- LA Care Health Plan (Los Angeles, CA)
- Customer Solution Center Appeals and Grievances Quality Auditing Specialist II Job Category: Administrative, HR, Business Professionals Department: CSC ... Summary The Customer Solution Center Appeals and Grievances Quality Auditing (QA) Specialist II is responsible for assisting the Appeal and Grievances… more
- Patterson Companies, Inc. (St. Paul, MN)
- …design history, risk management and supplier controls. **A Day in the Life of a Quality Systems Compliance Specialist II :** + Oversees daily operations of ... stronger and successful organization. **Job Description:** The _Quality Systems Compliance Specialist II_ is responsible for maintaining and managing the daily… more
- Baptist Memorial (Memphis, TN)
- …Summary * Position may be filled in Memphis, TN; Jackson , MS The Denial Mitigation-Appeal Specialist II RN serves in a key role of the BMHCC revenue cycle as ... in order to defend our revenue. The Denial Mitigation-Appeal Specialist II RN reviews the denial received...for appeal submission. + Must be able to meet quality and productivity standards as identified by the department.… more
- Capital One (Richmond, VA)
- Compliance Advisory Specialist II **The Corporate Compliance Fair and Responsible Banking team is seeking a Senior Associate who will be responsible for ... 1 year of experience in compliance testing, compliance monitoring, quality assurance, control review or audit.** + **At least...worked. Chicago, IL: $86,000 - $98,200 for Compliance Advisory Specialist II McLean, VA: $94,600 - $107,900… more
- LA Care Health Plan (Los Angeles, CA)
- Customer Solution Center Audit Readiness Specialist II Job Category: Customer Service Department: CSC Appeals & Grievances Location: Los Angeles, CA, US, 90017 ... Mission: LA Care's mission is to provide access to quality health care for Los Angeles County's vulnerable and...Job Summary The Customer Solution Center (CSC) Audit Readiness Specialist II is responsible for the execution,… more
- UPMC (Pittsburgh, PA)
- UPMC Corporate Revenue Cycle is hiring a DRG Specialist II to join our coding team! This opportunity works Monday through Friday during daylight hours. The ... position will be fully remote! In this role, the DRG Specialist II will review clinical documentation within the medical record to ensure that all patient… more
- MyFlorida (St. Petersburg, FL)
- INVESTIGATION SPECIALIST II - 64085694 Date: Sep 2, 2025 The State Personnel System is an E-Verify employer. For more information click on our E-Verify Website ... . Requisition No: 860094 Agency: Department of Health Working Title: INVESTIGATION SPECIALIST II - 64085694 Pay Plan: Career Service Position Number:… more
- LA Care Health Plan (Los Angeles, CA)
- Enhanced Care Management Clinical Specialist II Job Category: Clinical Department: Care Management Location: Los Angeles, CA, US, 90017 Position Type: Full Time ... Mission: LA Care's mission is to provide access to quality health care for Los Angeles County's vulnerable and...purpose. Job Summary The Enhanced Care Management (ECM) Clinical Specialist II is responsible for the management… more
- Baylor Scott & White Health (Dallas, TX)
- …CDI experience. + HIM: 4 years of medical record review experience in inpatient coding/ auditing or Quality , or Case Management, or CDI. + Know ICD-10, ... Administrator (RHIA). + Requires one of these certifications: Certified Coding Specialist (CCS), Certified Clinical Documentation Specialist (CCDS), BSW code… more
- University of Utah Health (Salt Lake City, UT)
- …are committed to the values of compassion, collaboration, innovation, responsibility, integrity, quality and trust that are integral to our mission. EO/AA_ This ... departments and employee records. + Maintains accurate payroll records for potential auditing purposes. + Reconciles and edits daily schedule changes and time card… more