- Elevance Health (Mason, OH)
- …of the following: AA/AS or minimum of 5 years of experience in claims auditing, quality assurance , or recovery auditing. + Requires at least one of the following ... **DRG CODING AUDITOR ** **_Virtual_** **_: _** _ _ __ _This.../ Clinical Validation Audit setting or hospital coding or quality assurance environment preferred. + Broad knowledge… more
- Elevance Health (Columbus, OH)
- …state(s). + Requires a minimum of 10 years of experience in claims auditing, quality assurance , or clinical documentation improvement, and a minimum of 5 years ... **Diagnosis Related Group Clinical Validation Auditor -RN** **Virtual:** This role enables associates to work...formulate detailed audit findings letters. + Maintains accuracy and quality standards as established by audit management. + Identifies… more
- Humana (Columbus, OH)
- …in determining objectives and approaches to assignments. + Reviewing staff monthly QA review variances + Daily inventory monitoring and assignment of escalated ... benefits are designed to encourage personal wellness and smart healthcare decisions for you and your family while also...need it. These efforts are leading to a better quality of life for people with Medicare, Medicaid, families,… more
- Integra LifeSciences (Cincinnati, OH)
- … Operations **Desired Minimum Qualifications** **Education & Experience:** Bachelor's degree in quality assurance or related discipline with 3+ years of ... project management to ensure timely completion. + Alternate site Quality Management Representative in absence of QA .../Compliance within Medical Device Industry. OR Master degree in Quality Assurance or related discipline with 0-2… more
- Molina Healthcare (Cleveland, OH)
- …Access). + Knowledge of applicable state and federal law; National Committee for Quality Assurance (NCQA) standards. + Ability to independently manage multiple ... of delegated functions. + Reports on Delegation Oversight activities to Quality Improvement and Corporate Compliance Committees as applicable. + Manages department… more