• Director, Prospective + Concurrent Risk Adjustment…

    Datavant (Columbus, OH)
    …company and the world's leader in health data exchange. Our vision is that every healthcare decision is powered by the right data, at the right time, in the right ... team. Together, we're rising to the challenge of tackling some of healthcare 's most complex problems with technology-forward solutions. Datavanters bring a diversity… more
    Datavant (08/08/25)
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  • DRG Coding Auditor

    Elevance Health (Mason, OH)
    …principles, clinical guidelines and objectivity in the performance of medical audit activities. + Draws on advanced ICD-10 coding expertise, clinical guidelines, ... and industry knowledge to substantiate conclusions. + Utilizes audit tools and auditing workflow systems and reference information...dedicated to improving lives and communities - and making healthcare simpler. We are a Fortune 25 company with… more
    Elevance Health (08/13/25)
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  • Diagnosis Related Group Clinical Validation…

    Elevance Health (Mason, OH)
    …coding principles, clinical guidelines, and objectivity in the performance of medical audit activities. + Draws on advanced ICD-10 coding expertise, mastery of ... clinical guidelines, and industry knowledge to substantiate conclusions. + Utilizes audit tools, auditing workflow systems and reference information to generate … more
    Elevance Health (08/13/25)
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  • Manager, Information Security & Risk - IT…

    Cardinal Health (Columbus, OH)
    **_Company Overview:_** Cardinal Health, Inc. (NYSE: CAH) is a global healthcare services and products company. We provide customized solutions for hospitals, ... healthcare systems, pharmacies, ambulatory surgery centers, clinical laboratories, physician...a high-performing team and work cross-functionally with legal, privacy, audit , and IT stakeholders to ensure the organization maintains… more
    Cardinal Health (08/16/25)
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  • Coding Auditor Educator

    Highmark Health (Columbus, OH)
    …OVERVIEW:** Performs all related internal, concurrent, prospective and retrospective coding audit activities. Reviews medical records to determine data quality and ... identified in the audits compliant with regulatory requirements. Provides written audit guidance. Participates with management in the assessment of external … more
    Highmark Health (08/08/25)
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  • Compliance Auditor - Physician - Enterprise Risk

    Bon Secours Mercy Health (Cincinnati, OH)
    …protocols which align with Bon Secours Mercy Health's overall compliance audit and compliance responsibilities relative to hospital revenue cycle services performed ... processing policies and procedures for the development of compliance internal monitors and audit protocols and the prevention of fraud, waste and abuse. + Develops… more
    Bon Secours Mercy Health (08/08/25)
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  • Sr. Detection/Splunk Engineer

    Datavant (Columbus, OH)
    …company and the world's leader in health data exchange. Our vision is that every healthcare decision is powered by the right data, at the right time, in the right ... team. Together, we're rising to the challenge of tackling some of healthcare 's most complex problems with technology-forward solutions. Datavanters bring a diversity… more
    Datavant (08/01/25)
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  • Investigator

    Highmark Health (Columbus, OH)
    …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
    Highmark Health (08/15/25)
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  • REMOTE Loan Servicing Compliance Analyst, I

    Carrington (Columbus, OH)
    …Analyst I will be responsible for the provisioning documentation for various audit and exam documentation. Also responsible for compliance testing and monitoring ... into a complete loan "servicing file" to respond to regulatory compliance audit /exams + Perform assigned compliance testing as assigned and promptly escalate… more
    Carrington (07/16/25)
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  • Internal Auditor (Northeast Ohio Area)

    ManpowerGroup (Cleveland, OH)
    …500 to mid-size companies, who utilize our consultants for Internal Audit project solutions and temporary staffing opportunities. Assignments sometimes have the ... including (but not limited to) financial services, manufacturing, utilities and healthcare . **Successful candidates will have performed some of the following:** -… more
    ManpowerGroup (07/15/25)
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