- Methodist Health System (Dallas, TX)
- …for end of month. **_Duty 7_** : Assists in all other areas within the coding /auditing department as directed by Director/ Audit Manager. **_Duty 8_** : Adhere to ... Coder ( **CPC** ) certification from AAPC **or** Certified Coding Specialist - Physician-based ( **CCS-P** ) certification from...medical record. **Your Job Responsibilities** : **_Duty 1_** : Audit coder I & II assigned E&M levels and… more
- BAE Systems (Huntsville, AL)
- …mission: We Protect Those Who Protect Us. BAE Systems is seeking a Principal Design Quality Engineer to join our team working on state of the art missile sensors and ... validation. Typical responsibilities for planning, documenting, and implementing the Design Quality Assurance function include: + Participate in design & development… more
- Baystate Health (Springfield, MA)
- …reports analyses for review by management. **4)** Performs Pathology and Radiology coding ; applicable use of all carrier guidelines and review of clinical ... all levels. The incumbent has an understanding of compliance audit concepts. This includes but is not limited to...billing. **2)** Validates and identifies appropriate ICD-9 (ICD-10) diagnosis coding as it pertains to specific risk adjustments and… more
- Astellas Pharma (Westborough, MA)
- **Validation Lead, Quality Assurance** Do you want to be part of an inclusive team that works to develop innovative therapies for patients? Every day, we are driven ... headquartered in Massachusetts. Astellas is announcing a **Validation Lead, Quality Assurance** opportunity at their **Astellas Institute for Regenerative Medicine… more
- Mount Sinai Health System (New York, NY)
- …the charge capture process. + Coordinate with payers to ensure timely handling of audit requests, review technical payer denials, determine if an appeal is ... of medical terminology and patient care, expertise in medical coding systems and healthcare regulations, analytical and problem-solving abilities, excellent… more
- Brighton Health Plan Solutions, LLC (Chapel Hill, NC)
- About The Role Brighton Health Plan Solutions is seeking a Senior Quality Analyst, who will oversee contract and benefit configuration to ensure accurate claims ... and network compliance. This is a remote role. Primary Responsibilities + Audit system configuration against contract requirements. + Identify fee schedule, provider… more
- Bon Secours Mercy Health (Cincinnati, OH)
- …hours in alignment with Eastern Time.* **Essential Job Functions** + Assists in the review of Bon Secours Mercy Health coding , billing and claims processing ... Bon Secours Mercy Health, we are dedicated to continually improving health care quality , safety and cost effectiveness. Our hospitals, care sites and clinicians are… more
- St. Luke's University Health Network (Allentown, PA)
- …in the formulation and review of Network policies and guidelines affecting the coding of professional services. + Assists in maintaining the FY audit plan ... Provider Services Auditor performs audits as part of the Documentation and Coding Compliance Program for professional services billed by providers employed with St.… more
- Humana (Corpus Christi, TX)
- …a part of our caring community and help us put health first** The Quality Assurance, Clinical Professional 1 consults and collaborates with clinicians to ensure high ... accountability of compliance and quality . The Quality Assurance, Clinical Professional 1...all records meet federal, state, and payer-specific standards, reducing audit risk and financial exposure. The QA Auditor will… more
- Actalent (Franklin, WI)
- …root cause analysis, AS9100, PPAP, and Six Sigma Green Belt. + Experience in audit , supplier quality , PFMEA, and machining. Additional Skills & Qualifications + ... Job Title: Quality Engineer III Job Description As a ...support ISO 9001, AS9100, and regulatory activities. Responsibilities + Review and improve the corrective action process, including problem… more