- 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 ... of Professional Medical Conduct Office of Professional Medical Conduct/NYS Education Department, Office of Professional Discipline and/or internal referral for… more
- Emory Healthcare/Emory University (Atlanta, GA)
- …preferred. + A minimum of five years of experience working as a medical coder, coding auditor , and/or coding educator. + Certified in Healthcare Compliance ... and procedures are effectively communicated and enforced throughout the organization. **2. EDUCATION & TRAINING PROGRAM :** + Develop and delivery of compliance… more
- Option Care Health (Bannockburn, IL)
- …Monitoring and Analytics is responsible for supporting the Compliance program 's risk-based auditing, monitoring and analytics activities to monitor, assess, ... + Executes the risk-based compliance auditing, monitoring and analytics program to assess the effectiveness of compliance controls and...key risk areas such as regulatory changes, billing and coding , privacy and security, and fraud and abuse. +… 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
- MUFG (Tampa, FL)
- …reports + Participate in security governance of SDLC, design reviews and secure coding standards (OWASP) + Utilize the MITRE ATT&CK framework to identify and ... experience in a combination of risk management, Cloud information security, secure coding , application security, and IT roles. Audit and Cyber Risk Institute… more
- Truist (Charlotte, NC)
- …Provide a strong effective challenge and oversight to the enterprise data testing program conducted by the 1LOD and/or enterprise data control testing utility. 2. ... and Executives. 3. Oversee the 1LOD or Enterprise Testing Control Utility Program /Plan, including the methodology, and drive socialization and input into the testing… more
- Hilton (Minneapolis, MN)
- …environment, thanks to innovative programs and benefits such as: + Go Hilton travel program : 100 nights of discounted travel + Access to your pay when you need ... through DailyPay + Hilton Shares: Our employee stock purchase program \(ESPP\) \- you can purchase Hilton shares at...Hilton shares at a 15 percent discount\! + Debt\-Free Education : Team Members will have access to a wide… more
- SSM Health (MO)
- …Performs as a vital member of the interdisciplinary care team member, an auditor , and an educator ensuring medical records are complete and clinical documentation ... and diagnosis review group (DRG) frequency. + Serves as a liaison between coding staff and physicians as appropriate. Identifies and initiates opportunities for new … more
- MyFlorida (Tallahassee, FL)
- …and Responsibilities: The selected candidate will join the Division of State Group Insurance, Program Integrity Unit as an Audit Manager and will serve as an ... and contract manager for the state group insurance program 's post payment claims audits and the Pharmacy Benefits...Suite and Power BI + Knowledgeable of heath care coding conventions, fraud schemes, general areas of vulnerability, reimbursement… more
- Butler America (Fort Worth, TX)
- …skills. * Must quickly come up to speed with the software process auditor work scope, technical requirements, program risks, and delivery milestone schedule. ... * Experience in software requirements development. * Software design and coding (C/C++, Ada, or other embedded programming languages) * Embedded software/hardware… more
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