- Highmark Health (Columbus, OH)
- …:** **GENERAL OVERVIEW:** Performs all related internal, concurrent, prospective and retrospective coding audit activities. Reviews medical records to ... performing audits and research related to special projects and providing coverage for coding manager (s). (10%) + Depending on location provides or arranges for… more
- Grant Thornton (Cleveland, OH)
- As a Process Risk Manager , you will have the opportunity to grow and contribute to our clients' success by helping them identify and understand their business risks. ... and the overall effectiveness and efficiency of processes. + Oversee internal audit outsourcing and co-sourcing engagements for clients. + Manage the risk… more
- Elevance Health (Mason, OH)
- **External Audit Facilitator** **Location:** This role requires associates to be in-office **1 - 2** days per week, fostering collaboration and connectivity, while ... and adaptable workplace. Alternate locations may be considered. The **External Audit Facilitator** is responsible for managing the process for prior authorization… more
- Grant Thornton (Cleveland, OH)
- …exceptional expertise and experience in healthcare providers, specifically hospitals, academic medical centers, and healthcare systems. This includes areas such as ... include but are not limited to co-sourced and outsourced internal audit , internal control assessments, enterprise risk management program assessments, tests of… more
- Amergis (Cleveland, OH)
- …on a given day, reports absence as soon aspossible to the Professional Recruiter Coding Manager , or via established timeoff request procedures for future time ... of all cases in compliancewith CMS policies and procedures and official coding guidelines + Implements medical center's physician query process whencode… more
- Elevance Health (Cincinnati, OH)
- … principles, clinical guidelines, and objectivity in the performance of medical audit activities. + Draws on advanced ICD-10 coding expertise, mastery of ... findings letters. + Maintains accuracy and quality standards as established by audit management. + Identifies potential documentation and coding errors by… more
- Ford Motor Company (Columbus, OH)
- …bigger than ourselves. Are you ready to change the way the world moves? As a Manager of Central Data Engineering, you will be at the heart of our data ecosystem, ... This is a fantastic opportunity for an experienced data or software engineering manager to make a significant impact. You'll be responsible for guiding the team… more
- US Bank (Cincinnati, OH)
- …risk rating, policy exceptions, risk ID, credit concentration, stress testing, collateral audit and rapid response to emerging risk. Credit Strategy culture revolves ... will serve as a thought leader, coordinator and implementation manager to help ensure we effectively meet or exceed...Business Intelligence tools, eg, Power BI. Basic level of coding skills (SQL/Python) preferred but not critical - Experience… more
- Trinity Health (Columbus, OH)
- …a wide variety of professional roles including information technology, financial analysis, audit , provider relations and more. We know that exceptional patient care ... we offer:** + Competitive compensation and benefits packages including medical , dental, and vision coverage + Retirement savings account...day! **About the job:** The Provider Relations & Network Manager is responsible for a full range of provider… more
- Bon Secours Mercy Health (Cincinnati, OH)
- …zone hours (preferred) **Primary Function/General Purpose of Position** The Program Manager of Pricing Strategies is responsible for collecting and monitoring the ... the development and maintenance of pricing strategies, including strategic bundling of medical services, analysis of payer contracts, and competitive fee reviews. +… more
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