- Robert Half Management Resources (Dallas, TX)
- Description We are seeking a QA Coding Auditor to...on the auditors' feedback. * Perform quality assurance checks on accounts where the coding ... Certificate * Expertise in Audit and Information Systems Audit * Proven ability to Perform Quality Assurance * Knowledge of QA - Quality Assurance… more
- Elevance Health (St. Louis, MO)
- …with vendor based DRG Coding / Clinical Validation Audit setting or hospital coding or quality assurance environment preferred. + Broad knowledge of ... **DRG Coding Auditor (DIAGNOSTIC RELATED GROUP)** _This...minimum of 5 years of experience in claims auditing, quality assurance , or recovery auditing. + Requires… more
- Houston Methodist (Miami, FL)
- ** Coding Quality Auditor - 100%... coding and documentation training. + Assists with quality assurance (peer) reviews to ensure data integrity ... in FL, TN, GA, LA, WA State, or TX)** At Houston Methodist, the Coding Quality Auditor position is responsible for ensuring accuracy in code assignment of… more
- Novant Health (Winston Salem, NC)
- …and HCPCS codes, modifiers, NCCI usage and all other applicable coding guidelines. The Coding Quality Assurance Auditor will support the coding ... statistical sampling methodologies. Medical record auditing skills and abstraction ability. Quality assurance and coding risk analysis. Job Opening ID 15319 more
- Ascension Health (Indianapolis, IN)
- **Details** + **Department:** Quality Assurance + **Schedule:** Monday-Friday 8a-5p + **Hospital:** Ascension Medical Group, Clinic + **Location:** Off-site, ... audits 3-5 years preferred Previous experience with surgical case coding would be a plus Experience with HCC/RAF ...coding would be a plus Experience with HCC/RAF coding would be a plus Experience with presenting results… more
- UPMC (Pittsburgh, PA)
- …as they arise. + Assist the Compliance Manager and Compliance Officer with quality assurance activites and with reporting the overall results (ie, effectiveness ... coding audits when requested.** As the Senior Medical Auditor , you will provides technical expertise to review staff...(CMS, OIG, DPW, etc.) and the National Committee of Quality Assurance . Concurrent audits may include the… more
- Astellas Pharma (Westborough, MA)
- …(AIRM)** site in **Westborough, MA.** **Purpose:** This member of the Quality Assurance team will perform critical QA compliance tasks in support of GMP ... candidate will foster compliance across a broad range of Quality Assurance areas and will work closely...hosting / support, etc. + ASQ certifications (eg, certified quality engineer, quality auditor , … more
- Johns Hopkins University (Baltimore, MD)
- …The documentation audits are conducted as part of the School of Medicine's Quality Assurance Compliance Program. Prepares reports for the Senior Director, ... other clinical information systems. + Seven years of experience. + Additional coding certifications. Classified Title: Sr. Billing Compliance Auditor Job Posting… more
- Astellas Pharma (Westborough, MA)
- …for Regenerative Medicine (AIRM)** site in **Westborough, MA.** **Purpose:** The **Validation Specialist, Quality Assurance ** , will provide QA oversight of ... **Validation Specialist, Quality Assurance ** Do you want to...oversight and compliance considerations. + ASQ certifications (eg, certified quality engineer, quality auditor , … more
- Elevance Health (Metairie, LA)
- …state(s). + Requires a minimum of 10 years of experience in claims auditing, quality assurance , or clinical documentation improvement, and a minimum of 5 years ... **Diagnosis Related Group Clinical Validation Auditor -** **Registered Nurse** **Location:** This position will work a hybrid model (remote and office). Ideal… more
- Capital One (Mclean, VA)
- …Audit function is a dedicated group of professionals focused on delivering top- quality assurance services to the organization's Audit Committee. Audit ... Principal Auditor - Cyber, Risk & Analysis Technology Audit (Hybrid)...multiple priorities and tasks across the team to deliver quality results. -Coordinate with others and proactively take on… more
- CHS (Clearwater, FL)
- …diploma or equivalent is required + Experience in medical customer service, quality assurance , or insurance training is preferred. **Certificates, Licenses, ... **Overview** ** ** **Claims and Call Auditor (Call Center QC) - Clearwater, FL** **...Reviews Current Procedural Terminology (CPT) and Healthcare Common Procedure Coding System (HCPCS) to determine proper category for benefit… more
- CUNY (New York, NY)
- …Services assists the University through the performance of compliance and quality assurance appraisals towards ensuring that the University's resources ... Staff Internal Auditor for Finance & Operations (Univ Financial Systems...business processes, activities, and reporting - Maintains mapping and coding of entities in financial systems, assuring consistency between… more
- Centene Corporation (Tallahassee, FL)
- …+ Serves on the RADV Committee as subject matter experts. + Perform quality assurance auditing (ie ensure appropriateness and accuracy of ICD-9/ICD-10 ... risk adjustment to ensure accurate CMS payment and improve quality of care. Analysis of MRA data to identify...coding ) for WellCare's Medical Coding Specialists. + Communicates QA results to… more
- Johns Hopkins University (Baltimore, MD)
- …SOM clinical department directors and administrators. Will ensure the Billing Quality Assurance compliance and training programs are appropriately coordinated ... or other related regulatory matters. + Oversees the management of the quality assurance review program to continuously assess physician and non-physician… more
- Capital One (Plano, TX)
- …Audit function is a dedicated group of professionals focused on delivering top- quality assurance services to the organization's Audit Committee. Audit ... different perspectives into deliverables.** + **Manage timely and high quality delivery of multiple tasks, including audits, projects, special assignments,… more
- Capital One (Plano, TX)
- …Audit function is a dedicated group of professionals focused on delivering top- quality assurance services to the organization's Audit Committee. Audit ... multiple priorities and tasks across the team to deliver quality results. + Coordinate with others and proactively take...believe insight and objectivity are core elements to providing assurance on the effectiveness and efficiency of Capital One's… more
- LA Care Health Plan (Los Angeles, CA)
- …reviews medical records to ensure completeness, compliance with National Committee for Quality Assurance (NCQA), California Department of Health Care Services ... HEDIS Abstractor II (Temporary) Job Category: Clinical Department: Quality Performance Management Location: Los Angeles, CA, US, 90017 Position Type: Full Time… more
- Capital One (Mclean, VA)
- …Audit function is a dedicated group of professionals focused on delivering top- quality assurance services to the organization's Audit Committee. Audit ... independently and ensure work is completed to schedule and meets our high- quality standards. -Prepare clear, organized and complete documentation to support work… more
- Amentum (Groton, CT)
- …Quality Compliance Manager is responsible for overseeing all aspects of quality assurance , regulatory compliance, and reliability programs within the ... conditions + Ability to differentiate colors pertaining to wire color- coding + Wear steel toe safety shoes, safety glasses,... quality professionals + Prior experience in a quality assurance or compliance role within a… more