Labcorp is hiring a Senior Internal Auditor. Assist the IT auditors in performing testing of IT General Controls. ...
Maintain and improve auditor resource pool/product-specific auditor credentials. They will also coach and support Auditors during annual witness on-site audits for applicable standards. This position will conduct training for internal resources, auditors, sales and operations staff. Act as Forestry ...
The Onsite Pharmacy Auditor travels to pharmacy locations and performs pharmacy audits and is responsible for the selection and auditing of claims, educating Prime’s network pharmacies and driving contract compliance, and supporting downstream claim corrections to eliminate potential waste. ...
To Apply for this Job Click Here.Audit E&M leveling including element of risk for outpatient services as applicable.Audit ICD-10-CM diagnosis codes as applicable.Perform audits that meet and/or exceed quality and productivity standards.Provide feedback for documentation improvement based on establis...
Assist in the training of other auditors and lead auditors during planned audits or during other training functions. Medical Device Auditor is responsible to make relevant decisions concerning the audit process and to inform SGS SSC as required to resolve issues outside the audit process. Medical De...
As we continue to grow as QuidelOrtho, we are seeking a Senior Internal Auditor to support our Finance team. Coordinate activities between SOX consultants, independent auditors, management and business process and control owners. ...
Creates clear and accurate audit findings and recommendations in written audit reports that will be used for advising and educating Coders, Auditors, Managers, and Directors throughout the organization. One (1) year of experience preparing and delivering education as it relates to audit findings or ...
We are looking for a strong IT Systems/Applications Auditor to join Kyndryl’s General Auditor Organization (GAO) to conduct internal IT systems and application audits as well as systems pre-implementation reviews in support of the Kyndryl's internal controls, policies and procedures, operations goal...
Providers, subscribers, group leaders, external consultants, attorneys, external auditors, governmental agencies, all levels of prosecutorial agencies other Blue Cross plans, and agencies/businesses as needed. ...
Kemper is seeking a talented Lead Auditor to join our Assurance & Advisory Services (A&A) team. As a Lead Auditor, you will execute and / or supervise the execution of financial, compliance, operational and/or technology-related engagements, targeted reviews, advisory projects, and issue management ...
If you want to make a difference and contribute to the service we provide our Retail clients, consider an opportunity to join our global retail recovery team as an Auditor. The critical function of a Contract Compliance Auditor I is to audit billings from our clients’ suppliers in order to identify ...
Maintains a high level of quality, as set by internal standards, to ensure continued auditor accuracy. ...
The e4health Team is on a relentless mission to care for those teams who care for others.We bring our passion, ingenuity, and expertise to every engagement.In joining our Team, we want your help to provide our customers with powerful solutions in the pursuit of quality, integrity, clinical and finan...
Energy Consultants, Energy Auditors, and Retro-Commissioning (RCx) Engineers. ...
Conducts data quality audits of inpatient admissions and outpatient encounters to validate coding assignment is in compliance with the official coding guidelines as supported by clinical documentation in health record.Validates abstracted data elements that are integral to appropriate payment method...
The Field Inventory Auditor I is responsible for delivering these results in written, visual, and sometimes verbal form to Operations, Risk, and Senior Leadership. ...
Master Premium Insurance Auditor - Remote. Applicants must have at least 2 years of experience in a premium auditor role***. The Premium Insurance Field Auditor conducts insurance policy audits for Worker’s Compensation, Auto and General Liability policies. The Premium Insurance Field Auditor conduc...
Baptist Health South Florida is the largest healthcare organization in the region, with 12 hospitals, more than 24,000 employees, 4,000 physicians and 100 outpatient centers, urgent care facilities and physician practices spanning across Miami-Dade, Monroe, Broward and Palm Beach counties.Baptist He...
Provide a point of contact for the external auditor and regulators (such as the Departments of Insurance) regarding their audit requirements. ...
E&M Coding Auditor/Educator performs comprehensive audits to determine integrity of coding/billing for physician & clinical fees, detection/correction of documentation, coding/billing errors and/or medical necessity of services billed. Licenses & Certifications: AAPC Certified Professional Coder AAP...
The DRG/IBR Nursing Auditor performs inpatient reviews by validating accuracy of the DRG code assignment completeness, POA, discharge status, etc. The DRG/IBR Nursing Auditor determines if a discrepancy exists in the coding and clinical documentation using standard documentation guidelines applicabl...
Senior Quality Assurance Auditor (GCP Auditor). Support auditor training and mentoring of new / less experienced auditors by performing co-audits, assist in developing training materials/tools, delivering training, and sharing knowledge and experience. We are seeking a Senior Quality Assurance Audit...
E&M Coding Auditor/Educator performs comprehensive audits to determine integrity of coding/billing for physician & clinical fees, detection/correction of documentation, coding/billing errors and/or medical necessity of services billed. Licenses & Certifications: AAPC Certified Professional Coder AAP...
Healthcare Auditors develop contract models for analysis and identify potential insurance reimbursement issues through extensive reviews of hospital claim data and related documents. Auditors also contribute to our knowledge base by conducting research on reimbursement risk areas, reviewing data and...
E&M Coding Auditor/Educator performs comprehensive audits to determine integrity of coding/billing for physician & clinical fees, detection/correction of documentation, coding/billing errors and/or medical necessity of services billed. Licenses & Certifications: AAPC Certified Professional Coder AAP...