- 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 ... billing staff of appropriate HCPCS codes and modifiers. The Nurse Auditor / Revenue Integrity Specialist works directly with revenue producing departments regarding… more
- UL, LLC (Allentown, PA)
- …one or more scope specific professional credential(s), such as: GFSI recognized auditor credential; CQA, RABQSA, IRCA, RAC , Pharmaceutical GMP Professional ... Lead Auditor - GMP Quality Audits will perform high...report in accordance with UL, industry scheme, and client audit protocols on facilities working and/or operational conditions as… more
- Highmark Health (Harrisburg, PA)
- …entities in response to external coding audits conducted by the Medicare Administrative Contractor , the RAC , MIC, ZPIC, etc. Determine appeal action, prepare ... OVERVIEW:** Performs all related internal, concurrent, prospective and retrospective coding audit activities. Reviews medical records to determine data quality and… more
- Mohawk Valley Health System (New Hartford, NY)
- …- Full time - Days Department: LEGAL AND COMPLIANCE Job Summary The Internal Auditor - Compliance will oversee the internal and external compliance audits for the ... Mohawk Valley Health System ("MVHS") audit and compliance function under the guidance and direction...of the compliance program across the organization. The Internal Auditor - Compliance will identify areas to be audited… more
- Lilly (Indianapolis, IN)
- …+ Auditor certification (ASQ CQA) and/or Regulatory Affairs Certification ( RAC , RAPS) + In-depth knowledge of internal standards, applicable external medical ... manufacturers, applicable affiliates and ISO certified sites as an auditor (as assigned based upon business need) against the...system SOPs + Lead/Conduct audits as assigned + Create audit reports + Review audit responses and… more
- The US Pharmacopeial Convention (USP) (Rockville, MD)
- …to cGMP requirements and proficiency with regulation and guideline interpretation, audit procedures, proper documentation, and quality assurance. * Experience with ... Certification from the American Society for Quality (ASQ) as a Certified Quality Auditor (CQA) and/or from the Regulatory Affairs Professional Society (RAPS) as a… more
- UNC Health Care (Morrisville, NC)
- …standards such as CPT coding guidelines and CMS policies. Assists in preparing annual audit and work plan. Performs work outlined in work plan. Obtains and analyzes ... Assists in development of new policies and procedures and audit tools. Performs E/M and Procedural coding audits. Analyzes...and ensures correct coding and billing compliance. Assists with RAC audits and review of other outside requests as… more
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