- CGI Technologies and Solutions, Inc. (Knoxville, TN)
- …and quality management program. **Your future duties and responsibilities:** 1. Reviews medical records to identify recovery opportunities on claims for ... the CGI Healthcare Compliance, Outpatient Coding Team, with responsibility for reviewing medical records to determine the accuracy of coding and reimbursement for… more
- Sleep Number (Minneapolis, MN)
- …with responsibilities spanning policy management, risk assessments, business continuity/disaster recovery , third-party risk, audit support, security awareness ... and enforcement. + Build and maintain strategic partnerships with Legal, Internal Audit , Privacy, and senior IT/business leaders to ensure cohesive risk governance… more
- Veterans Affairs, Veterans Health Administration (Tacoma, WA)
- …the Health Information Management (HIM) section at the VA Puget Sound HCS. The Medical Records Technician (Coder) is skilled in classifying medical data from ... will differ in complexity and level of supervision. Outpatient Medical Coders analyze and abstract medical record...correct information that has been rejected, when necessary. Ensure audit findings have been corrected and refiled. Use various… more
- UPMC (Media, PA)
- …Health (CCBH) is seeking a qualified individual to fulfill the role of Regional Medical Director in Delaware County, PA. The Regional Medical Director is ... for the clinical needs of Community Care members. The Medical Director also participates in regional leadership policy decisions...physician advisors at CCBHO who advocate well for the recovery from mental health and substance use disorders for… more
- Immigration and Customs Enforcement (Washington, DC)
- …for adequacy of care, compliance with clinical and regulatory guidelines,overpayment, and audit recovery ; and developing policy guidance for nursing care reviews ... national process changes identified by unit chart reviews, nursing incident reports, Medical Quality Management Unit (MQMU) review/reports, and any corrective action… more
- Motion Recruitment Partners (Hapeville, GA)
- …complex database-related issues. + Strong experience in managing database backups, recovery procedures, and disaster recovery planning. + Bachelor's degree ... and reorganizing data using DB2 utilities. + Implement database backup and recovery strategies to ensure data availability and disaster recovery . Performance… more
- Highmark Health (Montgomery, AL)
- …or Medical Review Committee. + Engages in delivery of audit results and overpayment negotiations.Responsible for recovery / savings of misappropriated ... waste and abuse case, conducting the initial investigations and coordinating the recovery /savings of money related to fraud, waste and abuse. The incumbent must… more
- RTX Corporation (Hartford, CT)
- …seeking a highly motivated, experienced and results-driven Senior Manager - Risk Assessments & Audit Engagement to lead the RTX Corporate Risk Assessment & Audit ... environment. The role reports to the Associate Director - Risk Assessments & Audit Engagement and will require a deep understanding of digital controls & control… more
- IHG (Nashville, TN)
- …of monies, credit and financial transactions, guest security. + Balance and audit for accuracy room revenue, food and beverage revenue and telephone revenue; ... all reports relevant to daily revenues. + Balance and audit for accuracy all room and tax charges, cashier's...and professional manner and in accordance with established service recovery guidelines to ensure guest satisfaction and repeat business.… more
- SHI (Somerset, NJ)
- …and policies. This should include Business Continuity Planning and Disaster Recovery Testing. The Controls Analysts will also support projects across IT ... and ensure identified process changes are well-controlled and effectively address audit concerns. + Establish policies and procedures based on industry standards… more