• 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 ... work virtually._ _Alternate locations may be considered._ The **DRG CODING AUDITOR** is responsible for auditing inpatient medical...+ BA/BS preferred. + Experience with vendor based DRG Coding / Clinical Validation Audit setting or… more
    Elevance Health (05/08/25)
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  • Coding Auditor Educator

    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
    Highmark Health (05/09/25)
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  • Healthcare Process Risk Manager (Internal…

    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
    Grant Thornton (04/05/25)
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  • External Audit Facilitator

    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 ... dynamic and adaptable workplace. Alternate locations may be considered. The **External Audit Facilitator** is responsible for managing the process for claims and… more
    Elevance Health (05/09/25)
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  • External Audit Facilitator

    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
    Elevance Health (05/06/25)
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  • Diagnosis Related Group Clinical Validation…

    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
    Elevance Health (04/29/25)
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  • Sr Manager , Business Intelligence

    CVS Health (Columbus, OH)
    …Revenue Integrity initiatives. + Responsible for leading the reconciliation of data ( coding review results and medical record images) from different sources, ... as well as the support of auditing activities related to vendor reconciliation of coding results and medical record images as well as other technical projects.… more
    CVS Health (05/10/25)
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  • Manager , Data Engineering

    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
    Ford Motor Company (04/15/25)
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  • Risk Manager , Credit Strategy

    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
    US Bank (03/27/25)
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  • Provider Relations Network Manager - Ohio…

    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
    Trinity Health (04/29/25)
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