Assists management with training new Coding Auditors to include daily monitoring, mentoring, feedback and education. ...
Selective Insurance is looking for a Premium Auditor/Sr. Premium Auditor for the Southeastern, PA area. However, depending on territory, may be required to audit large accounts with Manager/Senior Auditor guidance. Manage and schedule territory and inventory to optimize efficiencies, auditor expecta...
A company is looking for a Remote Premium Auditor in the insurance industry. ...
Clinical DRG Auditor (Remote Nurse). Assists management with training new Coders or Clinical DRG Auditors to include daily monitoring, mentoring, feedback and education. ...
At Houston Methodist, the Coding Quality Auditor position is responsible for ensuring accuracy in code assignment of diagnosis and procedure to outpatient and/or inpatient encounters based upon documentation within the electronic medical record while maintaining compliance with established rules and...
If you are a Senior Government Auditor with CPA firm experience, then please read on…. ...
SGS is looking for a Lead Greenhouse Gas (GHG) Auditor to performs various GHG services for clients in the US & Canada on a. GHG Lead Auditor certificate (ISO 14064-1). ...
SS&C is a global provider of investment and financial services and software for the financial services and healthcare industries.Named to Fortune 1000 list as top U.SS&C is headquartered in Windsor, Connecticut and has 20,000+ employees in over 90 offices in 35 countries.Some 18,000 financia...
Alabama, Arkansas, Florida, Georgia, Illinois, Kansas, Kentucky, Louisiana, Massachusetts, Michigan, Minnesota, Missouri, North Carolina, New Hampshire, Ohio, Oklahoma, South Carolina, Tennessee, Texas, Virginia, Wisconsin.As an Associate with SS&C Health, you will be part of an organization tha...
Audits department's work that spans the broad spectrum of healthcare performance measurement projects at HSAG.Driven by intellectual curiosity and a passion for healthcare quality, this position performs-under supervision-healthcare auditing, data validation, and performance measurement projects thr...
We are looking for a Data Entry Specialist whose main function is providing excellent customer service by quickly and accurately processing submissions sent electronically by our members.A Data Entry Specialist will compare data with source documents submitted by our members, checking for accuracy a...
Internal Auditor Data Specialist. In your role as an Internal Auditor Data Specialist, you will work in a collaborative and partnership-oriented environment to support and enhance Internal Audit engagements. Internal Auditors regularly identify roles within the business for internal promotion, which...
Identify any system changes and work to notify the Plan CIA Manager on any risk or impact.Configuring client System as per the requirement and according to defined business rules .Analyze trends in claims processing issues and assist in identifying and quantifying issues and reviewing work processes...
Paro leverages proprietary AI technology to match our highly vetted experts with companies on an on-demand, hourly basis to solve their problems and drive growth.We have curated a network of prestigious firms who are embracing the gig economy.Paro empowers top industry experts to reimagine work, esc...
The auditor performs control testing and fully documents the procedures performed and any findings as a result of testing. Performs year-end audit tasks under the guidance of our external auditors in order to reduce overall audit fees for the company. ...
Audit medical claims received from providers for adjudication accuracy.This includes both professional and institutional claims of all types.Manage internal and external audits.Provide timely input on compliance-related issues and guidance requests.Assist with compliance risk assessments and audit r...
Position Summary At MedReview, our mission is to bring accuracy, accountability, and clinical excellence to healthcare.As such, we are a leading authority in payment integrity solutions including DRG Validation, Cost Outlier and Readmission reviews .We are seeking a registered nurse with extensive e...
Medpace is a full-service clinical contract research organization (CRO).We provide Phase I-IV clinical development services to the biotechnology, pharmaceutical and medical device industries.Our mission is to accelerate the global development of safe and effective medical therapeutics through its sc...
HSAG's auditors are provided formal training in an assortment of healthcare-related topics, including health policy, clinical concepts, overview of analytic methods, data sources, and management techniques. Activities include independently developing and finalizing work plans and timelines; independ...
HSAG's auditors are provided formal training in an assortment of healthcare-related topics, including health policy, clinical concepts, overview of analytic methods, data sources, and management techniques. Activities include independently developing and finalizing work plans and timelines; independ...
We are looking for a Data Entry Specialist whose main function is providing excellent customer service by quickly and accurately processing submissions sent electronically by our members.A Data Entry Specialist will compare data with source documents submitted by our members, checking for accuracy a...
The Senior IT Auditor role is a REMOTE role. ...
Incumbents at the Staff Auditor II level are expected to have exposure to audit work conforming to professional standards. Incumbents at the Senior Auditor level are expected to have experience in risk-based auditing that conforms to professional standards and have obtained a relevant professional c...
As the Inpatient Coding and Documentation Auditor I, your primary role will be auditing inpatient cases for DRG validation and/or documentation improvement. Opportunity for growth includes a client facing Lead Auditor role and an internally facing Mentor role. ...
Responsibilities: As a member of our medical audit team, the .Focus Facility Surgical Procedures).You will leverage your coding knowledge, and medical claims experience to identify client records with billing coding issues as well as investigative and auditing opportunities.You will help identify an...