- 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
- 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 (CDI, MS-DRG, AP-DRG and APR-DRG)** **Virtual:** This role enables associates to work virtually full-time, ... granted as required by law. The **Diagnosis Related Group Clinical Validation Auditor ** 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
- Elevance Health (Louisville, KY)
- **Claims Auditor I** **Virtual:** This role enables associates to work virtually full-time, with the exception of required in-person training sessions, providing ... employment, unless an accommodation is granted as required by law._ The **Claims Auditor ** **I** is responsible for pre and post payment and adjudication audits of… 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
- 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 ... educational and life experiences to realize our bold vision for healthcare. As an Auditor , HCC Risk Adjustment Coder, you will review medical records to identify and… 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
- Humana (Frankfort, KY)
- …for a bonus incentive plan. This incentive opportunity is based upon company and/or individual performance. **Description of Benefits** Humana, Inc. and its ... retirement savings plan, time off (including paid time off, company and personal holidays, volunteer time off, paid parental...need it. These efforts are leading to a better quality of life for people with Medicare, Medicaid, families,… more
- ThermoFisher Scientific (Florence, KY)
- …future expansion into other GDP locations. Responsibilities include management of the Quality Management System (QMS), leadership and partnership of the site ... Quality Processes, Change Control, Risk Assessments & Data Integrity....products received & distributed are released in accordance with company policies and procedures. This position is a working… more
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