- University of Washington (Seattle, WA)
- …of System Credentialing , the Credentialing File Auditor audits medical staff credentialing and privileging files for UW Medicine, which includes ... Medicine Primary Care Clinics, and UW Husky Health. The Credentialing Auditor is responsible for conducting comprehensive...required. + Minimum of 3 years of experience in credentialing , healthcare compliance, or medical staff… more
- Centene Corporation (Tallahassee, FL)
- …Responsible for the auditing of corporate, health plan, and specialty company staff related to clinical systems entry and/or processes + Develop and maintain ... reliability related to InterQual; and data entry into the credentialing subsystem + Develop and maintain the audit schedule...+ Develop and maintain the audit schedule + Audit staff as outlined in the system auditing policies +… more
- Planned Parenthood of Central and Western NY (Rochester, NY)
- …the hiring, training, direction and supervision of the Coding, Auditing and Credentialing staff including work allocation, training, and enforcement of internal ... State, and/or Payer guidelines. + Supervises the management and functions of Credentialing staff and/or contracted personnel to ensure all Shared Services… more
- Trinity Health (Columbus, OH)
- …+ Develop and maintain an effective working relationship with providers and their billing staff + Performs responsibilities of Claims Auditor as time and work ... Medicare coding and billing requirements + Advanced knowledge of current medical terminology, anatomy and physiology required. + Advanced knowledge of current… more
- HCA Healthcare (Nashville, TN)
- …and retirement of our colleagues. The available plans and programs include: + Comprehensive medical coverage that covers many common services at no cost or for a low ... health coverage as well as free telemedicine services and free AirMed medical transportation. + Additional options for dental and vision benefits, life and… more
- HCA Healthcare (San Antonio, TX)
- …and retirement of our colleagues. The available plans and programs include: + Comprehensive medical coverage that covers many common services at no cost or for a low ... as well as free telemedicine services and free AirMed medical transportation. + Additional options for dental and vision...serve as a resource to both pharmacy and nursing staff for problems and/or questions. You will perform daily… more
- Molina Healthcare (IA)
- …and Quality Improvement Compliance. + Collaborates with other Quality Improvement staff to analyze and reports the results of quality improvement studies, ... of care issues and serious reportable adverse conditions, the analysis of credentialing files, the analysis of quality metric data, including, but not limited… more