- PPL Corporation (Louisville, KY)
- Company Summary Statement As one of the largest investor-owned utility companies in the United States, PPL Corporation (NYSE: PPL), is committed to creating ... risk management, governance and control while adding value and improving Company operations. Works towards developing substantial knowledge and understanding of… more
- Humana (Frankfort, KY)
- … Quality Team is looking is an experienced and well-grounded medical coding auditor to quality review the inpatient hospital claims for proper reimbursement, ... and help us put health first** In this role, you will conduct quality reviews of coding processes within the Claims Cost Management organization, including offshore… more
- Cleveland-Cliffs Inc. (Bowling Green, KY)
- …a division of Cleveland-Cliffs Tooling and Stamping, has an immediate opportunity for a Quality Auditor in our Bowling Green, Kentucky stamping facility. The ... Quality Auditor is responsible for the final...Quality Auditor is responsible for the final stages of the...for jobs Cleveland-Cliffs Inc. is the largest flat-rolled steel company and the largest iron ore pellet producer in… more
- Elevance Health (Louisville, KY)
- …but are not limited to: + Lead the development and execution of high quality assessments of the Company 's complex processes and controls (including statistical ... **Internal Auditor , Senior** **Location:** This role requires associates to...+ CPA/CIA/CISA certification. + Project management, process improvement, and quality oversight background. + Public accounting (eg, Big Four)… more
- Prime Therapeutics (Frankfort, KY)
- …fuels our passion and drives every decision we make. **Job Posting Title** Internal Auditor - Remote **Job Description** The staff Internal Auditor supports the ... business processes and internal audit methodologies. The staff Internal Auditor plays a key role in identifying control gaps,...new ideas and work collaboratively to provide the highest quality of care and service to our members. If… more
- Elevance Health (Louisville, KY)
- …and generating high quality recoverable claims for the benefit of the company , for all lines of business, and its clients. Also responsible for performing ... **DRG CODING AUDITOR ** **_Virtual_** **_: _** _ _ __ _This...and generate audit findings letters. + Maintains accuracy and quality standards as set by audit management for the… more
- Elevance Health (Louisville, KY)
- **Diagnosis Related Group Clinical Validation Auditor -RN** **Virtual:** This role enables associates to work virtually full-time, with the exception of required ... granted as required by law. The **Diagnosis Related Group Clinical Validation Auditor -RN** is responsible for auditing inpatient medical records to ensure clinical… more
- Datavant (Frankfort, KY)
- Datavant is a data platform 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 ... We're Looking For:** As an HCC (Hierarchical Condition Category) Auditor you will review medical records that have been...You Will Do:** + Audit coded charts assigned by quality supervisor per the client guidelines + Ability to… more
- Highmark Health (Frankfort, KY)
- ** 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 and accuracy of coding, billing and documentation related to DRGs, APCs, CPTs and HCPCS Level II… more
- UNUM (Frankfort, KY)
- …principles, practices, frameworks, and methodology. + Share responsibility for completing quality audit activities in support of team performance goals and metrics. ... and attention to detail to identify risks affecting the company . + Collaborate with team members, business partners, and...that enable smart risk taking and the achievement of company objectives. + Strong problem solving, critical thinking skills,… more