• Inpatient DRG Quality Auditor

    Humana (Carson City, NV)
    …a full-time, remote/work-from-home position. **Description** The Inpatient Medical Coding Auditor extracts clinical information from medical records and assigns ... Quality Team is looking is an experienced and well-grounded medical coding auditor to quality review the inpatient hospital claims for proper reimbursement, handle… more
    Humana (03/04/25)
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  • Coding Auditor I - (Inpatient)

    Baylor Scott & White Health (Carson City, NV)
    **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
    Baylor Scott & White Health (02/06/25)
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  • Internal Audit Staff Auditor I - Remote

    Ryder System (Carson City, NV)
    …related area required . Certified Public Accountant, Certified Information Systems Auditor , and/or a Certified Internal Auditor Certification (preferred) ... **Travel** 5 - 10 % **Job Category:** Internal Audit **Compensation Information** : The compensation offered to a candidate may be influenced by a variety of factors, including the candidate's relevant experience; education, including relevant degrees or… more
    Ryder System (01/30/25)
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  • Risk Adjustment Auditor I

    Baylor Scott & White Health (Carson City, NV)
    …Register, and sharing knowledge with co-workers, as directed + Assists Risk Adjustment Auditor 2 or Manager with educator duties in the clinics on occasional based, ... as needed + Protects data integrity and validity + Maintains and respects patient confidentiality for accessing and disclosure of health information **KEY SUCCESS FACTORS** + Knowledge of ICD-10-CM and CPT coding conventions, and clinical documentation +… more
    Baylor Scott & White Health (03/13/25)
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  • Coding Auditor Educator

    Highmark Health (Carson City, NV)
    …Professional Coder (CPC), Certified Outpatient Coder (COC), Certified Professional Medical Auditor (CPMA) + 5 years with hospital or physician coding and/or ... auditing, as well as, education techniques and methods. (Internal transfer and promotion candidates may have a minimum of 3 years experience) + In-depth knowledge of ICD CM, ICD PCS and CPT/HCPCS coding systems. Must be proficient in DRG/APC structure,… more
    Highmark Health (02/07/25)
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  • Operational Auditor - Internal Controls

    ISC2 (Carson City, NV)
    …empowers all of our successes. Learn more. **Position Summary** The Operational Auditor plays a crucial role in ensuring ISC2's internal controls over financial, ... operational, and compliance activities. This individual will work closely with the internal audit team to conduct audits, evaluate internal controls, and identify opportunities for process improvement. **Responsibilities** * Assists in the planning, execution,… more
    ISC2 (12/21/24)
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  • Security Advisor

    Nelnet (Carson City, NV)
    …by an accredited certification body) **Audit certifications:** + ISACA Certified Information Systems Auditor ( **CISA** ) + GIAC Systems and Network Auditor ( ... **GSNA** ) + Certified **ISO 27001 Lead Auditor ** or **Internal Auditor ** (when issued by an accredited certification body) + **IRCA ISMS Auditor or higher**… more
    Nelnet (03/08/25)
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  • Technical Compliance Analyst

    Zoom (Carson City, NV)
    …significant change requests, and attestations. * Work as an internal auditor for the organization's infrastructure and services. * Develop technical knowledge ... of control implementation. * Improve documentation, track progress, coordinate improvement efforts, and monitor process improvement effectiveness. * Communicate requirements effectively to internal and external stakeholders. * Serve as a liaison between… more
    Zoom (03/13/25)
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  • Director, IT SOX Compliance

    Amentum (Carson City, NV)
    …professional certification is required, such as Certified Information Systems Auditor (CISA), Certified information systems security professional (CISSP), Certified ... Information Security Manager (CISM), Certified in Risk and Information Security Controls (CRISC). + Experience with controls design, controls, audit, or risk (ie, IT controls testing, internal audits, operational audits, advisory/consulting/compliance). +… more
    Amentum (03/04/25)
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  • Senior Analyst - Quality Assurance and Improvement…

    Lincoln Financial Group (Carson City, NV)
    …profession. + Licensing and/or certification: Certified Public Accountant, Certified Internal Auditor , Certified Fraud Examiner (at least one required) + Ability to ... work with others in a team environment. + Demonstrated ability to identify and recommend process improvements. + Demonstrated strong relationship management skills with internal clients (eg senior management, peers and colleagues); proven ability to develop… more
    Lincoln Financial Group (03/04/25)
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  • Special Investigation Unit Manager Clinical…

    CVS Health (Carson City, NV)
    …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) **Anticipated Weekly… more
    CVS Health (12/25/24)
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  • Vice President Finance

    Sedgwick (Carson City, NV)
    …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
    Sedgwick (12/18/24)
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