- Walmart (Bentonville, AR)
- …standards; Emerging tools and technologies; Telemetry. To adhere to all relevant coding guidelines (Ex: code review processes, code branching strategies, ... and hot fixes. Escalate any issue that occurs in the backup media. Audit desktops for compliance with IT policies. Conduct regular database integrity checks to… more
- Catholic Health Initiatives (Omaha, NE)
- …management, compliance with governmental and private payer regulations, appropriate physician coding and documentation requirements.** + Review medical records ... survey, or other review of the Departments + Ensure consistency of utilization review services, quality control, and patient safety + Act as a liaison with… more
- Walmart (Bentonville, AR)
- …Help resolve any issue that occurs in the backup media. Regularly audit firewall logs to identify any suspicious activity. Optimize device configurations by ... and standard operating procedures/runbooks with a goal minimize runbooks by automation. Coding : Requires knowledge of: Coding standards and guidelines; Coding… more
- CHS (Clearwater, FL)
- …Manager of Quality to implement appropriate standards for accuracy and audit procedures intended to validate those standards are met. This includes setting ... random audit percentages for Examiners reflecting experience and historical quality results. It will also include development of coaching and training programs… more
- Methodist Health System (Dallas, TX)
- …contractors and other areas vulnerable to compliance risk: + Confirm that periodic coding compliance reviews are performed, review reports and corrective action ... of processes in identified risk areas. + Provide input, review and approve entity level annual compliance work plans....Assist the CLO/CCO with agendas and meetings of the Audit & Corporate Oversight Committee and the Corporate Compliance… more
- Trinity Health (Columbus, OH)
- …of professional roles including information technology, financial analysis, audit , provider relations and more. **Position Purpose:** Pharmacy/Clinical Service ... detailed ad hoc reports for pharmacy claims analysis and review . . Coordinate and work with PBM and internal...with PBM and internal departments related to the pharmacy audit requests. . Trend and identify inappropriate pharmacy utilization… more
- UPMC (Cumberland, MD)
- …identification systems. + Perform additional trauma patient medical record abstracting or audit activities for quality assurance, research, education, or for the ... services office abstracting data from patient charts and performing trauma tri- coding for entry into the Maryland Trauma Registry. **Responsibilities:** + Document… more
- CareFirst (Reston, VA)
- …audit requests for Data Center Operations. + Follow IT Operations guidelines for audit reply review and approval. + Provide technical assistance to all ... weekends and holidays. **ESSENTIAL FUNCTIONS:** + Perform technical detail design, coding , testing of applications. Serves as subject matter expert for both… more
- Stanford Health Care (Palo Alto, CA)
- …linking of correct procedure and charge mapping.* Performs detailed and regular audit for timely updates that reflect current codes, costs, pricing, and mark-ups.* ... Maintain various coding , pricing, mark-up databases and records for reporting.* Utilize...high-cost pharmaceuticals and ensure correct charges are entered.* Perform review and enter charges for CAR-T therapies in timely… more
- Johns Hopkins University (Baltimore, MD)
- …or other related regulatory matters. + Oversees the management of the quality assurance review program to continuously assess physician and non-physician ... SOM clinical department directors and administrators. Will ensure the Billing Quality Assurance compliance and training programs are appropriately coordinated and… more