- HCA Healthcare (Brentwood, TN)
- …appeal criteria is met in compliance with departmental policies and procedures + Review Medicare Recovery Audit Contractor (RAC) recoupment requests and process ... volunteering in our communities. As a Clinical Denials Coding Review Specialist with Parallon you can be a part...We are looking for an enthusiastic Clinical Denials Coding Review Specialist to help us reach our goals. Unlock… more
- HCA Healthcare (Tampa, FL)
- …to join an organization that invests in you as a Pro Fee Coding Quality Review Educator? At Parallon, you come first. HCA Healthcare has committed up to $300 million ... are looking for a dedicated Pro Fee Coding Quality Review Educator like you to be a part of...+ Inpatient/outpatient professional fee coding experience required. + Previous audit experience preferred. + Coding certification through AHIMA or… more
- Citigroup (New York, NY)
- **Enterprise Stress Testing - Market Risk Independent Review and Challenge lead** **Team/Role Overview** This role sits in Enterprise Risk Analytics (ERA), and will ... review and challenge the stress testing process, which requires...teams, ERM governance, model development, reporting, technology and Internal Audit . He/ She will have the opportunity to work… more
- Grifols Shared Services North America, Inc (Clayton, NC)
- … review , product investigations, product release, internal and external audit support, materials clearance, etc.). Participates in employee relations matters and ... review , product investigations, product release, internal and external audit support, materials clearance, etc.). The incumbent is an established and… more
- Navy Federal Credit Union (Winchester, VA)
- …GNMA, FNMA, FHLMC, federal, state, investor and NFCU guidelines and requirements. Review and validate full loan package post-closing, includes items related to the ... and correct errors that may affect guaranty of loan and/or impact audit to prevent fines/penalties. Coordinate changes, revisions and corrections with other mortgage… more
- MyFlorida (Tallahassee, FL)
- 68900145 - OPS OPERATIONS REVIEW SPECIALIST Date: Sep 10, 2025 The State Personnel System is an E-Verify employer. For more information click on our E-Verify Website ... Agency for Health Care Administration Working Title: 68900145 - OPS OPERATIONS REVIEW SPECIALIST Pay Plan: Temp Position Number: 68900145 Salary: $21.00 - $25.00… more
- CVS Health (Salt Lake City, UT)
- …a collaborative process to implement, coordinate, monitor and evaluate medical review cases. + Applies the appropriate clinical criteria/guideline and plan language ... thinking, evidenced based clinical criteria and clinical practice guidelines. Med Review nurses use specific criteria to authorize procedures/services or initiate a… more
- Molina Healthcare (Rochester, NY)
- …implementation of proactive approaches to improve and standardize overall retrospective claims review . * Ensures core system is updated correctly to process claim.. ... Minimum three years clinical nursing experience. Minimum one year Utilization Review and/or Medical Claims Review . **Required License, Certification,… more
- Regions Bank (Birmingham, AL)
- …with Regions' Retention Schedule for a minimum of three years. You may review , modify, or update your information by visiting and logging into the careers ... section of the system. **Job Description:** At Regions, the Credit Risk Review Examiner conducts credit risk assessments by analyzing individual loan transactions… more
- US Bank (Denver, CO)
- …and appraisals for complex commercial real estate property types and transactions. Review appraisal reports for compliance with bank policy and procedures, USPAP, ... policy and procedures and state and federal appraisal regulations. Maintain review productivity and quality control measurements in-line with department benchmarks.… more