• Specialist Charge Revenue Integrity & Optimization…

    Trinity Health (Livonia, MI)
    …suggesting improvements to processes. Provides knowledge & expertise in the program , services & applications. _Note: "patients" refers to patients, clients, ... Collaborates on performance improvement activities as indicated by outcomes in program efficiency & patient experience. Responsible for distribution of analytical… more
    Trinity Health (10/01/25)
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  • Medical Investigator I/II

    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
    Excellus BlueCross BlueShield (09/17/25)
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  • Compliance & Audit Partner

    Emory Healthcare/Emory University (Atlanta, GA)
    …and procedures are effectively communicated and enforced throughout the organization. **2. EDUCATION & TRAINING PROGRAM :** + Develop and delivery of compliance ... Compliance & Audit Partner to support systemwide compliance and education initiatives, reporting, trends analysis, as well as policy...five years of experience working as a medical coder, coding , auditor , and/or coding educator.… more
    Emory Healthcare/Emory University (09/23/25)
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  • Investigator External Audit Special Investigations…

    Providence (Oakland, CA)
    …facility or other relevant healthcare environment. + Project management experience, education program development experience and group presentation experience. + ... coordination of recovery of overpayments related to fraudulent and/or abusive billing and coding practices; and providing education related to coding ,… more
    Providence (09/27/25)
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  • Analyst, Compliance Auditing, Monitoring…

    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
    Option Care Health (09/24/25)
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  • Compliance Specialist | 40 hours per week…

    Great River Health (West Burlington, IA)
    …+ Employer-paid, Long-Term Disability, Life, and AD&D + Paid time off (PTO) + Education Assistance Program + Employee Assistance Program + Employee Referral ... by reviewing documentation practices, identifying areas for improvement, and providing education to ensure adherence to regulatory and organizational standards. This… more
    Great River Health (09/17/25)
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  • Senior Accountant

    State of Colorado (Denver, CO)
    …Type Full Time Job Number 8222025452 Department Colorado Department of Higher Education Opening Date 08/26/2025 Closing Date Continuous FLSA Determined by Position ... reporting student loan interest paid by Professional Student Exchange Program ( PSEP ) borrowers for review and approval...complete information for grant management + Determine the correct coding of transactions for programs assigned , and as… more
    State of Colorado (08/27/25)
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  • Principal Architect - Application Cybersecurity…

    United Airlines (Chicago, IL)
    …review a proposed application change, or provide guidance on application security/ coding best practices. + Leads architecture design evaluations and threat modelling ... and other means + Educate and mentor junior team members + Ensures program (s) is meeting intended purpose and metrics **Qualifications** **What's needed to succeed… more
    United Airlines (08/20/25)
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  • Cloud Security Solutions & Advisory, VP

    MUFG (Jersey City, NJ)
    …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
    MUFG (09/12/25)
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  • Pharmacy Revenue Integrity

    Albany Medical Center (Albany, NY)
    …Under the direction of the Director of Pharmacy the Pharmacy Revenue Integrity Auditor will serve as a pharmacy liaison and interface with finance, billing, revenue ... resubmission for pharmaceutical charging. + Maintain a thorough understanding of 340B program regulations and compliance requirements, staying up to date on policy… more
    Albany Medical Center (08/14/25)
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