- Coinbase (Atlanta, GA)
- …alignment. Attendance is expected and fully supported. Coinbase is looking for an Internal Audit Senior, IT to join the Internal Audit team focusing primarily on ... US (Remote) and will be reporting to an Internal Audit IT Senior Manager. The individual will be responsible...to maximize meetings utility, testing efficiencies and internal controls review coverage across the organization. * Serve as a… more
- Beth Israel Lahey Health (Newburyport, MA)
- …is tracked and logged for future reference. . Handles the logging, tracking, and quality control/reviews of all post-payment audit appeals, as provided by the ... direction of the Director of Health Information Management, the Health Information Management Audit Specialist handles various audit requests for the release of… more
- BrightSpring Health Services (Centennial, CO)
- …and identifies documentation needed to respond effectively and efficiently. The PBM Payer Audit Specialist also performs quality assurance checks for all medical ... service to all the Amerita locations, the PBM Payer Audit Specialist reviews audit request, compiles and...coordinates across departments to ensure audits receive the proper review , appeals, and resolution + Coordinates with other departments… more
- Sedgwick (Dubuque, IA)
- …analyzes management reports and takes appropriate action. + Performs quality review on claims in compliance with audit requirements, service contract ... Best Workplaces in Financial Services & Insurance Absence Management Team Lead - Coding Team **Our teams connect! We collaborate onsite and have a hybrid work… more
- UCLA Health (Los Angeles, CA)
- …and appeals. Leverage your expertise to support UCLA Health's commitment to accuracy and quality in claim processing. As an Audit and Appeals Specialist, you ... will: + Facilitate responses to regulatory audits related to billing, coding , and collection practices in compliance with federal and state guidelines + Collect,… more
- Datavant (Washington, DC)
- …you will be instrumental in addressing consulting and educational needs related to coding quality , compliance assessments, external payer reviews, coding ... Seeking a profee auditor proficient in multi-specialty including procedure and E/M coding in multiple settings **What You Will Do:** + Performs Professional Fee… more
- Grant Thornton (Newport Beach, CA)
- …and help you achieve more, confidently. Your day-to-day may include: + Review operational, financial, and administrative processes to assess risk, internal control, ... include but are not limited to co-sourced and outsourced internal audit , internal control assessments, enterprise risk management program assessments, tests of… more
- Atlantic Health System (Morristown, NJ)
- …include: + The position primarily focuses on assisting the clinical internal audit team in responding to clinical, coding , billing compliance issues ... federal and state regulations + Assist with process and quality improvements + Keep abreast of federal and state...100 Accountable Care Organizations to Know - Becker's Hospital Review + Best Employers for Workers over 50 -… more
- Sutter Health (Sacramento, CA)
- …Local regulatory publications and how to access. + Knowledge of Outpatient National Correct Coding Edits. + Demonstrated ability to review a health record and ... **CERTIFICATION & LICENSURE:** CPC-Certified Professional Coder OR COC-Certified Outpatient Coding OR RHIT-Registered Health Information Technician OR RHIA-Registered Health… more
- St. Luke's University Health Network (Allentown, PA)
- …clinical documentation improvement issues and through excellent communication with physicians, coding and CDMP leadership, Quality Dept. coordinators, and other ... and/or formal meetings with auditor or payor representatives in defense of coding appeals, as needed. + Maintain necessary audit /appeal activity documents… more
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