- Covenant Health Inc. (Knoxville, TN)
- …Tennessee as RN with equivalent coding experience. Apply/Share Job Title REV INTEGRITY AUDITOR SR ID 4249133 Facility Covenant Health Corporate Department Name ... Overview Revenue Integrity Auditor Full Time, 80 Hours Per Pay Period,...Covenant Health Overview: Covenant Health is the region's top-performing healthcare network with 10 hospitals (http://www.covenanthealth.com/hospitals/) , outpatient and… more
- UPMC (Pittsburgh, PA)
- **Join UPMC Corporate Compliance as a Senior Compliance Auditor !** Are you passionate about ensuring accuracy and compliance in healthcare documentation and ... a significant impact? UPMC Corporate Compliance is seeking a dedicated and detail-oriented ** Senior Compliance Auditor ** to join our team! This position will be… more
- Elevance Health (Hanover, MD)
- **Clinical Provider Auditor Senior ** **Supports Payment Integrity line of business** _Location:_ This field-based role enables associates to primarily operate in ... recover, eliminate and prevent unnecessary medical-expense spending. The **Clinical Provider Auditor Senior ** is responsible for identifying issues and/or… more
- Chesapeake Regional Healthcare (Chesapeake, VA)
- Job Summary With direction from the Director, the Nurse Auditor /Revenue Integrity Specialist is responsible for auditing itemized charges versus the patient medical ... record and other applicable hospital documentation, assigning modifiers to appropriate claims , researching edited claims for medical necessity, and advising the… more
- Terumo Medical Corporation (Somerset, NJ)
- …for patients. **Join us and help shape wherever we go next!** **_Advancing healthcare with heart_** **Job Summary** The Senior Compliance Manager -Monitoring & ... Sr . Compliance Manager - Monitoring & Transparency Date:...broad range of applications for numerous areas of the healthcare industry. TMC places a premium on providing customers… more
- Ascension Health (Glendale, WI)
- …the time of the offer._ **Responsibilities** Perform periodic and ongoing audits of claims to ensure accuracy of coding and billing, and sufficiency of supporting ... Join Our Team** Ascension Wisconsin has been providing rewarding careers to healthcare professionals since 1848. Operating 17 hospital campuses and over 100 related… more
- Ascension Health (Kalamazoo, MI)
- …the time of the offer._ **Responsibilities** Perform periodic and ongoing audits of claims to ensure accuracy of coding and billing, and sufficiency of supporting ... Team** Ascension Michigan operates 16 hospitals and more than 300 related healthcare facilities that together employ nearly 23,000 compassionate associates. When you… more
- Ascension Health (Jacksonville, FL)
- …the time of the offer._ **Responsibilities** Perform periodic and ongoing audits of claims to ensure accuracy of coding and billing, and sufficiency of supporting ... providing caregivers in every discipline a rewarding career in healthcare since 1873. Ascension is a leading non-profit, faith-based...of care, including more than 140 hospitals and 40 senior living communities in 19 states. Our Mission, Vision… more
- Commonwealth Care Alliance (Boston, MA)
- …Summary:** Working under the direction of the Sr . Director, TPA Management and Claims Compliance, Healthcare Medical Claims Coding Sr . Analyst will ... **Essential Duties & Responsibilities:** + Develop enhanced, customized prospective claims auditing and clinical coding and reimbursement policies and necessary… more
- The Cigna Group (Sacramento, CA)
- …monitor and evaluate options and services in order to facilitate appropriate healthcare outcomes for members. Ensures that case management program objectives are met ... referrals, and select outpatient services. May review initial liability disability claims to determine extent and impact of insured's medical condition, medical… more