- Eurofins (Des Moines, IA)
- …Ensure timeliness, consistency, and accuracy in all audits and audit reports, meet or exceed 3rd party auditor and scheme KPIs + Attend annual informational ... other members of Eurofins, as needed. + Maintain accredited auditor status and achieve additional categories and scheme accreditations,...(16 hours, 2 days) + Passed a recognized Lead Auditor Training (40 hours, 5 days) + Registered BRC,… more
- Citigroup (Tampa, FL)
- …risk topics. **Responsibilities:** + Leading and conducting oversight discussions and executing onsite/ remote third party reviews to ensure sufficient ... Procurement and Third Party Management (P&TPM) has end-to-end responsibility and accountability to design and ensure proper execution of Citi's Third … more
- The Cigna Group (Orlando, FL)
- …to correct risks identified and present findings to the Sr Audit Manager. The Staff Auditor may participate in third party audits and work collaboratively ... POSITION SUMMARY The Staff Auditor is responsible to identify pharmacy audit risks...legitimacy of data audited. + Participates in all external Third Party Pharma Audits. Will work with… more
- Trinity Health (Silver Spring, MD)
- **Employment Type:** Full time **Shift:** **Description:** **Job Title:** Coding Auditor and Educator ( Remote ) **Employment Type:** Full-Time **Shift:** Days ... of ICD-10, CPT, and HCPCs modifiers. Knowledge of Medicare, Medicaid, and other third - party billing rules and regulations. + 3-6 years of professional coding… more
- Rising Medical Solutions (Chicago, IL)
- …claims solutions to our valued clients: insurance carriers, Fortune 1000 employers, third party administrators, and government organizations. At RISING, we're ... thrive. Rising Medical Solutions is looking for a Nurse Auditor who wants to make their mark in the...any deposition or litigation cases a plus Benefits + Remote position + Employment within a firm committed to… more
- UNC Health Care (Chapel Hill, NC)
- …multiple specialties. Analyzes coded records for compliance with federal, state and third party insurer rules and regulations. Establishes a collaborative ... care staff regarding current coding practices and changes in 3rd party , state and federal regulations and...of the UNC HCS SS Rev Cycle Physician Coder Auditor Proficiency Test. **Licensure/Certification Requirements:** * Must have one… more
- State of Colorado (Denver, CO)
- …liabilities, policy development, and formulating improvement plans; + Provides independent third - party review and quality improvement processes for the ... SNAPQA Auditor Print (https://www.governmentjobs.com/careers/colorado/jobs/newprint/4663795) Apply SNAPQA Auditor...interview), accessing databases, and contacting a wide range of third - party sources to determine the correctness of… more
- Elevance Health (Middletown, NY)
- …(CPC) or Inpatient Coding Credential such as CCS or CIC. + Experience with third party DRG Coding and/or Clinical Validation Audits or hospital clinical ... **Diagnosis Related Group Clinical Validation Auditor ** **Location:** This position will work a hybrid...** **Location:** This position will work a hybrid model ( remote and office). Ideal candidates will live within 50… more
- Nuvance Health (Danbury, CT)
- …NUVANCE HEALTH Hospital policies as well as all coding Federal, State, and third party payer guidelines. Conducts inpatient and/or outpatient coding audits and ... *Description* Fully remote opportunity within approved working states *Summary:* Reporting...listservs such as CMS, Medicare, NGS, AHIMA, etc., and third - party payers for updates and changes in… more
- UNC Health Care (Chapel Hill, NC)
- …denials. This position analyzes coded records for compliance with federal, state and third party insurer rules and regulations and note trends. This position ... reviews suggesting appeal. Coordinates Peer to Peer requests with third party payers and CDI Physician Advisors...care staff regarding current coding practices and changes in 3rd party , state and federal regulations and… more