- Elevance Health (Miami, FL)
- ** Audit & Reimbursement Senior** **_Location:_** _This role enables associates to work virtually full-time, with the exception of required in-person training ... Medicare and Medicaid Services to transform federal health programs. The ** Audit and Reimbursement Senior** will support our Medicare Administrative Contract (MAC)… more
- Datavant (Boise, ID)
- …CCS HIM director. + Review disagreements on APC/DRG changes with the appropriate manager . + Prepare the final reports for the coding audit and actively ... life experiences to realize our bold vision for healthcare. As an **ProFee Audit Specialist** you will be instrumental in addressing consulting and educational needs… more
- Grant Thornton (Newport Beach, CA)
- …and help you achieve more, confidently. Your day-to-day may include: + Review operational, financial, and administrative processes to assess risk, internal control, ... include but are not limited to co-sourced and outsourced internal audit , internal control assessments, enterprise risk management program assessments, tests of… more
- TD Bank (Mount Laurel, NJ)
- …Remediation Quality Assurance Business Management Specialist will have appropriate Audit or Risk and Controls subject matter expertise to assist each Remediation ... through the end-to-end Remediation lifecycle. This role is an integral part of the Review & Challenge tollgate panels at both the workstream and full concern level,… more
- Datavant (Boston, MA)
- …instrumental in addressing consulting and educational needs related to coding quality , compliance assessments, external payer reviews, coding education, and coding ... experienced FT auditor (at least 30 hours/week). MUST have 3-5+ years of audit experience at an Academic/Trauma Level 1 facility. Experience with SMART software tool… more
- Datavant (Frankfort, KY)
- …the Company's and Customer facilities Code of Conduct and policies. + Inform manager of work, site difficulties, and/or fluctuating volumes. + Assist with additional ... verbal and written communication skills in the English language. + Detail and quality oriented as it relates to accurate and compliant information for medical… more
- Datavant (Olympia, WA)
- …instrumental in addressing consulting and educational needs related to coding quality , compliance assessments, external payer reviews, coding education, and coding ... keyboard + Comprehensive training led by a credentialed professional coding manager + Exceptional service-style management and mentorship (we're in this together!)… more
- ADM (Kansas City, KS)
- …Inventory, and order lab supplies, as needed. + Catalog all foreign material evidence & review with Quality Manager to determine if further investigation is ... Plant Retain Sample Program, including storage & disposal. + Review batch paperwork and associated quality checks,...+ Participate as a member of the Plant Internal Audit Team. + Support Quality Manager… more
- Centene Corporation (Indianapolis, IN)
- …to and facilitate identified customer needs and escalated issues and inquiries. + Track claims quality trends and review Internal Audit claims quality ... provide immediate feedback on findings including high dollar claims, coaching for quality review claims and internal audits. Create ODS reports of known manual… more
- Integra LifeSciences (Braintree, MA)
- …site. This role provides leadership for key compliance programs-including CAPA, Nonconformance, Internal Audit , Quality Management Review , and Quality ... outcomes and set new standards of care. **SUMMARY DESCRIPTION** The Associate Manager , Quality Compliance supports the development, maintenance, and continuous… more