- Elevance Health (Mason, OH)
- **DRG CODING AUDITOR ** **_Virtual_** **_: _** _ _ __ This role enables associates to work virtually full-time, with the exception of required in-person training ... recover, eliminate and prevent unnecessary medical-expense spending. The **DRG CODING AUDITOR ** is responsible for auditing inpatient medical records and generating… more
- Elevance Health (Mason, OH)
- **Diagnosis Related Group Clinical Validation Auditor -RN** **Virtual:** This role enables associates to work virtually full-time, with the exception of required ... Friday 8AM -5PM (local time) The **Diagnosis Related Group Clinical Validation Auditor ** is responsible for auditing inpatient medical records to ensure clinical… more
- Molina Healthcare (Cincinnati, OH)
- …validation related activities, including, but not limited to: progress tracking, chart retrieval, file transmissions, and adherence to applicable timelines * Support ... Associates degree. **Required Experience** 3 Years in coding and medical record chart review and experience with risk adjustment data validation Required Li… more
- Molina Healthcare (Columbus, OH)
- …is responsible for the implementation, monitoring, and oversight of all chart collection for HEDIS, or HEDIS-like projects, Risk Adjustment, Risk Adjustment ... as company HEDIS training, onboarding for CDA team members, vendor management for chart collection vendors, invoice efforts, SDS and EMR implementation as well as… more
- Medical Mutual of Ohio (OH)
- …To include data documentation, compilation, reconciliation, and research.Works directly external HEDIS/NCQA auditor to resolve any items on Issue Log. + Reviews data ... with HEDIS vendor support to ensure data integrity and chart collection. + Produces routine to moderately complex HEDIS...with HEDIS vendor support to ensure data integrity and chart collection. + Orients, trains and assists more junior-level… more
- Molina Healthcare (OH)
- …like projects and supplemental data collection. The overreader team will meet chart overread productivity standards, minimum over read standards, and 2nd overread ... Performs the role of the HEDIS medical record review overreader/ auditor which includes ongoing review of records reviewed and...audit. Makes recommendations based off of the audit and chart review. + Assists with ad hoc projects. +… more
- KeyBank (Brooklyn, OH)
- …(CISSP) . Certified Information Security Manager (CISM) . Certified Information Systems Auditor (CISA) . CompTIA Security. GIAC Certified Detection Analyst (GCDA) . ... GIAC Cloud Threat Detection (GCTD) . GIAC Certified Incident Handler (GCIH) . GIAC Certified Intrusion Analyst (GCIA) COMPENSATION AND BENEFITS This position is eligible to earn a base salary in the range of $85,000.00 to $110,000.00 annually depending on… more
- KeyBank (Brooklyn, OH)
- …work experience + Minimum of 2 years of experience as a compliance officer/internal auditor for a national bank in the fiduciary space + Experience using enterprise ... governance and compliance applications + Past experience with testing or audit reviews + In depth knowledge of fiduciary laws and regulations, and experience applying those in a national bank setting + Experience working within an enterprise compliance… more
- Molina Healthcare (OH)
- …experience. + Operational knowledge and experience with Excel and Visio (flow chart equivalent) + Demonstrates flexibility when it comes to changes and maintains ... License (RN may be preferred for specific roles) + Certified HEDIS Compliance Auditor (CHCA) To all current Molina employees: If you are interested in applying… more