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RISK ADJUSTMENT AUDITOR III - REMOTE FLORIDA

Periodic travel up to 10% for quarterly onsite meetings.The Key Responsibilities:* Performs medical record validation audits and interpretation of medical documentation to ensure capture of all relevant coding based on CMS Hierarc...

CompanyBlue Cross And Blue Shield Association
AddressLorida, FL
CategoryAccounting/Finance
Job typePermanent
Date Posted 2 days ago See detail

Risk Adjustment Auditor III - REMOTE FLORIDA

Blue Cross And Blue Shield Association

Lorida, FL

Periodic travel up to 10% for quarterly onsite meetings.The Key Responsibilities:* Performs medical record validation audits and interpretation of medical documentation to ensure capture of all relevant coding based on CMS Hierarc...

2 days ago seen See more...

Compliance Auditor - Remote - Must reside in Approved States

Duke Health

Durham, NC

Provides oversight to the implementation and monitoring of the compliance program for assigned DH department(s) to include departmental, divisional and individual provider review and education. Scope of responsibility includes com...

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Director of Credit Risk, Draper UT preferred or Remote

Optum

Draper, UT

$122,100 - $234,700 a year

Lead and manage a team of risk professional to determine and set Counterparty Credit Risk appetite and governance of Credit Risk exposures. Demonstrate strong capital markets and technical expertise to ensure that Credit Risk is a...

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Coding Quality Auditor - Remote

Conifer Physician Services

Frisco, TX

$30.85 - $46.28 an hour

Consulting: Consults facility leaders and staff on best practices, methodology, and tools for accurately coding. Chart Analysis IP, OP Coding Data auditing and validation: Reviews medical records for the determination of accurate...

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Lead Auditor, Global Audit & Risk Management

Nike, Inc.

Beaverton, OR

Strategic thinking, understanding business priorities and key objectives to plan, develop, manage and execute high impact audit and advisory work plans. Ensure quality and timely project execution through project lifecycle includi...

3 days ago seen See more...

Compliance Auditor -Remote

Medzed

Los Angeles, CA

$65,000 - $85,000 a year

Conduct thorough audits of health plan operations to assess compliance with regulatory requirements. Review and analyze health plan policies, procedures, and documentation to identify areas of non-compliance. Work with department...

5 days ago seen See more...

Vice President, Auditor - Credit Risk

Bny Mellon

New York, NY

Leads or performs audit related activities and works as a team member on audit assignments. Knowledge and experience in counterparty, intraday and direct credit facilities. Performs risk-focused fieldwork, in accordance with Inter...

7 days ago seen See more...

Auditor | Remote

Allianz

Minneapolis, MN

AZRA has approximately 150 employees located nationwide with the majority working on a remote basis.Under direct supervision, perform routine assignments on the day-to-day audit activities. * Collaborate with management on the dev...

7 days ago seen See more...

Premium Auditor-Remote

Interstate Audit, Llc

New York, NY

A High School diploma or GED is required; an Associate's or a Bachelor's degree in Accounting, Finance or a related area is strongly preferred. A minimum of 1 year experience in premium auditing, accounting and/or bookkeeping is r...

7 days ago seen See more...

Remote Complex Care Manager - High Risk Maternity

Healthfirst

New York, NY

$55.6K - $70.4K a year

Advocates, informs, and educates beneficiaries on services, self-management techniques, and health benefits. Conducts assessments to identify barriers and opportunities for intervention, including addressing the social determinant...

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Auditor, Medicaid (Full-time, Remote)

Integrity Management Services, Inc.

Alexandria, VA

Bachelor's degree in finance, accounting, or related field preferred. Typically 2+ years of related experience in finance, accounting, or auditing. Medicaid managed care work experience. Intermediate understanding of Medicaid mana...

2 weeks ago seen See more...

Premium Auditor/Risk Appraiser - Austin, TX

Federated Mutual Insurance Company

Austin, TX

Travel to insured businesses throughout an assigned territory. Review and verify our clients financial information and business operations. Analyze information to determine if the client is paying the correct amount of premium. P...

2 weeks ago seen See more...

Risk and Compliance Coordinator - California, Full-Time Remote

Ufw Foundation

Bakersfield, CA

Analyzes insurance needs by identifying risk exposures and analyzing and classifying risks to provide optimum coverage, costs and claim settlements. Assists UFW Foundation staff in obtaining certificates of insurance, as needed fo...

2 weeks ago seen See more...

Internal Auditor - Latam (Remote)

Dlocal

Montevideo, MN

Contribute to an adequate internal control environment, including execution, and reporting based on defined planning and scoping. Coordinate and perform design and effectiveness assessments, identifying opportunities for improveme...

2 weeks ago seen See more...

