- UPMC (Pittsburgh, PA)
- UPMC Health Plan has an exciting opportunity for a Clinical Auditor / Analyst position in the CCBH Fraud, Waste & Abuse department. This is a full time ... consisting of working from home and in office. The Clinical FWA Auditor / Analyst is the...integral part of the Fraud, Waste & Abuse (FWA) Special Investigations Unit (SIU). This position reports directly to… more
- The County of Los Angeles (Los Angeles, CA)
- HEAD CONTRACT PROGRAM AUDITOR / EMERGENCY APPOINTMENT HOMELESSNESS Print (https://www.governmentjobs.com/careers/lacounty/jobs/newprint/4448498) Apply HEAD ... CONTRACT PROGRAM AUDITOR / EMERGENCY APPOINTMENT HOMELESSNESS Salary $103,751.04 - $139,817.52...of funds and provision of services. + Consults with clinical , administrative, and program planning staff in developing contract… more
- Bon Secours Mercy Health (Covington, KY)
- …cost effectiveness. Our hospitals, care sites and clinicians are recognized for clinical and operational excellence. **Summary** The 340B Auditor is responsible ... adherence with the 340B Program regulations and/or guidelines. 340B Auditor will collaborate with other 340B staff to perform...covered entity. + Assists 340B Program Manager and 340B Analyst with special projects as assigned This… more
- State of Colorado (Denver, CO)
- …recommendations to established processes for improvements. Job Duties: Quality Assurance Auditor / Analyst : + Provides internal case review audits and analysis ... Quality Assurance Auditor - Health Professional III Print (https://www.governmentjobs.com/careers/colorado/jobs/newprint/4872031) Apply Quality Assurance … more
- The Cigna Group (Bloomfield, CT)
- …of future gaps in care. + May be required to participate in customer and auditor visits. + Participates in special projects as deemed necessary. + Other duties ... acuity cases, and/or account sensitive cases involving largest reserves. Utilizes clinical skills to assess, plan, implement, coordinate, monitor and evaluate… more
- The County of Los Angeles (Los Angeles, CA)
- ASSISTANT STAFF ANALYST , HEALTH SERVICES/COMMUNITY PROGRAMS Print (https://www.governmentjobs.com/careers/lacounty/jobs/newprint/4470195) Apply ASSISTANT STAFF ... ANALYST , HEALTH SERVICES/COMMUNITY PROGRAMS Salary $87,520.32 - $117,941.52 Annually...medical specialty and subspecialty. In addition to its direct clinical services, DHS also runs the Emergency Medical Services… more
- The County of Los Angeles (Los Angeles, CA)
- HEALTH CARE FINANCIAL ANALYST /COMMUNITY PROGRAMS Print (https://www.governmentjobs.com/careers/lacounty/jobs/newprint/4827547) Apply HEALTH CARE FINANCIAL ... ANALYST /COMMUNITY PROGRAMS Salary $76,615.68 - $103,240.32 Annually Location Los...medical specialty and subspecialty. In addition to its direct clinical services, DHS also runs the Emergency Medical Services… more
- University of Texas Rio Grande Valley (Mcallen, TX)
- …Information Posting NumberSRGV8164 Working TitleCOMPLIANCE CODING & BILLING ANALYST Number of Vacancies1 LocationMcAllen, Texas DepartmentCompliance FTE1 FLSAExempt ... Collaborates with the medical billing team to improve the quality of clinical documentation for compliance, billing, coding, and reimbursement processes. + Reviews,… more
- UNC Health Care (Morrisville, NC)
- …communication of audit findings to department leadership as directed by management. The auditor should be familiar with basic clinical documentation and charge ... related to coding and compliance and shares knowledge with peers and customers. 5. ** Special Projects** - Performs special projects as requested by management as… more
- The County of Los Angeles (Los Angeles, CA)
- …in nearly every medical specialty and subspecialty. In addition to its direct clinical services, DHS also runs the Emergency Medical Services (EMS) Agency and the ... the review of audit findings prepared by the County Auditor and outside agencies and supervises the preparation of...,** Senior Accounting Systems Technician, or Senior Accounting Systems Analyst . PHYSICAL CLASS II - Light: This class includes… more