- WMCHealth (Valhalla, NY)
- Compliance Auditing Specialist - Remote /Hybrid available Company: NorthEast Provider Solutions Inc. City/State: Valhalla, NY Category: ... Clerical/Administrative Support Department: Compliance - WMC Health Union: No Position: Full Time Hours: Variable Shift: All Shifts Req #: 42770 Posted Date: Apr 08,… more
- University of Pennsylvania (Philadelphia, PA)
- …and resources, and much more. Posted Job Title Clinical Research Monitoring and Auditing Specialist (Abramson Cancer Center) Job Profile Title Clinical Research ... Quality Specialist C Job Description Summary The Abramson Cancer Center...Summary The Abramson Cancer Center (ACC) Department of Operations, Compliance and Monitoring (DOCM) is seeking a The Clinical… more
- Trinity Health (Livonia, MI)
- …Trinity Health Payroll Shared Services team supporting all accounting and compliance activities for payroll operations. Provides or coordinates training for ministry ... of all aspects of employee payroll data, and processing information. Ensures compliance with federal and state regulations. Maintains a high degree of… more
- Sedgwick Government Solutions (Atlanta, GA)
- Job Details Clinical Quality Management Specialist II ( Remote ) 2025-1419 Atlanta, GA, USA Medical Services Full Time Description **Clinical Quality Management ... Specialist II** ** Remote Clinical Quality Management ...role involves supporting the Clinical Operations teams to ensure compliance with QMS and client contracts. The Clinical QM… more
- Children's Mercy Kansas City (Kansas City, MO)
- …trends and charge capture processes for assigned clinical departments to ensure compliance with federal regulations and CMH charge capture protocols. At Children's ... electronic charge capture process for all assigned clinical departments per coding compliance and CMH charge capture protocols by proactively identify charge capture… more
- Sedgwick Government Solutions (Atlanta, GA)
- Job Details Quality Management Specialist ( Remote ) 2025-1418 Atlanta, GA, USA Operations Full Time Description **Quality Management Specialist ** ** Remote ... range $55,000-$78,000 Are you passionate about ensuring quality and compliance in a dynamic environment? Join SGS as a...System (QMS) for a high-profile client. The Quality Management Specialist (QMS), you will work from your home office… more
- Carrington (Oklahoma City, OK)
- **Come join our amazing team and work remote from home!** The Vendor Management Specialist I will be responsible for providing ongoing oversight of an existing ... more years of experience in the financial services industry; mortgage servicing, auditing , finance, compliance or vendor management work experience. + Motivated,… more
- NTT DATA North America (Dallas, TX)
- NTT DATA is seeking a ** Remote Provider Dispute Resolution Specialist ** to review written dispute requests received from providers of denied or incorrect ... + Plan and organize workload to ensure efficient and compliance resolution of issues. + Communicate to Provider in...Act, Federal Register and Medicare Guidelines **Preferred:** + Previous auditing and appeals experience About NTT DATA NTT DATA… more
- SMBC (Sacramento, CA)
- …ensuring compliance with applicable regulations and bank policies. The specialist must have a strong understanding of Customer Due Diligence (CDD), Enhanced ... specialist preferred. **Preferred Requirements:** + Experience reviewing and auditing financial documents + Working experience in department quality assurance… more
- ProMedica Health System (Toledo, OH)
- …or updates. Reviews medical record documentation and claims data to ensure compliance with CMS and payer guidelines and regulations. ACCOUNTABILITIES *All duties ... appropriate providers and staff. 5. Perform audits to determine documentation compliance and coding/billing accuracy; summarize findings and develop plans to improve… more