Evaluates coding based on Coding Guidelines.Reviews records for all care settings.Identifies high volume, high risk coding, and reimbursement and quality problems.Responsible for accurate assessment, analysis and summary of findings for coding validation.Provide auditing and feedback that is incorpo...
Partner with independent auditors and provide data in support of external audits as needed . Strong knowledge of the Standards for the Professional Practice of Internal Auditing and the Code of Ethics developed by the Institute of Internal Auditors. ...
Answer rebuttals entered on the auditor by coders and or auditors. Judge Healthcare is currently seeking HCC Auditors to work REMOTE!!. Auditor specialist will be responsible for performing QA on a specific project or for a particular client. QA projects may also be assigned to the QA Auditor as nee...
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...
Assist management with the maintenance and continuous improvement of the auditor training program, oversight of the training and qualification of auditors, and the development and maintenance of continuing auditor education;. Responsible for assisting management with ensuring auditors have the educa...
The IT Auditor will be responsible for assisting management with carrying out the mission of Internal Audit department: to enhance and protect organizational value and help improve Insulet’s business operations by providing risk-based, independent, and objective assurance, advice, and insight. The I...
Energy Consultants, Energy Auditors, and Retro-Commissioning (RCx) Engineers. ...
Provide a point of contact for the external auditor and regulators (such as the Departments of Insurance) regarding their audit requirements. ...
You could be the one who changes everything for our 28 million members.Centene is transforming the health of our communities, one person at a time.As a diversified, national organization, you’ll have access to competitive benefits including a fresh perspective on workplace flexibility.Candidate must...
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...
What does it mean to be an Auditor II?. Our retail recovery auditors are passionate about what they do. ...
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 ...
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 conduct...
Satisfactorily completed an IRCA/Exemplar approved ISO 9001, 14001, 45001 Auditor/Lead Auditor course. The contract Lead Certification Auditor is responsible for making relevant decisions regarding certification audit and the audit process and informing SGS on issues resolution outside the audit pro...
Creates cyber-intelligence tools / methods and performs research and analysis in order to mitigate and eliminate high level data and cyber security risks.Designs, tests and implements state-of-the-art secure operating systems, networks, and database products.Conducts risk assessment and provides rec...
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...
The Senior Financial Operations Auditor will report to the Director/Senior Manager, Financial Operations Audit and will work alongside all members of the Internal Audit team in conducting audits and reviews to impact and influence positive business outcomes!. Manager and Vertical Leads, business fun...
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...
Our mission is to create the Experience of a Lifetime for our employees, so they can, in turn, create the Experience of a Lifetime for our guests.We own and operate the most renowned destination resorts in the world as well as regional and local ski areas outside major cities, and connect them all t...
Certified Public Accountant, Certified Internal Auditor, Certified Information Systems Auditor, Certified Fraud Examiner or similar certification/designation. Serve as main contact for independent/external auditors as required. ...
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...
Mabbett), an award-winning and industry leading environmental, health and safety (EHS) consulting and engineering firm, is seeking a part-time Environmental Compliance Auditor/Consultant to join our growing team. Professional certifications, such as Certified Environmental Compliance Auditor or Cert...
You could be the one who changes everything for our 28 million members.Centene is transforming the health of our communities, one person at a time.As a diversified, national organization, you’ll have access to competitive benefits including a fresh perspective on workplace flexibility.Applicants for...
Excellent facility looking to add remote coding auditors to their team!. Coding Auditor (Professional Services):. ...
SUMMARY: The Food Safety Auditor will conduct GFSI certification audits, FAMI-QS Certification audits, and unaccredited food safety and quality audits within the food manufacturing, animal feed manufacturing, food packaging manufacturing, and food distribution sectors. ...