- The Cigna Group (Bloomfield, CT)
- The Quality Review & Audit Senior Analyst ("Analyst") exhibits expertise in evaluating complex medical documentation for diagnosis code accuracy and compliance ... (HCC) expertise, evaluating data accuracy and record compliance, executing on audit requirements, and identifying and recommending process improvements within the RA… more
- Redeemer Health Home Care & Hospice (Huntingdon Valley, PA)
- …We invite you to apply today. SUMMARY OF JOB The Certified Risk Adjustment Coding/ Audit Reviewer is a physician facing position and must have extensive knowledge ... a medical charting and ability for formulate comprehensive proactive education and audit with needed remediation upon those findings. Expertise in reviewing and… more
- Citigroup (Tampa, FL)
- …to SVP and QAD, including potential concerns, roadblocks, and escalations. + Prepare key audit review documents: ASAM, APM, Testing Strategy and Audit ... Citi's Internal Audit (IA) division provides independent assessments of the...to IA stakeholders, QA SVP and QAD. + Perform review of assigned Risk Based QA Scorecards in line… more
- Charles Schwab (Lone Tree, CO)
- …audits including: review and challenge of testing approach and testing conducted; review , challenge, and sign-off on audit deliverables; support of the ... and validation status (including SLA adherence) for issues in audit portfolio. Review and challenge completed issue validation testing results. + **Business… more
- Aston Carter (Atlanta, GA)
- …join our team. The ideal candidate will supervise the planning and execution of audit and review engagements, lead engagement teams, manage staff, and provide ... on-the-job training and mentorship. You will prepare and oversee audit planning documents, review workpapers, and draft financial statements and audit … more
- The Coca-Cola Company (Atlanta, GA)
- …a contribution of ideas on the methodology and approach for upcoming assignments based on review of prior year's audit work papers, flowcharts, and audit ... to ensure the department's compliance with professional industry standards (eg, self- review of audit work, proper close-out of the audit files, adequately… more
- City of New York (New York, NY)
- … System and uploaded in SharePoint and S Drive within 7 business days of audit report issuance. - Review supporting documentation disputing the audit ... findings and draft the audit resolution letter for Audit Manager's/Director's review . Update the Audit System accordingly. - Provide Technical assistance… more
- Henry Ford Health System (Warren, MI)
- …support specialist is a support role crucial to the centralized Utilization Review team for time sensitive authorization tracking and resolution process. Responsible ... for obtaining and tracking approvals, denials, and additional information requests received from third party payers within the EMR. EDUCATION AND EXPERIENCE: + High School Diploma/GED + Working knowledge of computers and software systems Communication skills,… more
- City of New York (New York, NY)
- …detailing audit findings and recommendations, which may include the review of plans, drawings, specifications, field records, analysis of prices, and ... of Homeless Services (DHS). AO maintains the operation of the Office of Audit Services (OAS) and Office of Quality Assurance (OQA), Special Investigations Division… more
- NTT DATA North America (Charlotte, NC)
- …the creation of presentations for delivery to Senior Leaders **Skills:** + Analytical Thinking + Audit Planning + Internal Audit Review + Issue Management + ... This job is responsible for overseeing assigned areas of audit work acting as an Auditor-in-Charge (AIC), and executing...using predefined attributes and challenge questions, relevant for the review type and in accordance with the QA strategy.… more