- Highmark Health (Helena, MT)
- …Health Network **Job Description :** **GENERAL OVERVIEW:** Performs all related internal , concurrent, prospective and retrospective coding audit activities. ... coding, billing and documentation related to DRGs, APCs, CPTs and HCPCS Level II code and modifier assignments, ICD diagnosis and procedure coding, DRG/APC structure… more
- City of New York (New York, NY)
- …action plans and/or training. OQA&FI is recruiting for one (1) Principal Administrative Associate II to function as a Quality Control Case Reviewers, who ... Job Description YOU MUST BE PERMANENT IN THE PRINCIPAL ADMINISTRATIVE ASSOCIATE CIVIL SERVICE TITLE The DSS Accountability Office (DSS-AO) is responsible for… more
- LSI Solutions (Victor, NY)
- …After all, our customer is ultimately the patient. POSITION TITLE: Quality Analyst I, II , III (Day Shift) LOCATION: Onsite at LSI Solutions in Victor, NY HOURLY PAY ... Solutions in Victor, NY ESSENTIAL FUNCTIONS: ( Quality Control Inspection, Line Audit and Documentation Review preferred) Level I + Process paperwork accurately and… more
- CGI Technologies and Solutions, Inc. (Fort Belvoir, VA)
- …and create documentation for application inventory, infrastructure, design, and processes, for internal use and external audit review. -Advisement & Analysis: ... and hands-on support to ensure compliance with mandated standards for DAI. - Audit Readiness: Assess internal control processes, assist with audit… more
- MUFG (New York, NY)
- …the duties of the BURM (Business Unit Risk Manager) for Operations. The associate will be responsible for key aspects related to issue management, risk assessments, ... reporting, documenting loss events, and assisting operations business lines with internal audits and/or RCSA's. **RESPONSIBILITIES** + Issue Management - + Assist… more
- State of Colorado (Denver, CO)
- …in provider pre-payment claims reviews and investigations, coordinates review projects and audit schedules and resolving provider billing issues as they arise + ... Working with internal staff, including policy, rates, and data personnel, to...and maintaining electronic tracking spreadsheets/databases for tracking all the audit plans, audit project progress, project work… more
- MUFG (Tampa, FL)
- …risk posture. **Responsibilities:** **Cyber Risk Management:** + Support internal projects on cybersecurity threat concerns, supporting various participants ... to proactively mitigate potential issues. + Monitor and evaluate emerging risks, internal operational trends, and external risk events for potential impact on the… more
- Veterans Affairs, Veterans Health Administration (Klamath Falls, OR)
- …(PACT) consists of a Primary Care provider, an RN Care Manager, a clinical associate (LPN or Health Tech/Medical Assistant), and a clerical associate (Medical ... or in the District of Columbia. Preferred Experience: Primary Care, Internal Medicine, Family Practice Grade Determinations: Physician Assistant-I (PA-I) Experience… more
- City of New York (New York, NY)
- …accurate and complete error findings. OQA&FI is recruiting for (1) one Principal Administrative Associate II to function as a Quality Control Case Reviewer, who ... Job Description YOU MUST BE PERMANENT IN THE PRINCIPAL ADMINISTRATIVE ASSOCIATE CIVIL SERVICE TITLE The DSS Accountability Office (DSS-AO) is responsible for… more
- City of New York (New York, NY)
- …or no cost. Medicaid Eligibility Operations is recruiting for one (1) Principal Administrative Associate , Level II to function as a Section Supervisor, under the ... Eligibility Operations is recruiting for one (1) Principal Administrative Associate , Level II to function as a...review and reconcile work and reports. - Utilize an internal assessment tool to conduct monthly case audits. Based… more