- WMCHealth (Valhalla, NY)
- Compliance Auditing Specialist - Remote /Hybrid available Company: NorthEast Provider Solutions Inc. City/State: Valhalla, NY Category: ... Clerical/Administrative Support Department: Compliance - WMC Health Union: No Position: Full Time Hours: Variable Shift: All Shifts Req #: 42770 Posted Date: Apr 08,… more
- 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 Appeals & ... Summary The Customer Solution Center Appeals and Grievances Quality Auditing (QA) Specialist II is responsible for...II is responsible for assisting the Appeal and Grievances Compliance , Training and QA Manager to develop a successful… more
- Trinity Health (Livonia, MI)
- …Trinity Health leadership team achieve operational efficiency. Responsible for auditing of department information, producing reports, & suggesting improvements to ... and periodic risk assessments in support of the Trinity Health Integrity & Compliance Program (ICP). Risk assessments consider legal and regulatory compliance … more
- RTX Corporation (Dover, DE)
- …, transactional activities, application of regulations ITAR, EAR, and / or similar auditing and compliance roles + Experience with Technical Assistance Agreement ... **Date Posted:** 2025-08-18 **Country:** United States of America **Location:** RDE99: RTN Remote , Delaware **Position Role Type:** Remote **U.S. Citizen, US… more
- Dialysis Clinic, Inc. (Nashville, TN)
- …clinical setting with a lower caregiver-to-patient ratio than other providers. The ** Compliance Specialist ** supports the development and implementation of our ... to identify, detect, and correct noncompliance. **Schedule** : Full-time, remote considered, travel to our corporate offices will be...Partners with internal audit teams to design an annual compliance auditing plan. + Monitors changes in… more
- TEKsystems (Milwaukee, WI)
- …in Clinical Documentation Improvement (CDI) + Experience with chart review or auditing + Certified Clinical Documentation Specialist (CCDS) credential Experience ... Role We are seeking a highly skilled and detail-oriented Clinical Documentation Specialist (CDS) to support automation initiatives within our business office. This… more
- ProMedica Health System (Toledo, OH)
- …or updates. Reviews medical record documentation and claims data to ensure compliance with CMS and payer guidelines and regulations. ACCOUNTABILITIES *All duties ... providers and staff. 5. Perform audits to determine documentation compliance and coding/billing accuracy; summarize findings and develop plans...other duties as assigned. This position can be worked remote . Must live in 150 mile or less radius… more
- Trinity Health (Livonia, MI)
- **Employment Type:** Part time **Shift:** Day Shift **Description:** **Purpose** **Work Remote Position** Responsible for the data capture, analysis & reporting of ... Trinity Health leadership team achieve operational efficiency. Responsible for auditing department information, producing reports, & suggesting improvements to… more
- Martin's Point Health Care (Portland, ME)
- …to Work" since 2015. Position Summary The Appeals Quality and Training Specialist supports the Appeals Department. This role supports Appeals quality goals through ... departmental policies and procedures, in collaboration with appeals leadership and Compliance . + Identify, develops, and provides staff education/training related to… more
- Dialysis Clinic, Inc. (Nashville, TN)
- …setting with a lower caregiver-to-patient ratio than other providers. The ** Compliance Specialist - Billing** supports the development and implementation of ... and practices. In-depth knowledge of billing regulations, experience with auditing , and strong analytical skills are crucial for this...and Privacy Officer. Ultimately, the role of a Billing Compliance Specialist is to maintain the integrity… more