- Hartford HealthCare (Farmington, CT)
- …top priority and time sensitive; Centers for Medicare & Medicaid Services (CMS) Recovery Audit Contractor (RAC), Executive Health Resources (EHR), appeals and ... payer medical record audits. Provides oversight for designated regulatory audit activity throughout HHC HIM. Oversees and monitor payment protocol through Bank… more
- Banc of California (Santa Ana, CA)
- …assists in communicating and answering auditor's questions. + Maintain a Satisfactory Audit rating. + Develops and maintains wire standards and desk top job ... standards and follows established bank policies and procedures and adheres to audit requirements. + Provides direction, leadership and motivation to ensure that the… more
- Molina Healthcare (Nampa, ID)
- …for supporting the prevention, detection, investigation, reporting, and when appropriate, recovery of money related to health care fraud, waste, and abuse. ... Duties include performing accurate and reliable medical review audits that may also include coding and...coding accuracy and excellence. The position also entails producing audit reports for internal and external review. The position… more
- Nebraska Public Power District (Columbus, NE)
- …of service. We also offer paid holidays as well as personal and family medical leave, including birth mother recovery leave and parental child bonding leave. ... and distributing quarterly reporting information to committee members. Support annual audit requests in an accurate and timely manner. Responsible for monitoring… more
- CareFirst (Baltimore, MD)
- …to complex), of fraud, waste, and abuse schemes, resulting in the savings and recovery of funds. **ESSENTIAL FUNCTIONS:** + Independently or as lead in part of an ... include performance of audits of financial business records, provider and subscriber medical data, claims, systems reports, medical records, analysis of contract… more
- Elevance Health (Winston Salem, NC)
- …by verifying various aspects of the claim including eligibility, pre-authorization, and medical necessity. + Contacts others to obtain any necessary information. + ... Completes and maintains detailed documentation of audit which includes decision methodology, system or processing errors,...coding or system issues. + Refers overpayment opportunities to Recovery Team. + Serves as a subject matter expert… more
- East House Corporation (Rochester, NY)
- …with effective and efficient functioning of the unit. Measurables + Successful recertification/ audit /review of program by regulatory/funding agency + Chart audit ... purchasing and preparation, leisure-time activities, socialization, medications and following medical , psychiatric, and rehabilitation treatment plans). + Assists in… more
- Truist (Atlanta, GA)
- …factors for the entire software portfolio. + Risk Management - managing different audit requirements for compliance and remediating any audit issues that may ... and communicate potential risks to the business. + Disaster Recovery - implementing and testing the DR plans. +...the division of Truist offering the position. Truist offers medical , dental, vision, life insurance, disability, accidental death and… more
- Robert Half Accountemps (Dallas, TX)
- …as fixed assets, construction and development, property operating costs, and expense recovery . The ideal candidate will have a solid understanding of accounting ... related to fixed assets, development projects, property operating expenses, and cost recovery (eg, prepaid or accrued expenses). + Ensure strict compliance with US… more
- NTT America, Inc. (Sacramento, CA)
- …and requests. + Create and maintain existing customizations with careful, organized documentation. + Audit user and security roles and access to meet and report on ... audit controls. **KNOWLEDGE & ATTRIBUTES** + Knowledge and understanding...upon individual and company performance. Employees receive paid time-off, medical , dental, and vision benefits, life and supplemental insurance,… more