- Highmark Health (Raleigh, NC)
- …risk activities, including but not limited to internal and external audit progress, recurring risk and compliance reporting, mandated training, investigations, and ... of managed care operations, compliance program structures, information security and audit methodologies. The incumbent must also have a foundational understanding of… more
- Herbalife (Winston Salem, NC)
- …team of compliance professionals and collaborates cross-functionally to uphold audit readiness, manage compliance documentation, deliver training, perform internal ... equipment, or facilities) on food safety and compliance. Internal Audits & Audit Readiness: * Develop and lead the Master Compliance Schedule, including planning,… more
- Veterans Affairs, Veterans Health Administration (Fayetteville, NC)
- …patient health record. Reviews, analyzes and reports performance monitors for PCE. Audit accurate and complete assignment of ICD-10-CM, PCS, CPT, and HCPCS codes, ... E/M assignment and modifier usage for inpatient/outpatient health records. Audit function includes evaluation of clinical documentation to support optimal… more
- Ally (Raleigh, NC)
- ** General information** **Ref #** 20383 **Remote?** No **Ally and Your Career** * Ally Financial only succeeds when its people do - and that's more than some cliche ... Curiosity drives them - it's why they began their audit journey in the first place. Using a growth...and use your critical thinking skills for completing assigned audit activities. Also, An individual would need to be… more
- Highmark Health (Raleigh, NC)
- **Company :** Allegheny Health Network **Job Description :** ** GENERAL OVERVIEW:** Performs all related internal, concurrent, prospective and retrospective coding ... audit activities. Reviews medical records to determine data quality..._The job description has been designed to indicate the general nature and essential duties and responsibilities of work… more
- Travelers Insurance Company (Raleigh, NC)
- …Imagine loving what you do and where you do it. **Job Category** Premium Audit **Compensation Overview** The annual base salary range provided for this position is a ... foster a culture of innovation and efficiency across the enterprise. The Premium Audit group is responsible for conducting audits on property & casualty commercial… more
- Robert Half Finance & Accounting (Charlotte, NC)
- …assess risks, evaluate controls, and ensure compliance with industry standards. * Develop audit deliverables such as process flows, work programs, audit reports, ... to deliver innovative solutions. * Lead or assist in audit engagements, ensuring quality and adherence to timelines. *...adherence to timelines. * Evaluate the effectiveness of IT general controls and recommend improvements. * Support clients in… more
- Xylem (Charlotte, NC)
- …This role is responsible for program strategy, governance, risk management, and audit oversight while ensuring alignment with US Customs and Border Protection (CBP) ... local adherence and support corrective actions as needed. + ** Audit and Documentation Management** + Coordinate internal self-audits and...that the information in this job description outlines the general nature of the position and is not an… more
- GE Aerospace (Wilmington, NC)
- …of DS revision impacts as required by CAS. The role will execute general dollar magnitude (GDM) cost impacts, disclose cost accounting practice changes to our ... critical relationships with Defense Contract Management Agency (DCMA) and Defense Contract Audit Agency (DCAA) personnel. The role will have frequent contact with GE… more
- Highmark Health (Raleigh, NC)
- …for proactive and investigative purposes to comply with internal audit and regulatory requirements. **ESSENTIAL RESPONSIBILITIES** + Performs investigations into ... Credentialing or Medical Review Committee. + Engages in delivery of audit results and overpayment negotiations.Responsible for recovery/ savings of misappropriated… more