- HCA Healthcare (Nashville, TN)
- …Healthcare colleagues invested over 156,000 hours volunteering in our communities. As a Coding Quality Audit Reviewer with Work from Home you can be a part of an ... organization. We are looking for an enthusiastic Coding Quality Audit Reviewer to help us reach our...result in appropriate reimbursement and data integrity. You will review outcomes are communicated to the HSC team to… more
- NJM Insurance (Trenton, NJ)
- Reporting to the Premium Audit Supervisor, the Premium Audit Reviewer is responsible for the quality and timely review of all premium audits, including ... up to 2 days per week. Job Responsibilities: + Review and verify the accuracy of Commercial Lines policy...and external customers via phone or email to clarify audit -related inquiries and resolve issues. Provide clear, professional guidance… more
- City of New York (New York, NY)
- …Services Program (HCSP) is recruiting for one (1) Accountant II, to function as an Audit Reviewer in the Home Care Contract Management Services Unit, who will: - ... Review audit reports for accuracy and compliance... Review audit reports for accuracy and compliance with prescribed ...Interface with CPA firms to ensure correct resolution of audit discrepancies, review requests for extension of… more
- Zelis (NJ)
- Position Overview: At Zelis, the Itemized Bill Review Facility Reviewer is responsible for analyzing facility inpatient and outpatient claims for Health Plans ... overall claims progression + Complete claims processing after the Clinical Bill Review and Audit analysis is completed. + Assist in appeals process as necessary… more
- Internal Revenue Service (Washington, DC)
- …favorably, and to hear from employees themselves. Responsibilities The Senior Technician Reviewer (STR), is responsible for some of the most complicated, difficult, ... projects to the attorneys within the Branch and for review of the work products. The primary work of...materials. As a General Attorney (Tax) - Senior Technician Reviewer , you will: Act as a legal and technical… more
- Internal Revenue Service (Washington, DC)
- …Counsel organizations, other government agencies, and the public. As a Senior Technician Reviewer (STR), the incumbent serves as a technical expert with respect to ... tax-advantaged bonds. As a General Attorney (Tax) Senior Technician Reviewer , you will: Act as a legal and technical...for this position may be conditional upon classification and/or audit of federal tax returns. This audit … more
- AIG (Atlanta, GA)
- …Proven claim adjudication or claim operations experience for multi-line commercial claims. Claim Audit or file review experience is desirable. + Knowledge of key ... Claim Compliance Reviewer Join us as a Claims Compliance ...+ Assist with the collection of data to support audit or regulatory reporting requirements. This includes industry and… more
- USAA (San Antonio, TX)
- …a part of what makes us so special! **The Opportunity** The Credit Risk Review (CRR) group is responsible for independently evaluating credit risks of exposures from ... expectations for safety and soundness. + CRR reports administratively through Enterprise Audit , functionally to the Boards of Directors, and is governed by the… more
- City of New York (New York, NY)
- …required, for sample selection revision. Collect all policies and procedures necessary for the audit review and share documents with the Quality Control Case ... Reviewer , who will: - Conduct the preliminary monthly review of MICSA and HCSP cases selected from a...Control Case Review Supervisor. - Prepare case review summaries related to audit findings to… more
- Volunteers of America Los Angeles (Los Angeles, CA)
- Billing and Records Reviewer Location:Los Angeles, CA Job ID:2720 Salary:$68073.2 - $71656 Per Year Area of Interest:Evaluation and Monitoring Division:Corporate ... guidance of the Billing and Records Coordinator, the Billing and Records Reviewer will support with monitoring and billing procedures for VOALA programs, including… more
- Randstad US (Norwood, MA)
- …+ Review executed QC test records for molecular and cell based assays + Review Audit trails + Review reagent and equipment logbooks + Follow all ... quality control, bioassay data reviewer . + norwood , massachusetts + posted november...in GMP environment for GDP/GMP compliance as well as audit trail review + Previous experience using… more
- City of New York (New York, NY)
- …(DSS) and Department of Homeless Services (DHS). Within DSS-AO, the Process Evaluation Review Team (PERT) was created as an independent unit within the Office of ... compliance and foster uniform interpretation/application of policy. PERT auditors review cases, monitor application and recertification interviews, check for… more
- Robert Half Management Resources (San Francisco, CA)
- …We are offering a long-term contract employment opportunity for a Valuations Reviewer in the Private Equity industry, based in San Francisco, California. In ... this role, you will be expected to critically review portfolio company valuations, leveraging your understanding of different valuation methods and your background… more
- City of New York (New York, NY)
- …identify areas of programmatic deficiencies. Within that area is the Process Evaluation Review Team (PERT). The unit analyzes error trends and determines the need ... identification of problems and issues can prevent derogatory external audit findings. PERT is recruiting for (1) one Principal...Associate II to function as a NCA PERT Case Reviewer , who will: - Conduct NCA Supplemental Nutrition Assistance… more
- Magellan Health Services (Johnstown, PA)
- …managers. + Responsible for auditing as well as validating internal audit results and/or corrective action plans. Other Job Requirements Responsibilities Bachelor's ... skills and demonstrated experience. General Job Information Title Quality Clinical Reviewer , Licensed/Remote in PA (Cambria Cty) Grade 25 Work Experience -… more
- City of New York (New York, NY)
- …accuracy of benefits issued and compare to State Quality Control error findings or to the month under review in the EQAS audit . - Audit for the EQAS QC on 16 ... as a Quality Control Case Reviewers, who will: - Review POS, HRA One Viewer of imaged/scanned documents, Welfare...in Order to obtain critical information. Complete a desk audit to secure documentation pertinent to quality control eligibility… more
- Capital Farm Credit (College Station, TX)
- …(5) years of experience in banking, credit analysis, financial/accounting services, or audit . FUNCTIONS: + Review credit files and supporting documentation for ... skills. + Basic skill level in Microsoft Office applications. + Ability to review and interpret intermediate level accounting and audit analyses under immediate… more
- City of New York (New York, NY)
- …legal and federal, state and city regulatory requirements. The Process Evaluation Review Team (PERT) is tasked with aggressively monitoring program compliance with ... Assurance & Fiscal Integrity (OQA&FI) / The Process Evaluation Review Team (PERT) is recruiting for (2) one Principal...(Reynolds, Lovely H., MKB, Dajour, Davila, Brown, etc.). Convert audit findings into reports that will be presented to… more
- City of New York (New York, NY)
- …THE PRINCIPAL ADMINISTRATIVE ASSOCIATE CIVIL SERVICE TITLE. The Process Evaluation Review Team (PERT) is tasked with aggressively monitoring program compliance with ... and agreements (Reynolds, Lovely H., MKB, Dajour, Davila, Brown, etc). Convert audit findings into reports that is presented to Family Independence Administration… more
- JPMorgan Chase (Wilmington, DE)
- Welcome to JPMorgan Chase. As a Card & Connected Commerce Marketing Copy Review Analyst you will provide regulatory oversight guidance for and perform reviews of ... and advertising regulatory requirements. As a Card & Connected Commerce Marketing Copy Review Analyst at JPMorgan Chase, you will play a crucial role in ensuring… more