Clinical Documentation & Integrity Auditor/Educator (Remote)

Memorial Hermann Health System

Houston, TX

Current State of Texas license or temporary/compact license to practice professional nursing. Certified Clinical Documentation Specialist (CCDS) required; AHIMA ICD-10-CM/PCS Trainer preferred. Minimum of three (3) to five (5) yea...

3 weeks ago seen See more...

Professional Coding Auditor - Full-time - Remote

Children’s Wisconsin

Wisconsin, United States

High school education or equivalent. Advanced education preferred.. Three or more years of experience in Physician (Professional) Evaluation and Management (E&M) coding, auditing and/or Provider education.. CPC, CCS ,CCS-P or RHIT...

3 weeks ago seen See more...

Consultant, Cyber Risk Advisory | Remote US

Coalfire

United States

Support and guide information risk and security discussions with technical and non-technical groups. Identify enterprise information security, privacy and compliance related problems and challenges; research and develop technical...

3 weeks ago seen See more...

Associate, Cyber Risk Advisory | Remote US

Coalfire

United States

. Bachelor's degree (four-year college or university) or equivalent combination of education and work experience. Zero to two years of experience in IT and/or cybersecurity. An interest and a desire to advance your career in cyber...

3 weeks ago seen See more...

Senior Auditor - Risk Management (Hybrid)

Capital One

New York, NY

Audit major components of business units.. Assist in developing engagement planning documentation for assigned areas, including risk-based rationale for scoping decisions.. Design and execute internal control testing for operation...

3 weeks ago seen See more...

Senior Credit Risk Auditor- H/F/X

Société Générale

New York, NY

$117,000 - $210,000 a year

Manage and execute all stages of assigned credit audit missions within a pre-defined timeframe: planning, file review, portfolio analysis, report drafting, and exit meeting; Prepare clear and concise worksheets. Prepare quality re...

a month ago seen See more...

Third Party Risk Auditor

Synergistic Systems Inc

Remote

$81K - $103K a year

Conduct comprehensive risk assessment audits of new and existing third-party vendors, including operational, security, and compliance assessments. Develop and implement risk mitigation strategies for identified risks, including co...

2 months ago seen See more...

Supervisor Risk Adjustment and Coding *Remote*

Providence

Beaverton, OR

Directly supervise the coding staff who review, interpret, code, and abstract medical record information according to coding policies and practices. Serve as the first-level supervisory position. Be responsible for assigning, dire...

4 weeks ago seen See more...

Senior Auditor - Credit Risk

Usaa.

Lorida, FL

Independently executes audit test work timely and with high quality.. Executes and may lead as Auditor in Charge (AIC) for audit engagements throughout the audit life cycle, to include understanding of horizontal and vertical busi...

4 weeks ago seen See more...

Associate Coding Quality Auditor *Remote, Most States Eligible*

Providence Health & Services

Los Angeles, CA

United States, California, Los Angeles

Associate's Degree or equivalent educ/experience. National Certification from American Academy of Professional Coders upon hire. Or. National Certified Coding Associate - American Health Information Management Association upon hir...

4 weeks ago seen See more...

Associate Coding Quality Auditor *Remote, Most States Eligible*

Providence Health & Services

Billings, MT

United States, Montana, Billings

Associate's Degree or equivalent educ/experience. National Certification from American Academy of Professional Coders upon hire. Or. National Certified Coding Associate - American Health Information Management Association upon hir...

4 weeks ago seen See more...

Associate Coding Quality Auditor *Remote, Most States Eligible*

Providence Health & Services

Portland, OR

United States, Oregon, Portland

Associate's Degree or equivalent educ/experience. National Certification from American Academy of Professional Coders upon hire. Or. National Certified Coding Associate - American Health Information Management Association upon hir...

4 weeks ago seen See more...

Sr. Clinical Study Auditor (Remote)

Becton Dickinson

Remote

Plan, conduct, and lead complex Clinical Study audits (Sponsor, Investigator Sites and Clinical Suppliers) (either remote or on site) in accordance with all applicable regulations, standards, mentorship, and the established proced...

4 weeks ago seen See more...

Healthcare Quality Auditor (Remote)

Community Health Accreditation Partner

Dallas, TX

The ideal candidate will work to ensure compliance with CHAP policies and procedures, and state and federal regulatory requirements. Principal Functions & Qualifications: This position is responsible for auditing a variety of docu...

a month ago seen See more...

CDI Auditor - PRN - Remote

E4Health

Remote

From $45 an hour

Flexible schedule. Acute care. Hospital. Inpatient. Choose your own hours. Weekends as needed. Are you either a US citizen or an alien lawfully authorized to work in the US? Do you now or will you at any time in the future require...

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Insurance Premium Auditor/Quality Reviewer (1099) - REMOTE

Sedgwick

Remote

$67K - $84.8K a year

Physical Ideal for complex or large accounts, test audit states, new businesses or businesses undergoing changes in operations or scope. Virtual Meets the requirements for a physical audit and offers a cost-effective option in...

a month ago seen See more...

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