- Corewell Health (Grand Rapids, MI)
- …Or + CRT- Internal Auditor , Certified (CIA) - IIA Institute of Internal Auditors Or + CRT-Healthcare Privacy Compliance , Certified (CHPC) Or + CRT-IRB ... compliance committees. + Works with operational leaders and Compliance COEs to develop and monitor internal ...- AAPC American Academy of Professional Coders Or + CRT- Coding Specialist (CCS) - AHIMA American Health Information Management… more
- Commonwealth Care Alliance (Boston, MA)
- …Working under the direction of the Sr. Director, TPA Management and Claims Compliance , Healthcare Medical Claims Coding Sr. Analyst will be responsible for ... health care programs and reimbursement methodologies (Medicaid and Medicare) + Medical Coding , Compliance , Payment Integrity and Analytics + Direct and relevant… more
- Excellus BlueCross BlueShield (Rochester, NY)
- …in discussions with Medical Directors and/or clinical consultants. + Serves as an internal auditor /peer reviewer for new clinical staff, as needed. + Mentors ... provides practical business recommendations for corrections. Works with business area staff, Compliance , and other internal departments as necessary to develop… more
- Capital One (Mclean, VA)
- …Certifications related to or pursuing certification related to Auditing, such as Certified Internal Auditor (CIA), or Certified Information Systems Auditor ... information, issues and audit progress to teammates, clients and auditor -in-charge. + Perform various aspects of engagement administration, including hours… more
- Capital One (Mclean, VA)
- …Certifications related to or pursuing certification related to Auditing, such as Certified Internal Auditor (CIA), or Certified Information Systems Auditor ... information, issues and audit progress to teammates, clients and auditor -in-charge. + Perform various aspects of engagement administration, including hours… more
- YMCA of Greater Seattle (Seattle, WA)
- …: coordinate monthly spend-downs, validate federal and state invoices for allowability and coding , and maintain the grants compliance and reporting calendar. + ... of all federal and state invoices for allowability, correct coding , GAAP and Uniform Grant Guidance compliance ,...reviews. + Ensure the team maintains audit-ready documentation and compliance with 2 CFR 200 and internal … more
- Providence (Oakland, CA)
- …as an Accredited Healthcare Fraud Investigator (AHFI) upon hire. + Certification as an Internal Auditor or Healthcare Compliance certification upon hire. + ... billing and coding practices; and providing education related to coding , medical record documentation requirements, healthcare compliance and fraud, waste… more
- MUFG (Jersey City, NJ)
- …+ Ensure all controls are traceable to business risks, regulatory requirements, and internal policies. + Collaborate with compliance , legal, and audit teams to ... efficiency of internal controls; and identifying issues resulting from internal and/or external compliance examinations especially in cloud environments. +… more
- ADP (Roseland, NJ)
- …risk management? Do you thrive in an environment that values security, compliance , and risk-based decision-making? Join ADP's Global Security Organization (GSO) and ... us to secure their information, and we ensure integrity, confidentiality, and compliance at every stage of the information lifecycle. **Position summary** The lead… more
- AdventHealth (Altamonte Springs, FL)
- …reviews consist of, but are not limited to; concurrent, mortality, Retrospect and other internal CDI audits to ensure compliance to guidelines. + Understands and ... with physicians, nursing and HIM coders. The CDI Quality & Compliance Team Leader strategically facilitates and obtains appropriate and quality physician… more