- Capital One (Richmond, VA)
- …understanding of data, innovation, and technology will only make you a better auditor . This will require leveraging the power of data analytics and furthering your ... including 1 year of experience in test scripting or testing coding (writing, reviewing, or assessing) **Preferred Qualifications:** + Certifications related to… more
- Excellus BlueCross BlueShield (Rochester, NY)
- …contracts, group benefit structures, Corporate Medical Policies, the AMA CPT Coding Guidelines, HCPCS coding , inter-plan regulations, government policies, as ... Directors and/or clinical consultants. + Serves as an internal auditor /peer reviewer for new clinical staff, as needed. +...year of hire date. + Knowledge of medical record coding conventions (eg CPT, DRG, HCPCS, ICD10, etc.). +… more
- Molina Healthcare (Buffalo, NY)
- …Healthcare claim audits including, but not limited to; vendor, focal, audit the auditor . Confirm that documentation is clear and concise to ensure accuracy in ... specific policies and regulations in order to identify incorrect coding , abuse and fraudulent billing practices, waste, overpayments, and...& ABILIITIES:** + Minimum 2 years as an operational auditor for at least one core operations function +… more
- Elevance Health (Louisville, KY)
- …written and verbal inquiries. **How you will make an impact:** + Assists higher level auditor /lead on field work as assigned and acts as auditor in charge on ... and post implementation audits of providers, claims processing and payment, benefit coding , member and provider inquiries, enrollment & billing transactions and the… more
- Coinbase (Atlanta, GA)
- …importance of controls, an effective control environment, and the role of Internal Auditor . * Promote new ideas / innovative means of executing projects and internal ... Google Suite or MS Excel, Word and PowerPoint. * Basic scripting experience in coding languages such as Python, Ruby, etc. *Nice to haves:* * Professional Internal… more
- City and County of San Francisco (San Francisco, CA)
- …services. Under general supervision, 2112 Medical Records Technician assists in analyzing, coding , and compiling all medical records on patients treated at City and ... performed. + Processes medical records of patients by assembling, analyzing, coding , and checking for compliance with established policy on nomenclature and… more
- Hyundai Autoever America (Savannah, GA)
- …MES Team The Software Engineer III will primarily focus on designing, coding , and deploying software solutions that enhance Manufacturing Execution Systems (MES) and ... improving performance and adding new capabilities. + Automation and Infrastructure Coding : Develop scripts and tools for automating MES processes, including… more
- Hyundai Autoever America (Savannah, GA)
- …and software interfacing. Conducts programming tasks, including program design, coding , debugging, and documentation. As directed, prepares feasibility studies and ... Linux, Rocky Linux, Ubuntu. + Intermediate/Advanced proficiency in performing coding utilizing C#, ASP.net, HTML5, and WinForms + Intermediate/Advanced proficiency… more
- Option Care Health (Bannockburn, IL)
- …workplans, focusing on key risk areas such as regulatory changes, billing and coding , privacy and security, and fraud and abuse. + Perform data analysis and ... laws and regulations, preferably with compliance requirements related to billing and coding , privacy and security, and fraud, waste and abuse, including but not… more
- United Airlines (Chicago, IL)
- …review a proposed application change, or provide guidance on application security/ coding best practices. + Leads responsible architecture design evaluations and ... Certified Information Systems Security Professional (CISSP) + Certified Information Systems Auditor (CISA) + Systems Security Certified Practitioner (SSCP) + CompTIA… more