- University of Miami (Miami, FL)
- …regulations, payer policies, and internal standards. + Partner with Compliance and Internal Audit to address audit findings and mitigate risk. + Support accurate ... at least 3 years in a leadership role. + Deep understanding of healthcare billing, coding (CPT, ICD-10, HCPCS), charge capture, and reimbursement methodologies. +… more
- Humana (Lansing, MI)
- …provider's issues which include recoupments, takebacks, clinical or post pay audit , authorization issues, check void/issue process, Availity, and member resources. + ... Submit and monitor Submit Business Case Justification (BCJ), Incorrect Payment Audit Request (IPAR), as needed. + Escalate any trended claims issues stemming from… more
- Morehouse School Of Medicine (Atlanta, GA)
- …general legal duties including providing support to the various MSM and Morehouse Healthcare departments. The AGC will also be asked to assist the GC/Corporate ... control of metadata, linking associated documents, and handling ongoing audit efforts * Develop and manage CMS technical training...including providing support to the various MSM and Morehouse Healthcare departments. The AGC will also be asked to… more
- Saint-Gobain (Beaverton, MI)
- …CAPA for deviations and nonconforming product. + Implementation of effective Internal Audit Program. + Ensure adequate training program is in place. + Implementation ... audits, ensure timely, robust and effective corrective action to customer audit observations, review/approve quality agreements with customers, partner in the… more
- The Cigna Group (St. Louis, MO)
- …options. + Track all setup actions through Polaris system for validation and audit . + Prepare validation packets to support all setup actions. + Review manufacturer ... dynamic work environment and make independent decisions. + Knowledge of PBM and healthcare industry preferred. + Ability to organize and plan multiple projects. +… more
- AT Still University (Mesa, AZ)
- …inventory tracking systems for transparency and accuracy. + Maintain, monitor, update, and audit a list of all clinic assets and ongoing replacement plans in ... students, and residents on infection prevention and sterilization best practices. + Audit infection control practices to identify areas for improvement and implement… more
- Fresenius Medical Center (San German, PR)
- …work progress on caseloads; Analyzes patient reports from billing systems as an audit check to ensure the correct insurance information is entered into the billing ... monthly as required by QA processes. + Completes monthly audit exam to stay current on internal policies. +...**EDUCATION:** + Bachelor's Degree preferred, Social Work or other Healthcare focus preferred. High school diploma would require minimum… more
- Siemens (Hingham, MA)
- …core tools (APQP, PPAP, FMEA, MSA, SPC), ISO 9001 standards, VDA audit practices, and production process verification. + Problem-solving skills with experience ... control plans, measurement system analysis), familiarity with ISO 9001 standards, audit practices, root cause analysis, and corrective actions + Experience with… more
- Providence (Mission Hills, CA)
- …giving. + **Record Management:** Oversee planned gift donor records and database. + ** Audit Assistance:** Assist the Controller in providing an audit trail for ... Join Us?** + **Impactful Work:** Make a real difference in transforming healthcare and improving countless lives. + **Innovative Environment:** Bring your innovative… more
- Erickson Living (Baltimore, MD)
- …Care Retirement Communities (CCRCs), with a robust development pipeline and expanding healthcare services. As we continue to grow, this role will be instrumental ... as primary liaison with external auditors for annual audits, including the review of audit schedules and resolution of audit findings. + Monitor and improve… more