- BrightSpring Health Services (Beckley, WV)
- …ensuring service quality and fostering compliance, apply today! Responsibilities + The Quality Audit Specialist will ensure that qualified providers of ... provide education for field operations regarding requirements and the audit process + Conduct Qualified Provider Quality ...the audit process + Conduct Qualified Provider Quality Audits using the required tool(s), based on service… more
- Intermountain Health (Charleston, WV)
- **Job Description:** The HIM Coding Audit Training Analyst Coordinator provides advanced training to hospital coding staff, compliance, CDI, physicians, and clinical ... conventions, regulatory, and reimbursement guidelines for the system. They audit and monitor all areas of hospital coding. The...reflects the severity of illness, risk of mortality, and quality of care + Performs audits including DRG (Diagnosis… more
- Datavant (Charleston, WV)
- …vision for healthcare. **What We're Looking For:** As an Inpatient Auditing Specialist , you will be instrumental in addressing consulting and educational needs ... related to coding quality , compliance assessments, external payer reviews, coding education, and coding workflow operations reviews. In this role, you will offer… more
- Air National Guard Units (Martinsburg, WV)
- …the maintenance organization designed to assist maintenance managers. Serves as the Quality Assurance Specialist (QAS) for the planning, implementation and ... this position is to establish and execute a planned systematic approach of quality assurance for all areas of aircraft maintenance, designed to provide the… more
- Cardinal Health (Charleston, WV)
- …team within Global Financial Shared Services is responsible for performing operational, quality , and SOX controls related to pricing processes. The team works ... closely with Pricing Operations teams within Shared Services, Internal and External Audit , and other business partners. The team is responsible for evaluating new… more
- CVS Health (Charleston, WV)
- …And we do it all with heart, each and every day. **Position Summary** Claim Audit Quality Analyst is responsible for ensuring the accuracy and quality ... guidelines and coverage "quirks". + Maintain high accuracy and quality standards while meeting production goals. + Manage time...with team members to share knowledge and resolve complex audit issues. + Document audit findings clearly… more
- ManpowerGroup (Charleston, WV)
- **Grants Specialist ** **Location:** St Albans, WV **Employment Type:** Full-Time **Compensation:** $40,000-$45,000 annually (commensurate with experience) **About ... We are seeking a detail-oriented and financially savvy **Grants Specialist ** to manage a diverse portfolio of public and...Provide interim and final financial reports. + Respond to audit and monitoring requests. + **Systems & Process Improvement**… more
- Justice, Bureau of Prisons/Federal Prison System (Welch, WV)
- …clauses. Experience meeting with commercial representatives to discuss procurement needs, quality of items or services, current market prices, or delivery schedules. ... Experience in coordinating contracting activities, obtaining wage information, requesting audit reports or pre-award surveys, and obtaining clearances. OR… more
- Highmark Health (Charleston, WV)
- …retrospective coding audit activities. Reviews medical records to determine data quality and accuracy of coding, billing and documentation related to DRGs, APCs, ... identified in the audits compliant with regulatory requirements. Provides written audit guidance. Participates with management in the assessment of external … more
- Veterans Affairs, Veterans Health Administration (Clarksburg, WV)
- …Ancillary Testing Coordinator, Education Coordinator, Laboratory Information Manager, Quality Manager, Laboratory Manager, Regional Technical Specialist , ... software upgrades, information security upgrades and software patches inclusive of audit trail documentation. - Ensures local compliance with information and cyber… more
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