- State of Indiana (Evansville, IN)
- …in Indiana to conduct audits. Travel outside of Indiana when required. + Conduct pre- audit analysis on audit files to develop a list of preliminary questions ... and/or areas of concern. + Write audit reports, summarizing audit results in a...package for full-time employees that includes: + Three (3) medical plan options (including RX coverage) as well as… more
- HCA Healthcare (Nashville, TN)
- …simulations of disaster recovery scenarios within the IRE. + Monitor and audit access controls to ensure strict isolation and compliance. + Stay current with ... and retirement of our colleagues. The available plans and programs include: + Comprehensive medical coverage that covers many common services at no cost or for a low… more
- Movn Health (CA)
- Role Summary Movn Health is seeking a highly experienced Senior Medical Biller & A/R Specialist to take full ownership of claims processing and accounts receivable ... recovery . This is a hands-on, senior-level role focused on...Tebra, etc) and QuickBooks, and a strong understanding of medical billing and payer systems is essential. Functional Responsibilities… more
- CVS Health (Hartford, CT)
- …will also involve taking a leadership position in overseeing and enhancing audit compliance, and proactive remediation of vulnerabilities. The Systems Staff Engineer ... employing advanced root cause analysis to drive effective problem resolution. + ** Audit Compliance Leadership** : Produce comprehensive control evidence for various … more
- TEKsystems (Honolulu, HI)
- …+ Assisting in the development and implementation of policies and procedures to improve audit and recovery processes. + External Audit Support: + Supporting ... Description Key Responsibilities + Claims Auditing: + Reviewing medical claims to verify accurate coding, correct benefit...for this temporary role may include the following: * Medical , dental & vision * Critical Illness, Accident, and… more
- The City of Houston (Houston, TX)
- …administrative, and/or management services in areas related to Disaster Recovery , Grants Management, Accounting, Financial Reporting, Internal Controls, and other ... financial areas as applicable. RESPONSIBILITIES: + Support disaster cost recovery operations through project development, cost tracking, document management/control,… more
- Elevance Health (Richmond, VA)
- … chart coding principles, clinical guidelines and objectivity in the performance of medical audit activities. + Draws on advanced ICD-10 coding expertise, ... Payment Integrity, is determined to recover, eliminate and prevent unnecessary medical -expense spending. The **DRG CODING AUDITOR** is responsible for auditing… more
- Highmark Health (Pittsburgh, PA)
- …This job is responsible for development and implementation of strategic audit plans utilizing numerous inputs including contracts, industry trends and revenue ... maximization schemes. The incumbent will also work with other audit team members and external vendors to develop specific auditing techniques to identify overbilling… more
- Georgia Systems Operations (Tucker, GA)
- …GA, USA | Salary | 96600-168800 per year | Full Time | Medical , Dental, Vision, 401k Match, Parental Leave, Educational Assistance, Annual Performance Bonus, PTO, ... processes, and procedures. + Collaborate with internal and external compliance and audit teams to ensure adherence to regulatory standards, including NERC CIP… more
- PNC (Pittsburgh, PA)
- …& Exercise Lead, you will work closely across the Business Resilience, Disaster Recovery Services, Enterprise Event Management teams, as well as Line of Business and ... **Job Description** + Leads in the development of business continuity and disaster recovery plans; oversees testing, emergency response, and recovery . Informs in… more