- US Pacific Fleet (Bremerton, WA)
- …You will complete and maintain detailed test records that are subject to audit . + You will conduct radiographic operations and serve as Radiographer-in-Charge (RIC) ... and non-ionizing radiation and chemicals). You will be required to participate in medical surveillance programs. + This position may require travel from normal duty… more
- LifePoint Health (Richlands, VA)
- …Team, Risk Manager and the companies Legal Counsel of potential litigation or malpractice claims . * Reviews medical records for liability issues * May be asked ... are not just what you can do. Clinch Valley Medical Center is a 175-bed acute care hospital with...on the Corporate Portal * Acts as facility Recovery Audit Coordinator. Ensures completion within the regulated time frame… more
- WTW (New York, NY)
- …+ **Conduct stewardship client meetings, assist underwriting in their renewal process, audit claims performance against best practices, and implement value added ... **Be responsible for the overall technical, financial, service, and audit performance and results of the partner TPA at...degree or equivalent with ten or more years of claims servicing and technical experience.** + **Knowledge at the… more
- US Tech Solutions (Carlisle, PA)
- …3 days office, 2 days remote. Perform administrative processes that deliver medical , dental, and other benefits to associates of companies supported by Retail ... including those directed from the Associate Service Centre. Support audit and regulatory compliance activities. **Responsibilities:** 1. Process HR Transactions… more
- Robert Half Management Resources (Raleigh, NC)
- Description We are looking for an experienced Medical Coding Auditor to join our team on a contract basis in a fully remote capacity. In this role, you will be ... responsible for conducting comprehensive reviews and audits of medical coding practices, ensuring compliance, accuracy, and identifying areas for improvement as well… more
- Sharp HealthCare (San Diego, CA)
- …all decisions. Maintains set turnaround times for program completion (subject to audit ).Observes and follows through on Pharmacist or Medical Director directions ... Pharmacy -REQUIRED **Preferred Qualifications** + experience in HMO or delegated risk medical group/IPA setting. + experience with Electronic Health Records (EHR). +… more
- Independent Health (Buffalo, NY)
- …dedicated to pharmacy system administration and reporting, vendor delegation oversight, medical pharmacy claims processing and training. They will establish ... for development and production of regulatory reporting to meet/exceed audit requirements. + Accountable for business need reporting to...+ Serve as pharmacy department subject matter expert on medical drug claims . + Coordinate with pharmacy… more
- NJM Insurance (Trenton, NJ)
- …coverage, a generous paid time off plan, and much more! Our West Trenton MCS ( Medical Claims Services) Medical Bill Processing Department has an opening for ... for hybrid schedule once fully trained.) Job Responsibilities + Audit and process medical bills within statutory...meet audit criteria are routed immediately for audit purposes. + Communicate with claims personnel… more
- Emory Healthcare/Emory University (Atlanta, GA)
- …of Compliance and Compliance Operations, Compliance and Privacy Operations, Compliance and Audit Analysis, and Compliance Audit and Analysis. + Provides ... and updating privacy and compliance policies + Supports regulatory and internal audit requests and documentation + Assists with compliance review of Business… more
- Community Involvement Programs (St. Paul, MN)
- …Principles) + BA/BS in Accounting + CPA or FP&A experience preferred + Medical claims processing experience highly preferred + Experience with and knowledge ... with the Senior Director/VP to ensure smooth day-to-day financial operations, support audit and compliance efforts, and maintain a solid financial foundation for… more