- PPL Corporation (Louisville, KY)
- …are based off the entry and intermediate levels. The Senior level Auditor may have additional responsibilities which include working with minimal guidance, mentoring ... to address areas identified as needing improvement + Prepares quality and timely workpapers supporting the results of audit-related...customers Qualifications **_This position may be filled at the Auditor , Staff Auditor or Senior Auditor… 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...work 3-shift model: Midnights, Days, Afternoons, and required OT Preferred Qualifications: + 5 years experience working in a… more
- Elevance Health (Louisville, KY)
- **Internal Auditor Senior - SOX & SOC1** **Location:** This role requires associates to be in-office 1 - 2 days per week, fostering collaboration and connectivity, ... an accommodation is granted as required by law. The **Internal Auditor Senior** is responsible for responsible for conducting financial/operational audits, internal… more
- Elevance Health (Louisville, KY)
- …based DRG Coding / Clinical Validation Audit setting or hospital coding or quality assurance environment preferred . + Broad knowledge of medical claims ... **DRG CODING AUDITOR ** **_Virtual_** **_: _** _ _ __ This...responsible for auditing inpatient medical records and generating high quality recoverable claims for the benefit of the company,… 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
- CVS Health (Frankfort, KY)
- …each and every day. Aetna's Revenue Integrity team is hiring Senior Coding Data Quality Auditors to support our growing risk adjustment efforts. This role plays a ... a passion for continuous improvement. This position will sit within our Coding Quality Operations team and offers the flexibility of working from home. **Position… more
- Highmark Health (Frankfort, KY)
- …and retrospective coding audit activities. Reviews medical records to determine data quality and accuracy of coding, billing and documentation related to DRGs, APCs, ... processes as it relates to the DRG/APC and other clinical data quality management factors. With technical direction and assistance from management, designs and… more
- Humana (Frankfort, KY)
- …and regulations governed by the Department of Insurance and CMS ** Preferred Qualifications** + Compliance regulations knowledge and compliance auditing experience + ... need, when they need it. These efforts are leading to a better quality of life for people with Medicare, Medicaid, families, individuals, military service personnel,… more
- Humana (Frankfort, KY)
- …experiences + Experience implementing timely resolution to complex issues ** Preferred Qualifications** + Associate or Bachelor's degree + Previous leadership ... need, when they need it. These efforts are leading to a better quality of life for people with Medicare, Medicaid, families, individuals, military service personnel,… more
- UNUM (Frankfort, KY)
- …principles, practices, frameworks, and methodology. + Share responsibility for completing quality audit activities in support of team performance goals and metrics. ... years' work experience. + Professional certification (eg, CIA, CPA, CFE, CISA) preferred or working towards certification. + Use technology knowledge to identify… more