care. The Network Provider Services Auditor performs audits as part of the Documentation and Coding Compliance Program for ... SLPG Billing Department. JOB DUTIES AND RESPONSIBILITIES: + Perform quality audits to include reviewing medical record documentation for...of time allocated to each audited provider. + Analyzing data in Excel or other software programs and making… more
- St. Luke's University Health Network (Allentown, PA)
- …RN Clinical Review Appeals Specialist retrospectively reviews patient medical records, claims data and coding of all diagnosis and procedure codes to assure properly ... payers. Meet or exceed established benchmarks for productivity while maintaining quality . + Identify and provide feedback, including identification of trends, to… more
- Olympus Corporation of the Americas (Center Valley, PA)
- …of Regulatory Compliance. The focus will be over the implementation of the Global Quality Systems Processes, compliance with FDA CFR, Part 820, Quality System ... is responsible for executing a global compliance audit program of the quality management system, providing assurance of the effectiveness of the Quality… more
- St. Luke's University Health Network (Allentown, PA)
- …and validate coded medical records of the Professional Coding (PC) staff to determine data quality and accuracy of coding, billing, and documentation related to ... works collaboratively to address any coding and documentation issues. + Analyzes coding data audits to identify trends within the hospital system, and identify areas… more