- LA Care Health Plan (Los Angeles, CA)
- Provider Data Quality Auditor II Job Category: Provider Relations Department: Provider Data Management Location: Los Angeles, CA, US, 90017 Position Type: Full Time ... achieve that purpose. Job Summary The Provider Data Quality Auditor II is responsible for the timely and accurate...and provide training and coaching activities to improve overall compliance with the SPF submission. (35%) Responsible for fostering… more
- ManpowerGroup (Camden, NJ)
- Our client, a dynamic and growing hospital, is seeking a Senior Staff Auditor to join their team. As a Senior Staff Auditor , you will be part of the Audit ... will align successfully in the organization. **Job Title:** Senior Staff Auditor **Location: Remote** **Pay Range:** $60.00/hour - $65.00/hour **What's the Job?**… more
- St. Luke's University Health Network (Allentown, PA)
- …regardless of a patient's ability to pay for health care. The Provider Services Auditor & Educator is a certified medical coder who serves as a primary resource ... ( auditor and educator) to assigned St. Luke's Providers, Leadership,...Staff, Coders, and Billing Staff around professional coding and compliance . The Coding and Compliance Educator position… more
- ProMedica Health System (Toledo, OH)
- …and/or a minimum of four (4) years experience in relevant clinical healthcare , education/training, or regulatory compliance . Skills: Must have superior verbal ... REPORTING RELATIONSHIPS Reports to the Director of Compliance Shared Services within the Compliance Department. POSITION SUMMARY Utilize compliance expertise… more
- Atlantic Health System (Morristown, NJ)
- …throughout the year + Audit charts for accurate and correct coding and compliance within documentation guidelines and AHS policies + Prepares written reports of the ... and billing department + Provides clarification on coding and compliance policies Required: * CPC Certification * Minimum 6...a plus * Work Experience in the business of healthcare which includes: Medical Terminology and Coding and billing… more
- Point32Health (MA)
- …health and well-being organization dedicated to delivering high-quality, affordable healthcare . Serving nearly 2 million members, Point32Health builds on the ... We've had a long-standing commitment to inclusion and equal healthcare access and outcomes, regardless of background; it's at...of the A&G Manager, the Appeals & Grievances QA Auditor audits the quality of letters and keyed entries… more
- GE HealthCare (Chicago, IL)
- …the competition and the factors that differentiate them in the market GE HealthCare is a leading global medical technology and digital solutions innovator. Our ... or exposure is preferred. + General knowledge of legal, regulatory and compliance requirements. + Lean Process orientation; Passion to help improve operations… more
- The Cigna Group (Philadelphia, PA)
- …over business operations. Responsibilities include engagements of elevated priority for compliance audits, supporting internal and external auditor requests and ... This is a global Internal Audit function with focus on leading compliance support for Cigna's System and Organization Controls (SOC1) reports… more
- TEKsystems (Orlando, FL)
- …Outpatient Facility Auditor is integral to maintaining coding accuracy and compliance with our standards. This role involves conducting detailed audits of coding ... delivering quarterly educational sessions on code updates and rule changes. The auditor collaborates closely with the coding team, providing continuous education and… more
- Dana-Farber Cancer Institute (Brookline, MA)
- …Outpatient Facility Auditor is integral to maintaining coding accuracy and compliance with our standards. This role involves conducting detailed audits of coding ... delivering quarterly educational sessions on code updates and rule changes. The auditor collaborates closely with the coding team, providing continuous education and… more