• Coding Quality Audit Reviewer

    HCA Healthcare (Brownsville, TX)
    …Do you want to join an organization that invests in you as a Coding Quality Audit Reviewer ? At Parallon, you come first. HCA Healthcare has committed up to $300 ... difference. We are looking for a dedicated Coding Quality Audit Reviewer like you to be a...result in appropriate reimbursement and data integrity. You will review outcomes are communicated to the HSC team to… more
    HCA Healthcare (06/21/25)
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  • Audit Reviewer

    City of New York (New York, NY)
    …Services Program (HCSP) is recruiting for one (1) Accountant II, to function as an Audit Reviewer in the Home Care Contract Management Services Unit, who will: - ... Review audit reports for accuracy and compliance... Review audit reports for accuracy and compliance with prescribed ...Interface with CPA firms to ensure correct resolution of audit discrepancies, review requests for extension of… more
    City of New York (05/14/25)
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  • Quality Assurance Reviewer

    Volunteers of America Los Angeles (Los Angeles, CA)
    …Assurance Coordinator, the Quality Assurance Reviewer I performs Quality Assurance review and audit of VOALA Program documentation and database practices ... Quality Assurance Reviewer Location:Los Angeles, CA Job ID:3844 Salary:$24.84 -...funder audits and ensure all requirements are in place. Review audit results from funders- audits. Participate… more
    Volunteers of America Los Angeles (07/09/25)
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  • New Admissions Nurse Reviewer

    City of New York (New York, NY)
    …care. - Participate in all quality monitoring activities related to the MRAM Medical Audit process - Review initial medical services for children newly admitted ... in foster care. The New Admissions Focused (NAF) Nurse Reviewer will be responsible for: 1. Scheduling and conducting...and present in pre- audit agency meetings and audit exit conferences - Review and evaluate… more
    City of New York (07/05/25)
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  • Clinical Reviewer III (ECSS), Remote in

    Magellan Health Services (Baton Rouge, LA)
    …other clinical staff. + Provides training, interpretation and support for QI Clinical Reviewer staff. + Audits and validates internal audit results and/or ... engagement, and system-level collaboration with other child-serving agencies. The Clinical Reviewer will support the implementation and ongoing oversight of quality… more
    Magellan Health Services (06/25/25)
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  • Quality Control Case Reviewer

    City of New York (New York, NY)
    …required, for sample selection revision. Collect all policies and procedures necessary for the audit review and share documents with the Quality Control Case ... Associate II to function as a Quality Control Case Reviewer , who will: - Ensure the accuracy of the...Control Case Review Supervisor. - Prepare case review summaries related to audit findings to… more
    City of New York (05/25/25)
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  • Document Custodian Reviewer

    CTG (Buffalo, NY)
    …NY.** **Location:** Buffalo, NY **Duration:** 3 months **Overview:** The Document Custodian Reviewer will support the review and validation of Institutional ... document reviews in the tracking system * Follow established procedures and review criteria with attention to detail * Escalate risk-related issues to management… more
    CTG (07/15/25)
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  • Pharmacist - Claims Auditor/ Reviewer…

    Conduent (Alexandria, VA)
    …individuality is noticed and valued every day. **Pharmacist - Claims Auditor/ Reviewer (Part-Time)** **Conduent Payment Integrity Solutions** **Are you a licensed ... audits on behalf of major healthcare payers. As a **Pharmacist - Claims Auditor/ Reviewer ** , you'll apply your clinical knowledge and regulatory expertise to assess… more
    Conduent (06/21/25)
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  • Senior Case Reviewer

    City of New York (New York, NY)
    …with all statutory, regulatory, and contractual standards. The Process Evaluation Review Team (PERT) is tasked with aggressively monitoring program compliance with ... Administrative Associate, who will function as a Senior Case Reviewer : - Conduct legally mandated case reviews to comply...(Reynolds, Lovely H., MKB, Dajour, Davila, Brown, etc). Convert audit findings into reports that is presented to Family… more
    City of New York (07/18/25)
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  • CA Pert Sr Case Reviewer

    City of New York (New York, NY)
    …(DSS) and Department of Homeless Services (DHS). Within DSS-AO, the Process Evaluation Review Team (PERT) was created as an independent unit within the Office of ... compliance and foster uniform interpretation/application of policy. PERT auditors review cases, monitor application and recertification interviews, check for… more
    City of New York (05/14/25)
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