• Clinical Services Auditor

    Molina Healthcare (Jackson, MS)
    …+ Performs monthly auditing of registered nurse and other clinical functions in Utilization Management (UM), Case Management (CM), Member ... Management (HM), and/or Disease Management (DM). + Monitors key clinical staff for compliance with NCQA, CMS, State and...NCQA, CMS, State and Federal requirements. May also perform non- clinical system and process audits, as needed. + Assesses… more
    Molina Healthcare (10/17/24)
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  • Inpatient Medical Coding Auditor

    Humana (Jackson, MS)
    …our caring community and help us put health first The Inpatient Medical Coding Auditor extracts clinical information from a variety of medical records and ... ICD-10-CM, CPT) to patient records. The Inpatient Medical Coding Auditor work assignments involve moderately complex to complex issues...**What Humana Offers** We are fortunate to offer a remote opportunity for this job. Our Fortune 100 Company… more
    Humana (11/02/24)
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  • Senior Director Global Quality Assurance, Audits…

    Fujifilm (Jackson, MS)
    …internally and externally with internal manufacturing sites as well as Contract Service Providers (CSPs) for activities in compliance in Good Clinical ... and system deficiencies to senior management, as appropriate + Manage internal auditor training program and coordinate and / or administered GxP audit training,… more
    Fujifilm (10/30/24)
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