- Molina Healthcare (NE)
- …hours will be 7am-3:30pm PST M-F** **Job Summary** Responsible for conducting various healthcare Healthcare claim audits including, but not limited to; vendor, ... focal, audit the auditor. Confirm that documentation is clear and...within the core processing system (QNXT). * Conducts focal healthcare Medical claim audits on samples of processed transactions… more
- Premera Blue Cross (Mountlake Terrace, WA)
- …practices. + Stay informed about changes in coding standards, payer policies, and healthcare regulations, applying them to audit activities. + Contribute to ... Lives** Our purpose, to improve customers' lives by making healthcare work better, is far from ordinary. And so...The Auditor II plays a critical role in identifying audit opportunities, complex analysis, and provider billing investigation. This… more
- HCA Healthcare (Nashville, TN)
- …Director Waste Compliance and Regulatory Affairs? At HealthTrust, you come first. HCA Healthcare has committed up to $300 million in programs to support our ... on years of service) + Employee Stock Purchase Plan with 10% off HCA Healthcare stock + Family support through fertility and family building benefits with Progyny… more
- Molina Healthcare (North Las Vegas, NV)
- Nevada residents preferred** **JOB DESCRIPTION** **Job Summary** Molina Healthcare Services (HCS) works with members, providers and multidisciplinary team members to ... of illness and the site of service. **KNOWLEDGE/SKILLS/ABILITIES** The Manager, Healthcare Services provides operational management and oversight of integrated … more
- Lake Region Healthcare (Fergus Falls, MN)
- Financial Analyst - Healthcare Experience Preferred Job Details Job Location Lake Region Healthcare Corporation - FERGUS FALLS, MN Position Type 80 Hours ... retrieving, maintaining, analyzing, and reporting data from various Lake Region Healthcare systems, in addition to explaining financial and analytical data to… more
- Molina Healthcare (Los Angeles, CA)
- …preferred.** JOB DESCRIPTION Job Summary Leads and manages multidisciplinary team of healthcare services professionals in some or all of the following functions: ... and supports (LTSS), and/or member assessment. * Facilitates integrated, proactive healthcare services management - ensuring compliance with state and federal… more
- Alameda Health System (Oakland, CA)
- …**MINIMUM QUALIFICATIONS:** Minimum Experience: Five years coding experience within a healthcare environment, including chart audit and ProFee Preferred ... Education: Associate or Bachelor of Science degree in business, healthcare , or related field. Required Licenses/Certifications: Certified Coding Specialist (CCS),… more
- Emory Healthcare/Emory University (Atlanta, GA)
- **Overview** **Be inspired. Be rewarded. Belong. At Emory Healthcare .** At Emory Healthcare we fuel your professional journey with better benefits, valuable ... **Description** The Professional Coding Compliance Auditor develops and executes audit , monitoring, and education for professional billing, coding and documentation… more
- Molina Healthcare (Caldwell, ID)
- …and other guidance to assess compliance and support building regulatory compliance audit procedures. * At the direction of management, coordinates and performs ... with developing the Operational Oversight Work Plan, monitoring and reporting status of audit project tasks, and reporting on overall status of audit projects.… more
- Community Health Systems (Carlsbad, NM)
- …financial reporting, reconciliations, and financial analysis required + Experience in healthcare accounting, financial operations, or audit within a ... facility-based or corporate setting preferred **Knowledge, Skills and Abilities** + Strong knowledge of accounting principles (GAAP) and financial reporting standards. + Proficiency in financial analysis, reconciliations, budgeting, and forecasting. +… more