• Clinical Appeals Nurse (RN)

    Molina Healthcare (Tacoma, WA)
    …of the following: + Active and unrestricted Certified Clinical Coder + Certified Medical Audit Specialist + Certified Case Manager + Certified Professional ... compliance standards. **KNOWLEDGE/SKILLS/ABILITIES** + The Clinical Appeals Nurse (RN) performs clinical/ medical reviews of previously denied cases in which a formal… more
    Molina Healthcare (05/16/25)
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  • RN - Prior Authorization-Concurrent

    Actalent (Sunrise, FL)
    …required + Perform other quality initiatives as necessary Skills: Quality improvement, data, audit , data abstraction, chart review, medical , quality audit , ... and/or custom or other measure set standards + Review medical records and abstract data for HEDIS and other...for this temporary role may include the following: - Medical , dental & vision - Critical Illness, Accident, and… more
    Actalent (05/24/25)
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  • HIM Support Specialist

    LifePoint Health (Marquette, MI)
    …of care, and administrative review; including CCDA/ CCDE discharge lists. Coordinates third party medical record audit requests by logging audit request in ... for everyone in this beautiful lakeside gem. Why Choose Us: Health ( Medical , Dental, Vision) and 401K Benefits for full-time employees Competitive Paid Time… more
    LifePoint Health (04/15/25)
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  • Mammography Tech Coordinator

    Dignity Health (Roseville, CA)
    …the Mammogram Reporting System tracking system and compiling statistics for the Annual Medical Audit . Directs the staff in their work assignments troubleshoots ... perform all related duties as a Mammography technologist. **Overview** Dignity Health Medical Foundation established in 1993 is a California nonprofit public benefit… more
    Dignity Health (05/23/25)
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  • Health Service Monitor

    Rising Ground (New York, NY)
    …submission to Health Services department. + Assist Health Service department with ACS medical audit preparation. + Conduct clerical duties, ie photocopy, emails, ... the EFFC program by ensuring children are scheduled for medical , dental, and mental health services. The HSM will...Health Services department and track children's initial and annual, medical , dental, and mental health services as per ACS… more
    Rising Ground (05/23/25)
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  • Director, Quality

    3D Systems, Inc. (Littleton, CO)
    …820) registration and inspection readiness. o Maintain ISO 13485, ISO 9001, MDSAP ( Medical Device Single Audit Program), Medical Device Regulation (MDR), ... requires dynamic collaboration across Advanced Manufacturing, Personalized Health Services, Medical Devices, and the Application Innovation Group. The role partners… more
    3D Systems, Inc. (05/28/25)
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  • Dir Tax

    Canon USA & Affiliates (Jackson, MS)
    …+ Perform various tax related analysis and accounting functions. + Represent Canon Medical Companies to audit firms, government agencies and industry meetings. ... all tax matters and oversight related to Canon US Medical Companies including directing the functions of the tax...Tax. + Oversee and manage IRS and state tax audit process, and negotiate with IRS and state auditors.… more
    Canon USA & Affiliates (04/26/25)
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  • Advisor/Sr. Advisor - GXP Risk Assessor,…

    Lilly (Indianapolis, IN)
    …to make life better for people around the world. The GXP Risk Assessor/ Audit Planner is part of the Global Quality Auditing and Compliance (GQAAC) division ... and appropriate dissemination of risk assessments and the development of a risk-based audit plan in support of the execution of internal and external quality audits… more
    Lilly (05/27/25)
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  • HIM Audit and Education Specialist

    Hartford HealthCare (Farmington, CT)
    …programs and other common practices across the system. *_Position Summary:_* The Audit & Education Specialist develops and implements an effective and comprehensive ... audit & education program for coding consistent with regulatory,...and trains on documentation templates designed for specialty/client, eg, medical reports, monitoring/analysis reports, continuous auditing tools, etc. to… more
    Hartford HealthCare (04/24/25)
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  • Senior Auditor, Global Compliance Audit

    Abbott (Chicago, IL)
    …spectrum of healthcare, with leading businesses and products in diagnostics, medical devices, nutritionals and branded generic medicines. Our 114,000 colleagues ... you dream of. + Employees can qualify for free medical coverage in our Health Investment Plan (HIP) PPO...an immediate opportunity for a Senior Auditor, Global Finance Audit in our Chicago, Willis Tower, or Abbott Park,… more
    Abbott (04/16/25)
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