- Elevance Health (Tampa, FL)
- ** Clinical Provider Auditor II ** **Supports the Payment Integrity line of business** _Location:_ Alternate locations may be considered. This position ... Integrity, is determined to recover, eliminate and prevent unnecessary medical-expense spending. The ** Clinical Provider Auditor II ** is responsible for… more
- University of Utah (Salt Lake City, UT)
- …Number** PRN41328B **Job Title** Coding Auditor **Working Title** Quality Assurance Auditor II **Job Grade** E **FLSA Code** Nonexempt **Patient Sensitive ... too. We are looking for an experienced **Quality Assurance Auditor II ** to join our team. As...Review audit results with medical coding management and staff. Provide training on coding guidelines, medical terminology, and proper… more
- State of Maine, Bureau of Human Resources (Augusta, ME)
- Staff Auditor II Augusta , Maine , United States | Auditor | Full-time | Partially remote Apply by: March 31, 2025 Apply with Linkedin Apply Department of ... to its staff. ABOUT THE POSITION: As a Staff Auditor II you will: + Perform independent...and standards. + Analyze budget and expenditure information and/or clinical and professional records in a forensic capacity requiring… more
- The County of Los Angeles (Los Angeles, CA)
- …the level of the County of Los Angeles class of Senior Contract Program Auditor **. PHYSICAL CLASS: Physical Class II - Light: This class includes administrative ... HEAD CONTRACT PROGRAM AUDITOR / EMERGENCY APPOINTMENT HOMELESSNESS Print (https://www.governmentjobs.com/careers/lacounty/jobs/newprint/4448498) Apply HEAD… more
- Highmark Health (Charleston, WV)
- …coding, billing and documentation related to DRGs, APCs, CPTs and HCPCS Level II code and modifier assignments, ICD diagnosis and procedure coding, DRG/APC structure ... meetings and interacts with management to resolve issues and provide advice on new programs. Provides guidance to system...+ Validates the ICD-CM, ICD-PCS, CPT and HCPCS Level II code and modifier systems, missed secondary diagnoses and… more
- University of Rochester (Saunders County, NE)
- …of the individual, and internal equity considerations._ **Responsibilities:** GENERAL PURPOSE: The Clinical Trials Project Manager II is responsible for leading ... the planning, implementation, and monitoring for multiple, large, national, multi-site clinical research protocols in a network of over 600 community sites. Under… more
- Excellus BlueCross BlueShield (Utica, NY)
- …drivers. Essential Accountabilities: Level I + Handles physical health member clinical management programs. + Maintains knowledge of current Case Management Society ... or external referral sources. Applies case management criteria and professional clinical judgment to determine a member's appropriateness for case management… more
- LA Care Health Plan (Los Angeles, CA)
- HEDIS Abstractor II (Temporary) Job Category: Clinical Department: Quality Performance Management Location: Los Angeles, CA, US, 90017 Position Type: Full Time ... Plan is an independent public agency created by the state of California to provide health coverage to low-income Los Angeles County residents. We are the nation's… more
- Stony Brook University (Stony Brook, NY)
- …line. **Job Number:** 2500168 **Official Job Title:** : TH Staff Assistant II **Job Field** : Administrative & Professional (non- Clinical ) **Primary Location** ... TH Staff Assistant II - Regional Perinatal Center Leadership Support **Position...Regional Perinatal Center(RPC) . Works with volunteer services to provide support for the Regional Perinatal Center projects and… more
- Dignity Health (Bakersfield, CA)
- …of management and business services that will leverage economies of scale across provider types and geographies and will lead the effort in developing Dignity ... Dignity Health MSO is dedicated to providing quality managed care administrative and clinical services to medical groups hospitals health plans and employers with a… more