- Elevance Health (Columbus, OH)
- ** Clinical Provider Auditor II ** **Supports the Payment Integrity line of business** _Location:_ Alternate locations may be considered. This position ... Integrity, is determined to recover, eliminate and prevent unnecessary medical-expense spending. The ** Clinical Provider Auditor II ** is responsible for… more
- University of Utah (Salt Lake City, UT)
- …Number** PRN41328B **Job Title** Coding Auditor **Working Title** Quality Assurance Auditor II **Job Grade** E **FLSA Code** Nonexempt **Patient Sensitive ... too. We are looking for an experienced **Quality Assurance Auditor II ** to join our team. As...Review audit results with medical coding management and staff. Provide training on coding guidelines, medical terminology, and proper… more
- State of Maine, Bureau of Human Resources (Augusta, ME)
- Staff Auditor II Augusta , Maine , United States | Auditor | Full-time | Partially remote Apply by: March 31, 2025 Apply with Linkedin Apply Department of ... to its staff. ABOUT THE POSITION: As a Staff Auditor II you will: + Perform independent...and standards. + Analyze budget and expenditure information and/or clinical and professional records in a forensic capacity requiring… more
- The County of Los Angeles (Los Angeles, CA)
- …the level of the County of Los Angeles class of Senior Contract Program Auditor **. PHYSICAL CLASS: Physical Class II - Light: This class includes administrative ... HEAD CONTRACT PROGRAM AUDITOR / EMERGENCY APPOINTMENT HOMELESSNESS Print (https://www.governmentjobs.com/careers/lacounty/jobs/newprint/4448498) Apply HEAD… more
- RWJBarnabas Health (Oceanport, NJ)
- …organization. The Internal Auditor Senior I will help support the Senior II and other Internal Audit employees in achieving goals, timelines and objectives set ... Internal Auditor SeniorReq #:0000192328 Category:Accounting/Finance Status:Full-Time Shift:Day Facility:RWJBarnabas Health Corporate Services Department:Internal… more
- Highmark Health (Columbus, OH)
- …coding, billing and documentation related to DRGs, APCs, CPTs and HCPCS Level II code and modifier assignments, ICD diagnosis and procedure coding, DRG/APC structure ... meetings and interacts with management to resolve issues and provide advice on new programs. Provides guidance to system...+ Validates the ICD-CM, ICD-PCS, CPT and HCPCS Level II code and modifier systems, missed secondary diagnoses and… more
- Veterans Affairs, Veterans Health Administration (Fayetteville, NC)
- …person to appropriate leadership and groups. Collaboratively works with coding staff and clinical staff to provide support and education on coding issues. ... workload, accepted nomenclature, and proper sequencing. They directly consult with the clinical staff for clarification of conflicting or ambiguous clinical … more
- University of Rochester (Saunders County, NE)
- …of the individual, and internal equity considerations._ **Responsibilities:** GENERAL PURPOSE: The Clinical Trials Project Manager II is responsible for leading ... the planning, implementation, and monitoring for multiple, large, national, multi-site clinical research protocols in a network of over 600 community sites. Under… more
- Excellus BlueCross BlueShield (Rochester, NY)
- …implements process improvement to increase efficiency in the review process for the clinical staff. + Works with requesting providers, clinical pharmacists, and ... resolution. + Triages prior authorization workflow daily by rerouting cases, alerting clinical staff of time frame deadlines, monitoring work queues and keeping… more
- LA Care Health Plan (Los Angeles, CA)
- HEDIS Abstractor II (Temporary) Job Category: Clinical Department: Quality Performance Management Location: Los Angeles, CA, US, 90017 Position Type: Full Time ... Plan is an independent public agency created by the state of California to provide health coverage to low-income Los Angeles County residents. We are the nation's… more
- Stony Brook University (Stony Brook, NY)
- …line. **Job Number:** 2500168 **Official Job Title:** : TH Staff Assistant II **Job Field** : Administrative & Professional (non- Clinical ) **Primary Location** ... TH Staff Assistant II - Regional Perinatal Center Leadership Support **Position...Regional Perinatal Center(RPC) . Works with volunteer services to provide support for the Regional Perinatal Center projects and… more
- Dignity Health (Bakersfield, CA)
- …of management and business services that will leverage economies of scale across provider types and geographies and will lead the effort in developing Dignity ... Dignity Health MSO is dedicated to providing quality managed care administrative and clinical services to medical groups hospitals health plans and employers with a… more
- Terumo Medical Corporation (Elkton, MD)
- Quality Engineer II Date: Mar 8, 2025 Req ID: 4366 Location: Elkton, MD, US Company: Terumo Medical Corporation Department: Quality Engineering Operations Terumo ... products, training and education programs that drive clear economic value, better clinical outcomes and improved quality of life for patients. TMC is part… more
- Terumo Medical Corporation (Caguas, PR)
- Supplier Quality Engineer II - TPR Date: Mar 21, 2025 Req ID: 4529 Location: Caguas, PR, PR Company: Terumo Puerto Rico, LLC Department: Quality - TPR Terumo Medical ... products, training and education programs that drive clear economic value, better clinical outcomes and improved quality of life for patients. TMC is part… more
- Fujifilm (College Station, TX)
- **Position Overview** The Quality Assurance - Compliance Specialist II - Audit and Inspectionwill support all associated responsibilities in compliance with FUJIFILM ... with Quality management to ensure quality systems support cGMP manufacturing of pre- clinical to commercial products. + Compliance + Ensure self-have no overdue… more
- Edwards Lifesciences (Irvine, CA)
- …of quality. **How you will make an impact:** * Identify, lead and provide business process improvement solutions for Clinical Compliance systems, including ... (eg, Six-Sigma Black Belt, ASQ Certified Quality Engineer (CQE) or ASQ Certified Biomedical Auditor (CBA)) Preferred * Experience with Class II & III medical… more
- The County of Los Angeles (Los Angeles, CA)
- …in nearly every medical specialty and subspecialty. In addition to its direct clinical services, DHS also runs the Emergency Medical Services (EMS) Agency and the ... program, procedure, budget, or personnel. - OR - Option II : Two (2) years of highly responsible administrative or...Assistant III**, Assistant Hospital Administrator I , Contract Program Auditor , or higher. YouMUSTmeet one of the above… more
- Excellus BlueCross BlueShield (Rochester, NY)
- …drivers. Essential Accountabilities: Level I + Handles physical health member clinical management programs. + Maintains knowledge of current Case Management Society ... or external referral sources. Applies case management criteria and professional clinical judgment to determine a member's appropriateness for case management… more
- HCA Healthcare (Portsmouth, NH)
- …all work orders for facilities, Biomed and IS department. + Infection Control Auditor for the Infection Control Department. + Contact for the Environmental Safety ... and Service Recovery. + Work in tandem with Diagnostics Clinical Coordinator to maintain daily logistical flow and troubleshoot...the needs of the clinic, physicians and staff to provide quality patient care. + Able to prioritize tasks… more
- Stanford University (Stanford, CA)
- …research, encompassing a wide spectrum of programs in basic, translational, clinical , health services and medical education. Stanford University's Division of Pain ... compliance. + Develop, prepare, and finalize project budgets, and provide budget justification. + Serve as liaison and active...principles. + Ability to complete Cardinal Curriculum I and II within first year in role. + Knowledge of… more