- University of Utah (Salt Lake City, UT)
- …interprets state and federal regulations regarding payments in health care to audit claims correctly. **Minimum Qualifications** Bachelor's degree in Health Care ... documentation. The position will utilize coding knowledge to abstract, record and audit data from medical records. Provides support to areas related to… more
- Access: Supports For Living (Middletown, NY)
- …independently + Performs A/R, cash/denial postings, and billing/follow up on MCO insurance claims + Completes external audit work as assigned and assists with ... Independently work with spreadsheets and databases. You will assist in internal audit functions, year-end projections, and perform other duties as assigned. PRIMARY… more
- Elevance Health (Richmond, VA)
- …claims systems and system edits to identify adjudication issues and to audit claims adjudication for accuracy. + Prepares correspondence to providers ... Alternate locations may be considered. **Ensures accurate adjudication of claims , by translating medical policies, reimbursement policies, and clinical editing… more
- Cardinal Health (Hingham, MA)
- …preferred + High School Diploma, GED or equivalent work experience, preferred + Medicare claims and/or audit experience desired + Familiarity with a variety of ... auditing & appeals processes and procedures + Familiarity with healthcare compliance issues, including HIPAA privacy rules & requirements **Anticipated hourly range:** $15 per hour - $18.10 per hour **Bonus eligible:** No **Benefits:** Cardinal Health offers a… more
- Elevance Health (Norfolk, VA)
- …Group (DRG) methodology, including case rate and per diem, generating highly complex audit findings recoverable claims for the benefit of the Company, for ... appeals may only be reviewed by other DRG Coding Audit Principals (or Executives). **How you will make an...you will make an impact:** + Analyzes and audits claims by integrating advanced or convoluted medical chart coding… more
- Albany Medical Center (Albany, NY)
- …based on the requirements of the 340B program. This person will extensively audit prescription claims and report findings while making recommendations for ... for advising, establishing, and helping to implement the outpatient prescription qualification/ audit process in conjunction with the 340B Compliance Specialist. This… more
- Ross Stores, Inc. (Dublin, CA)
- …resolve any conflicts\. * Tie out Landlord receivable balances by isolating overcharges, audit claims , misapplied checks, and unpaid charges\. * Contribute to ... the development and implementation of the proprietary lease audit /administration software \(PD Sitelink\) enhancements\. Lead user acceptance testing process\. * Act… more
- Actalent (Irvine, CA)
- …required health and safety documentation, such as OSHA 300 logs, workers compensation claims , and safety audit and inspection records; collaborate with Human ... programs. Manage safety records and ensure compliance with third-party client safety audit platforms (eg, Avetta). Training and Education Design and maintain a… more
- Jacobs (Arlington, VA)
- …with management of vital records and relevant correspondence to support reporting, contract audit , claims and litigations, and contract close out * Provide ... to project teams to prepare and negotiate requests for equitable adjustment or claims as required * Report performance to the functional management for use in… more
- Endo International (Woodcliff Lake, NJ)
- …final rebate review of all rebates and benefits in Model N. + Assist Finance in claims and post audit claims resolution **25%** + Ensures contract compliance ... + Manage the pricing tracker used for pricing guidance when reviewing requests for COT alignment and MFN compliance + Analyzes contract requirements, special provisions, terms and conditions to ensure compliance with appropriate laws, regulations, corporate… more