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Confidential
A company is looking for an Auditor 2, Zero Balance for a remote position in the US. Key Responsibilities: Create and update audit plans, model pricing documents, review insurance payments, identify risk areas, troubleshoot underpayment risk,...
Confidential
A company is looking for a Remote Inpatient Auditor. Key Responsibilities: Conduct inpatient auditing, including CDI auditing and reviewing CDI queries Perform inpatient production coding Work with Teaching Level I or Level II Trauma cases and...
Confidential
A company is looking for a Clinical Auditor for Utilization Management Operations in Remote USA. Key Responsibilities: Develop audit tools and conduct audits to ensure compliance with regulatory and operational standards Prepare audit findings...
Confidential
A company is looking for a Payments Analyst. Key Responsibilities: Process security holder documents and handle mail-related tasks Communicate with security holders regarding deficiencies and provide support Populate and maintain data rooms...
Confidential
A company is looking for a Senior IT Auditor to support the Internal Audit Senior Manager in evaluating the adequacy and effectiveness of the Company?s IT operations and compliance with related policy and regulations. Key Responsibilities:...
Confidential
A company is looking for a Compliance Quality Auditor. Key Responsibilities: Perform clinical compliance and quality audits to ensure compliance with regulations and contractual requirements Assist with data collection, analysis, and reporting...
Confidential
A company is looking for a Payments Implementation Manager. Key Responsibilities: Coordinate and manage end-to-end payments migration projects for top-tier customers Set up paywalls, manipulate data sets, and update engineering tasks during the...
Confidential
A manufacturing company is looking for a Payroll Processing Specialist. Key Responsibilities: Prepare and process US multi-state weekly/bi-weekly payroll for over 16K team members using SAP Execute pre and post payroll audits to ensure accurate...
Confidential
A company is looking for a Certified Inpatient Auditor. Key Responsibilities: Conduct inpatient auditing to ensure compliance with regulations and guidelines Utilize Epic 3M 360 CAC software for auditing purposes Collaborate with trauma and...
Confidential
A company is looking for an SEO Specialist to join their team remotely. Key Responsibilities: Develop and execute SEO strategies to drive organic traffic and search engine rankings Monitor, analyze, and optimize SEO performance to ensure...
Confidential
A company is looking for a Senior Internal Auditor. Key Responsibilities: Perform audits to ensure internal controls and processes meet world-class standards Develop audit findings and recommendations for business process optimization, internal...
Confidential
A company is looking for a Senior IT Internal Auditor. Key Responsibilities: Assist in the company?s Sarbanes-Oxley (SOX) 404 process, including documentation, testing, and coordination with finance and IT Perform individual internal audit...
Confidential
A company is looking for a Senior Quality Auditor. Key Responsibilities: Perform audits of transactions processed by health plan administration associates for multiple customers or transaction types Serve as an escalation resource for...
Confidential
A company is looking for a Senior Payments Software Engineer. Key Responsibilities: Design, develop, and maintain applications using .Net(C#) technologies, Node, NextJS, Typescript, and React Improve software quality and development process...
Confidential
A company is looking for a Healthcare PM in the remote United States. Responsibilities: Create and implement project definitions, schedules, budgets, and objectives for medium-sized projects Manage costs, schedules, and quality by overseeing...
Confidential
A company is looking for an Episode of Care Clinical Validation Auditor for a full-time remote position. Key Responsibilities: Analyze and audit claims, utilizing advanced ICD-10 coding expertise, clinical guidelines, and industry knowledge...
Confidential
A company is looking for a Quality Healthcare Manager. Key Responsibilities: Manage day-to-day quality activities, ensuring compliance with contract and regulatory requirements Supervise quality staff and conduct training sessions on Continuous...
Confidential
A company is looking for a Senior Healthcare IT Consultant. Key Responsibilities: Complete work assignments and support business-specific projects by applying expertise in subject area Develop detailed requirements for complex process and...
Confidential
A company is looking for a Coding Education Training Auditor. Key Responsibilities: Review and analyze documentation in medical records for inpatient, outpatient, and professional services Perform revenue audit functions to ensure compliance...
Confidential
A company is looking for an Education & Training Coding Auditor. Key Responsibilities: Review and analyze documentation in medical records for inpatient, outpatient, and professional services Perform revenue audit functions to ensure...
Confidential
A company is looking for a Manager of Revenue Cycle - Payment Posting. Key Responsibilities: Oversee revenue cycle operations for one or more clients and meet or exceed established goals Manage a team of Medical Collectors / Accounts Receivable...
Confidential
A company is looking for a Tax Processing Specialist I. Key Responsibilities: Prepare clients? sales and use tax returns, including reviewing and reconciling returns, initiating electronic filings and payments, and maintaining monthly client tax...
Confidential
A company is looking for a Healthcare Product Manager. Key Responsibilities: Gather and prioritize product and customer requirements, and ensure revenue and customer satisfaction goals are met Deliver functional specifications and stories with...
Confidential
A company is looking for a Program Manager, Healthcare for a large Enterprise business organization in the healthcare industry. Key Responsibilities: Create and deliver executive process, planning, and status documents in collaboration with...
Confidential
A company is looking for a Payment Accuracy COB Specialist 1. Responsibilities: Review and analyze data to identify instances of recoverable Coordination of Benefit claims Establish the correct order of liability for clients? members Input...
Confidential
A company is looking for an Associate Manager, Claims Processing. Key Responsibilities: Provide leadership and development of people as well as management of projects and initiatives Support Commercial and Medicaid Claims processing rules,...
Confidential
A company is looking for a Senior Business Process Architect to work remotely. Responsibilities: Talk with customers, understand and design workflows Collaborate with teams to identify change impacts and devise cutover strategies Define and...
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