- Cleveland Clinic (Cleveland, OH)
- …with one of the most respected healthcare organizations in the world. As a Clinical Senior Internal Auditor , you will conduct audit procedures for assigned ... auditing experience + Certifications such as RHIT, CPC, or CPA + Experience in clinical operations, revenue cycle, or compliance auditing + RHIT, CPC, or other… more
- Elevance Health (Mason, OH)
- **Nurse Auditor Senior - Payment Integrity Complex and Clinical Audit** **Location:** This role enables associates to work virtually full-time, with the ... and works with service operations to improve processes and compliance + Notifies areas of identified problems or providers,...AS in nursing and minimum of 4 years of clinical nursing experience; or any combination of education and… more
- Humana (Columbus, OH)
- …our caring community and help us put health first** The Medical Coding Auditor reviews medical claims submitted against medical records provided, to ensure correct ... coding guidelines are met (eg, ICD-10-CM, CPT, HCPCS). The Medical Coding Auditor 's work assignments are varied and frequently require interpretation and independent… more
- Humana (Columbus, OH)
- …our caring community and help us put health first** The Inpatient Medical Coding Auditor extracts clinical information from a variety of medical records and ... ICD-10-CM, CPT) to patient records. The Inpatient Medical Coding Auditor work assignments involve moderately complex to complex issues...the policy of Humana to take affirmative action, in compliance with Section 503 of the Rehabilitation Act and… more
- Humana (Columbus, OH)
- …our caring community and help us put health first** The Medical Coding Auditor reviews medical claims submitted against medical records provided to ensure correct ... coding guidelines are met. The Medical Coding Auditor work assignments are varied and frequently require interpretation and independent determination of the… more
- WelbeHealth (Columbus, OH)
- …culture, and mission. At the direction of the Coding Supervisor, the Coding Auditor and Educator focuses on ensuring coding is accurate and properly supported by ... clinical documentation within the health records, as well as...as educating our teams on best practices to promote compliance . **Essential Job Duties:** + Assist with retrospective and… more
- Charles River Laboratories (Cleveland, OH)
- …records and reports and inspections of routine processes to assure compliance with applicable GLP regulatory requirements. ESSENTIAL DUTIES AND RESPONSIBILITIES: + ... Assure Charles River's compliance with applicable GLP . Communicate all identified ...suite of products and services to support our clients' clinical laboratory testing needs and manufacturing activities. Utilizing this… more
- Molina Healthcare (Dayton, OH)
- …requirements for the health plan(s) they support. Identifies risk and non- compliance , issues corrective action, and actively manages the corrective action process ... Licensed Practical Nurse (LPN), Licensed Vocational Nurse (LVN), Certified Clinical Coder (CCD), Certified Medical Audit Specialists (CMAS), Certified Professional… more
- Kelly Services (Cincinnati, OH)
- Kelly Science & Clinical is seeking a **Senior QA Compliance Coordinator near Cincinnati, OH.** **Direct Hire** **Shift:** Monday - Friday 1st shift ... the Senior Manager, Total Quality, the Quality Assurance Senior Compliance Coordinator will provide support to the Corporate Quality...GDP requirements. + **GMP, GFSI, or ISO Certified Quality Auditor (ie ASQ). Able to perform supplier and service… more
- Datavant (Columbus, OH)
- …addressing consulting and educational needs related to coding quality, compliance assessments, external payer reviews, coding education, interim coding management, ... you to help shape the future of healthcare from your own workspace! Inpatient auditor with 3-5 years of experience at a Trauma Level 1 facility. SMART software… more