• Compliance Auditor

    Addiction Recovery Care (Lexington, KY)
    …entrepreneurship, and stewardship are key elements of everything we do! We are hiring a Compliance Auditor for our growing team! The Compliance Auditor ... care, proper documentation of services, and the billing and coding of claims. The Compliance Auditor assists the VP of Compliance and other Compliance more
    Addiction Recovery Care (05/15/25)
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  • Manager, Health Plan Quality Interventions - RN…

    Molina Healthcare (Covington, KY)
    …Certification, Association + Certified Professional in Health Quality (CPHQ) + Certified HEDIS Compliance Auditor (CHCA) To all current Molina employees: If you ... and implementation of NCQA accreditation surveys and federal/state QI compliance activities. **KNOWLEDGE/SKILLS/ABILITIES** The Manager, Health Plan Quality Interventions… more
    Molina Healthcare (04/25/25)
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  • Internal Auditor Senior - SOX & Soc1

    Elevance Health (Louisville, KY)
    **Internal Auditor Senior - SOX & SOC1** **Location:** This role requires associates to be in-office 1 - 2 days per week, fostering collaboration and connectivity, ... adaptable workplace. Alternate locations may be considered. The **Internal Auditor Senior** is responsible for responsible for conducting financial/operational… more
    Elevance Health (05/23/25)
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  • Internal Auditor , Senior

    Elevance Health (Louisville, KY)
    **Internal Auditor , Senior** **Location:** This role requires associates to be in-office 1-2 days per week, fostering collaboration and connectivity, while providing ... adaptable workplace. Alternate locations may be considered. The **Internal Auditor , Senior** is responsible for conducting financial/operationalaudits, internal control… more
    Elevance Health (05/23/25)
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  • Inpatient Coding Auditor

    HCA Healthcare (Frankfort, KY)
    …Eligibility for benefits may vary by location._** We are seeking an Inpatient Coding Auditor for our team to ensure that we continue to provide all patients with ... want you to apply! **Job Summary and Qualifications** As an Inpatient Coding Auditor , you will be responsible for performing internal quality assessment reviews on… more
    HCA Healthcare (04/17/25)
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  • Inpatient DRG Quality Auditor

    Humana (Frankfort, KY)
    …a full-time, remote/work-from-home position. **Description** The Inpatient Medical Coding Auditor extracts clinical information from medical records and assigns ... is looking is an experienced and well-grounded medical coding auditor to quality review the inpatient hospital claims for...the policy of Humana to take affirmative action, in compliance with Section 503 of the Rehabilitation Act and… more
    Humana (05/30/25)
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  • Non Congregate Shelter Hotel Auditor

    CDR Maguire (Frankfort, KY)
    …is critical to ensuring accurate invoice processing, quality assurance, and compliance with FEMA reimbursement requirements for hotel lodging used during emergency ... sheltering operations. The NCS Hotel Auditor will review and audit hotel folios and invoices...charges against approved contracts or rate agreements. QA/QC and Compliance : + Apply quality assurance and quality control procedures… more
    CDR Maguire (05/26/25)
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  • Coding Auditor Educator

    Highmark Health (Frankfort, KY)
    …with coding principles and guidelines. Promotes cooperation with CDMP and compliance programs to improve documentation which supports compliant coding. Interacts ... and modifier systems, missed secondary diagnoses and procedures and ensures compliance with DRG/APC structure and regulatory requirements. Performs periodic claim… more
    Highmark Health (05/09/25)
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  • Information Systems Auditor

    Exeter Government Services, LLC (Fort Knox, KY)
    …with tools such as Fortify Security Control Analyzer (SCA), Assured Compliance Assessment Solution (ACAS), HP ArcSight, and Enterprise Security Management (ESM). ... . Ensure DISA STIGs are implemented and enforced. . Perform enterprise-wide risk analysis and vulnerability assessments . Enter/manage data in the Army Portfolio Management Solution (APMS) registry and associated Assessment and Authorization (A&A) requirements… more
    Exeter Government Services, LLC (05/31/25)
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  • Engagement Consultation Manager

    Deloitte (Louisville, KY)
    …in our Engagement Consultation team, you'll be on the cutting edge of regulatory compliance , focusing on auditor independence rules and their impacts on the ... and talent. QualificationsRequired: + Bachelors' degree (preferably accounting, finance, business, compliance , or legal) + 5 - 8+ years of related experience,… more
    Deloitte (05/30/25)
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