- HCA Healthcare (Caldwell, ID)
- …you have the opportunity to make a difference. We are looking for a dedicated Coding Quality Audit Reviewer like you to be a part of our team. **Job Summary and ... result in appropriate reimbursement and data integrity. You will review outcomes are communicated to the HSC team to...Acquisition team is reviewing applications for our Coding Quality Audit Reviewer opening. Qualified candidates will be… more
- Aflac (GA)
- …accuracy of all accounting transactions; facilitates work with external auditors in annual audit and internal control review + Develops solutions and implements ... Serves as the subject matter expert (SME) and detailed reviewer for Treasury stock to determine the basic and...support activities and information sharing necessary with the external audit firm to complete the quarterly reviews and the… more
- St. Luke's University Health Network (Allentown, PA)
- …of a patient's ability to pay for health care. The RN Clinical Review Appeals Specialist retrospectively reviews patient medical records, claims data and coding of ... and procedure code assignment and MS-DRG/APR-DRG accuracy based on denials or audit findings from government and commercial payers. Meet or exceed established… more
- UNC Health Care (Kinston, NC)
- …all audit and appeals work activities. Assists with documentation review to support the clinical documentation specialists and Patient Financial Services. ... Coordinates and leads all clinical denial processes and clinical audit activities. Collaborates with teammates involved in the denial...Supports the Utilization Review Nurse team when necessary by applying established criteria… more
- Grifols Shared Services North America, Inc (Clayton, NC)
- … review , product investigations, product release, internal and external audit support, materials clearance, etc.). The incumbent is an established and ... quality in meetings. Specific duties will depend on the assignment and may include review of manufacturing or testing records, preparation or review of failure… more
- UL, LLC (Detroit, MI)
- …days per week in our office in Northbrook, IL. + Lead the development, or review , or audit /assessment of safety work products for clients seeking compliance to ... to systems- and software- engineering. Lead the development, or review , or audit /assessment of safety processes and...roles requiring independent expert technical judgment, such as PDE, review board chair, Regional Lead Reviewer , and… more
- TD Bank (Fort Lauderdale, FL)
- …compliance with Company policy. Acts as a key liaison with regulatory agencies and audit groups regarding Loan Review activities and more broadly, credit related ... and Loan Reviews** leads the Commercial Examinations function within the Loan Review Division and is responsible for executing the Examination plan to conduct… more
- Lilly (Indianapolis, IN)
- …life better for people around the world. **Purpose:** The Case Management Medical Review Scientist is responsible for conducting comprehensive medical review of ... and any related duties that might be required for the role/position. Medical review of ICSRs + Conduct comprehensive ICSR medical reviews across all therapeutic… more
- City of New York (New York, NY)
- …of Homeless Services (DHS). DSS-AO maintains the operation of the Office of Audit and Quality Assurance (OAQA), Office of Compliance & Support (OAS), Investigation, ... contractual, regulatory and legal requirements. Within VMO, the Secondary Invoice Review Team conducts real-time secondary reviews on invoices for contracted… more
- Robert Half Finance & Accounting (Bridgewater, NJ)
- …to avoid potential audit liability. This determination is based on a review of a combination of information provided by the customer and researching applicable ... analysis of the reasonableness of the filings given the reviewer 's knowledge of the company and follow up, as...appropriate. * Serving as the sales/use and property tax audit liaison including performing self- audit of company… more