- CHS (Clearwater, FL)
- …Clearwater, FL** ** ** **Summary** The Claims & Call Auditor audits processed medical insurance claims and customer service calls to ensure validity, accuracy, and ... Responsibilities:** + In accordance with company guidelines, performs random medical audits, target audits, re-audits, etc and audits for...are in excess of payment authority limits in assigned audit queues. + Listen to and view all recorded… more
- Molina Healthcare (Nampa, ID)
- …health care fraud, waste, and abuse. Duties include performing accurate and reliable medical review audits that may also include coding and billing reviews. The SIU ... order to maintain coding accuracy and excellence. The position also entails producing audit reports for internal and external review. The position may also work with… more
- Terumo Neuro (Aliso Viejo, CA)
- …regulations, standards, good clinical practices, and guidelines applicable to the medical device industry to contribute to overall quality and regulatory compliance ... standards, good clinical practices, and guidelines applicable to the medical device industry. + Identify gaps and develop and/or...highest overall clinical quality standards. + Develop and execute audit plans to support CQA initiatives. + Plan and… more
- Nebraska Public Power District (Columbus, NE)
- …and distributing quarterly reporting information to committee members. Support annual audit requests in an accurate and timely manner. Responsible for monitoring ... guidelines per the investment policy statement. Work cooperatively with internal audit to provide the necessary reporting information to satisfy all annual… more
- The Estee Lauder Companies (Melville, NY)
- …and BALMAIN Beauty. **Description** This position is responsible for tax planning, audit defense and determining adequate reserves for tax positions. This role is ... **Specific Responsibilities:** * Successfully manage and negotiate favorable State Tax audit settlements and claims for refund with government authorities. Assist… more
- Jabil (Hunt Valley, MD)
- …of Validation will lead all validation activities across pharmaceutical and medical device manufacturing operations with a strong focus on sterile/aseptic ... responsibility encompasses all planning and implementation of drug and medical device overall validation activities, including validation of facilities, utilities,… more
- Community Health Systems (Franklin, TN)
- …to payers with a strong attention to detail. Additionally, the auditor provides audit feedback to relevant parties, including coders and coding managers, to improve ... appropriate coding references for CHS hospitals via scanned, electronic and hybrid medical records. Based on review findings, writes appeal letters to include… more
- Sodexo (Nashville, TN)
- …motivated, energetic, and experienced **Executive Chef 3** for **Vanderbilt University Medical Center in Nashville, TN.** This individual will provide culinary ... is a growing health system, anchored by Vanderbilt University Medical Center, one of the largest and most prominent...etc. Sodexo standards will be the benchmark; + monitor, audit , implement and standardize new menus + be responsible… more
- Molina Healthcare (NE)
- …conducts oversight and audits of the data collected and abstracted from medical records for HEDIS projects, HEDIS like projects and supplemental data collection. ... and 2nd overread standards to ensure accuracy of their audit skills. Sr. Overread team members will mentor new...**Job Duties** + Performs the role of the HEDIS medical record review overreader/auditor which includes ongoing review of… more
- BD (Becton, Dickinson and Company) (Columbus, NE)
- …for driving the resolution of complex, high-impact quality issues in a regulated medical device environment. This role is accountable not only for resolving issues ... Description** We are **the makers of possible** BD is one of the largest global medical technology companies in the world. Advancing the world of health (TM) is our… more