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Provides training and education for the coding staff on all aspects of coding. Provides one-on-one and group coding training. Prepares comprehensive training materials and presentations on various ..
CareMore Clin Qual Auditor JP25700
SUMMARY: Responsible for performing Quality Management (QM) functions ..
The Clinical Auditor (RN/LVN) will conduct routine oversight, monitoring and auditing, of all internal business functions within CalOptima, as well as externally delegated functions to ensure compliance with state, federal, and ..
nnJob DescriptionnJob Summary: The Nurse auditor is responsible for day to ... operational and payer logistical perspective. Auditor must work with a diverse ... performance and cash collections. Nurse auditor..
GeBBS Healthcare Solutions, an industry leader in ... collaboration, for careers in the healthcare industry.Job Title: IP/OP Auditor - PRN SummaryGeBBS Healthcare Solutions is actively recruiting for ... recruiting for..
nnJob DescriptionnThis position is responsible for reviewing all processed claims prior to payment release, and respond to Health Maintenance Organization (HMO) Enrollees for Medicare and HMO Enrollees. Responsible for daily auditing ..
nnJob DescriptionnHCS is actively seeking a Medicare Analyst for a full time, direct hire opportunity in San Bernardino, CA. In this role, you will be responsible for implementing and developing compliance ..
nnJob Descriptionn HCS Healthcare is actively conducting interviews for ... immediate need as a Medicare Auditor in the San Bernardino area ... and monitoring special projects. MEDICARE AUDITOR REQUIREMENTS: Bachelor’s..
... The VA Greater Los Angeles Healthcare System (GLA) is the largest, ... is the largest, most complex healthcare system within the Department of ... of the VA Desert Pacific..
Description: Responsible for performing multiple quality audit transactions including, but not limited to provider demographic updates, provider contract load and maintenance, Electronic Fund Transfer updates; load and maintenance of Benefit Plans, ..
Health Integrity, a wholly-owned subsidiary of Quality Health Strategies, Inc., is dedicated to protecting the fiscal and clinical integrity of healthcare systems in Medicare, Medicaid, and the private sector. The company ..
nnJob DescriptionnAs one of the fastest growing Independent Physician Associations in Southern California, Regal Medical Group, Lakeside Community Healthcare & Affiliated Doctors of Orange County, offers a fast-paced, exciting, welcoming and ..
The Director for Internal Audit isresponsible for planning, organizing, and conducting a broad, comprehensiveprogram of internal auditing for the evaluation of all Memorial Health Servicesactivities with a primary focus on ..
HCS Healthcare is actively conducting interviews for an immediate need as a Medicare Auditor in the San Bernardino area for a not-for-profit health plan! You will be responsible for developing an ..
... Healthcare organization. As the year 2018 is in full swing, this organization is very busy, and ... auditors throughout the process. * Examine audit findings, investigate discrepancies, gather .....
This position consists of a field auditor role with an average of 50% percent travel potential ... Healthcare, and related programs as directed. ESSENTIAL DUTIES AND RESPONSIBILITIES: Include the .....
GeBBS Healthcare Solutions, an industry leader in Health Information Management (HIM) and Revenue ... IP/OP Auditor - PRN Summary GeBBS Healthcare Solutions is actively recruiting for a PRN IP/OP .....
The Claims Compliance Auditor conducts Pre-Delegation, Monthly Monitoring, and annual Due Diligence ... Commitment Care1st is committed to providing health care that is medically excellent, ethically .....
... care go hand-in-hand with excellence in clinical and scientific research. City of Hope is a ... Operates in accordance with the Institute of Internal Auditors (IIA) International Standards for .....
The Healthcare Data Analyst is responsible for claims auditing, analytics and financial analysis. This candidate will work closely with management to design and analyze operational and claims data..