- Molina Healthcare (Dallas, TX)
- …+ Performs monthly auditing of registered nurse and other clinical functions in Utilization Management (UM), Case Management (CM), Member ... Team (MAT), Health Management (HM), and/or Disease Management (DM). + Monitors key clinical staff for compliance with NCQA, CMS, State and Federal requirements. May… more
- The County of Los Angeles (Los Angeles, CA)
- … services programs to ensure, proper utilization of funds and provision of services . + Consults with clinical , administrative, and program planning staff in ... through the allocation of various categorical funds available to specific contract service agreements. + Evaluates proposals for contract services ; supervises… more
- Johns Hopkins University (Baltimore, MD)
- …and development of medical record documentation standards and requirements related to clinical services billing. + Keeps current with third party regulations ... specialties. Works in close collaboration with the Sr. Auditor /Trainers, Leads, Manager and Director to provide input and...Accounts Receivable system, EPR, Meditech, Eclypsis, Epic, and other clinical information systems preferred. + Must be… more
- Eurofins (Des Moines, IA)
- …international life sciences company, providing a unique range of analytical testing services to clients across multiple industries, to make life and our environment ... cosmetic product testing and in agroscience Contract Research Organisation services . It is one of the market leaders in...forensics, advanced material sciences and in the support of clinical studies, as well as having an emerging global… more
- Johns Hopkins University (Baltimore, MD)
- …in the development of medical record documentation standards and requirements related to clinical services billing. + Keeps current with third party regulations ... across all clinical specialties. Works in close collaboration with the clinical departments, Physicians Billing Service , and the Johns Hopkins Health System… more
- Veterans Affairs, Veterans Health Administration (Roanoke, VA)
- …providing internal, independent, and objective assurance for management operations and clinical services . Responsibilities Duties include but are not limited ... The grade may have been in any occupation, but must have been held in the Federal service...and abilities necessary to perform the work of an Auditor . Degree/coursework must be directly related to… more
- Fallon Health (Worcester, MA)
- …is continually rated among the nation's top health plans for member experience, service , and clinical quality. We believe our individual differences, life ... auditing risks identified in the organization. The Senior Internal Auditor plays a key role in implementing the annual...Plan, including areas such as Compliance, IT and Care Services . + Develop audit programs to identify areas of… more
- RWJBarnabas Health (Oceanport, NJ)
- …to this position with oversight by the Audit Director, Business Operations. The Internal Auditor Senior II must be well organized with an eye for detail ... FT Internal Auditor Senior II (Remote- Hybrid)Req #:0000158945 Category:Professional /...accounting principles and practices, and preferred business practices + Must possess strong interpersonal and customer service … more
- Penn State Health (Hershey, PA)
- …love to meet you and explore the possibilities together! As a Senior Internal Auditor at PSH, you will be actively engaged in utilizing your best-in-class auditing, ... professionalism and confidence. In addition to audit work, the Senior Internal Auditor will work closely with department and organizational management to help… more
- Houston Methodist (Cypress, TX)
- …accurately support reasons for treatment, billing, payment or operations. The Nurse Auditor position ensures clinical documentation supports all patient billing, ... At Houston Methodist, the Nurse Auditor position is responsible auditing and reconciling patient...audits are worked in proper priority. Recognizes that customer service and fiduciary responsibility must be balanced.… more
- BayCare Health System (FL)
- …search of our newest Team Member who is passionate about providing outstanding customer service to our community. We are looking for an individual seeking a career ... Tampa Bay area. **Position Details:** + **Location:** Fully Remote ( must reside in the State of Florida, Georgia, or...PM + **Days:** Monday - Friday The **Inpatient** **Coding Auditor ** is a full-time remote position. This team member… more
- Elevance Health (Indianapolis, IN)
- …-first lens, to deliver member-centered, lasting pharmacy care. The **Pharmacy Internal Auditor ** is responsible for driving service quality excellence by ... **Pharmacy Internal Auditor ** **Location:** This position will work a hybrid...and billing and claims processing, as well as customer service written and verbal inquiries. **How you will make… more
- University of Colorado (Aurora, CO)
- …Financial Services - Fiscal Compliance** **Job Title:** **Fiscal Compliance Auditor (open rank - Entry thru Senior)** **Position #: 00826462 - Requisition ... Fiscal Compliance Auditor (open rank - Entry thru Senior) -...Prepare a debarment report and coordinate with campus Employee Services and Office of Regulatory Compliance. **Finance Security Access… more
- R1 RCM (Salt Lake City, UT)
- …appropriate code assignments on services provided (CPT/HCPCS codes). The Auditor must have a comprehensive understanding of medical terminology, coding, ... that may include trauma, orthopedics, cardiology, interventional radiology, and neurology. + Must possess a demonstrated knowledge of clinical processes; … more
- State of Maine, Bureau of Human Resources (Augusta, ME)
- Staff Auditor II Augusta , Maine , United States | Auditor | Full-time | Partially remote Apply by: Sept. 30, 2024 Apply with Linkedin Apply Department of Health ... and Human Services (DHHS)Opening Date: August 30, 2024Closing Date: September 30,...to its staff. ABOUT THE POSITION: As a Staff Auditor II you will: + Perform independent and complex… more
- Houston Methodist (Austin, TX)
- At Houston Methodist, the Coding Quality Auditor position is responsible for ensuring accuracy in code assignment of diagnosis and procedure to outpatient and/or ... and provides good feedback during coding section meetings, coding education in- services , and coder/CDMP meetings. Takes initiative to assist others and shares… more
- BayCare Health System (Clearwater, FL)
- …of 16 community-based hospitals, a long-term acute care facility, home health services , outpatient centers and thousands of physicians. With the support of more ... that's built on a foundation of trust, dignity, respect, responsibility and clinical excellence. **Summary:** + Perform risk assessments and audit planning. + Audit… more
- Providence (CA)
- …and much more. Learn more at providence.jobs/benefits. **About the Team** Providence Shared Services is a service line within Providence that provides a variety ... **Description** **Revenue Cycle Auditor RN \*Remote * Candidates residing in AK,...they're invaluable. Join our team at Revenue Cycle Business Services and thrive in our culture of patient-focused, whole-person… more
- Veterans Affairs, Veterans Health Administration (IN)
- Summary The VISN Consolidated Coding Unit Auditor is a position located within the Business Office Support Services (BOSS), Health Information Management (HIM) ... medications, procedures as well as the principles and practices of health services and the organizational structure to ensure proper code selection. Selects and… more
- Veterans Affairs, Veterans Health Administration (IN)
- …position is located in the Health Information Management (HIM) in Health Administration Service (HAS) at the Marion, IL VA Health Care System. The Medical Records ... Technician (Coder) Auditor is responsible for abstracting medical record data and...abstracting medical record data and assigning codes using current clinical classification systems appropriate for the type of care… more