- Fujifilm (College Station, TX)
- …in TX. Responsibilities will include one or more PQS sub-system: Internal Audit , External (Customer) Audit , Health Authority Inspection, and Remediation. Lead ... in Tokyo with over 70,000 employees across four key business segments of healthcare , electronics, business innovation, and imaging. We are guided and united by our… more
- Virtua Health (Mount Laurel, NJ)
- …the entire coding team (modules, scenarios, tip sheets, etc.). External Coding Audit Response: Conducts Trains new coders to utilize the medical record, clinical, ... staff and providing timely feedback to staff and director. Overseeing the annual external audit process for all clinicians that bill under the VMG TIN by creating … more
- Penn Medicine (Philadelphia, PA)
- …information systems within the Penn Medicine Health System, working closely with healthcare professionals, IT teams, and vendors to ensure the effective utilization ... procedures of Penn Medicine to ensure necessary controls, documentation, and audit trails. Ensure system changes follow change management procedures and protocols… more
- Roche (Indianapolis, IN)
- …aim to prevent, stop and cure diseases and ensure everyone has access to healthcare today and for generations to come. Join Roche, where every voice matters. **The ... to innovate. To continuously advance science and ensure everyone has access to the healthcare they need today and for generations to come. Creating a world where we… more
- Humana (Richmond, VA)
- …(CMS) and Department of Medical Assistance Services (DMAS) standards. + Analyze audit findings to identify patterns, trends, and areas for improvement. + Prepares ... detailed audit reports, including findings, recommendations, and follow-up actions. +...professional experience in quality compliance or quality improvement in healthcare . + One (1) or more years of professional… more
- Lilly (Indianapolis, IN)
- …to make life better for people around the world. We are a global healthcare leader headquartered in Indianapolis, Indiana. Our employees around the world work to ... compliance, quality oversight of business areas to integrate requirements, audit /inspection support and collaboration within quality and other areas. **Primary… more
- Commonwealth of Pennsylvania (PA)
- …pivotal role is essential in advancing the Department's mission to ensure that healthcare facilities adhere to state and federal health and safety regulations, as ... or corrective actions. + B. I have experience monitoring and evaluating HEALTHCARE FACILITY workloads, staffing, and volume to meet program goals and ensure… more
- Avera (Sioux Falls, SD)
- …monthly and year-end accounting procedures and reporting including financial reporting, external audit preparation, tax return and audit preparation, and any ... procedures and reporting including internal and external financial reporting, external audit preparation and tax return preparation. + Supports Accountants I and… more
- Highmark Health (Montgomery, AL)
- …for proactive and investigative purposes to comply with internal audit and regulatory requirements. **ESSENTIAL RESPONSIBILITIES** + Performs investigations into ... Credentialing or Medical Review Committee. + Engages in delivery of audit results and overpayment negotiations.Responsible for recovery/ savings of misappropriated… more
- Elevance Health (Roanoke, VA)
- …and prevent unnecessary medical-expense spending. The Manager of DRG Coding Audit & Clinical Validation leads a high-performing team responsible for auditing ... make an impact:** + Sets the strategic direction for audit methodologies, oversees team development, and ensures that audits...dedicated to improving lives and communities - and making healthcare simpler. We are a Fortune 25 company with… more