include Conducting property audits, develops, recommends and implements property administration policies. Developing plans and programs for achieving and maintaining product quality throughout the item's life cycle Monitoring operations to prevent the production of defects and to verify adherence to quality plans and requirements Preparing periodic and special purpose repo

Reviews clinical documentation to determine if charging for the procedure, supplies, implants, recovery, and any other associated charges are documented accurately. Reviews monthly spend while identifying opportunities to reduce expense. Participates in the process of assigning and reviewing HCPC and charge codes assigned to implants and supplies. Reviews OR records for u

NYC 299 Park Avenue (22957), United States of America, New York, New York Principal Auditor Credit Risk Management (Hybrid) Capital One's Audit function is a dedicated group of professionals focused on delivering top quality assurance services to the organization's Audit Committee. Audit professionals are experienced, well trained and credentialed, and operate within a col

The Coding Auditor demonstrates expertise in coding and billing compliance while performing audits to determine billing integrity of professional and facility/technical fees including detection and correction of documentation, coding and billing errors and/or medical necessity of services billed. Audits consist of evaluation of the adequacy and accuracy of documentation i

The Clinical Defense Auditor will collaborate clinically with the patient care team and third parties to determine appropriateness and medical necessity of emergency care, admissions and specialty referrals. Qualifications Minimum Education Bachelor's Degree RN, BSN preferred or extensive clinical experience in utilization management for healthcare. (Required) Minimum Wor

Open Recruitment (REPOST) State Highway Administration Grade 20 (7166) SP# 24 17 04 Internal Audits Manager (DOT Internal Auditor Program Supervisor) YOU MUST APPLY ONLINE TO BE CONSIDERED FOR THIS POSITION Previous Applicants Need Not Reapply THE RECONSIDERATION PERIOD FOR THIS RECRUITMENT IS THREE (3) BUSINESS DAYS The State Highway Administration's (SHA) Office of Audi

Welcome and thank you for your interest in employment with Loudoun County Government! ALL SECTIONS OF THE APPLICATION MUST BE COMPLETED IN ITS ENTIRETY. THE RESUME IS CONSIDERED SUPPLEMENTAL INFORMATION ONLY. APPLICATIONS THAT ARE INCOMPLETE OR INDICATE 'SEE RESUME' WILL NOT BE TAKEN INTO CONSIDERATION. Introduction The Commissioner of the Revenue is one of Loudoun's five

NYC 299 Park Avenue (22957), United States of America, New York, New York Senior Auditor, Compliance Capital One's Audit function is a dedicated group of professionals focused on delivering top quality assurance services to the organization's Audit Committee. Audit professionals are experienced, well trained and credentialed, and operate within a collaborative, agile envir

Performs a variety of senior level audit procedures including analyses, appraisals, and evaluations of the school division’s functions and activities, either individually or as part of a team. Serve as lead or supervisory auditor for assigned audits and other duties as assigned. Qualifications Any combination of education and experience equivalent to a bachelor&rsqu

Conduct monitoring, inspection, investigation, and audits to safeguard against threats and hazards to the integrity, availability and confidentiality of USAID data or information systems. Perform custom and predetermined audits and monitor usage trends to prevent unauthorized usage, suspected fraudulent usage, or excessive usage. Assist in the resolution of POA&Ms as meas

Accurately audits hospital Inpatient, Ambulatory Surgery, Observation, and any other outpatient encounter visit for the purpose of appropriate reimbursement, research and compliance with federal and state regulations according to established ICD 10 CM/PCS coding and/or CPT 4 procedure coding classification systems. II. Principal Responsibilities and Tasks The following st

Under direct supervision, the Auditing Team Lead provides day to day supervision and instruction of the auditors. The Auditing Team Lead oversees the internal and external auditing function and assist Director Inpatient Coding, Coding Audits, and Education in developing reports specific to audit findings and assists with implementing action plans. The Auditing Team Lead e

Collaborate in the planning of internal audits by gathering specific relevant background information (such as financial results, and policies and procedures) from the Institutions information systems, web based and other information sources. Will conduct a complete analysis of assigned tasks and be able to make action recommendations. Contribute to the design of internal

Evaluates concurrently and retrospectively inpatient medical records reviewed by CDS for completeness, accuracy to validate that the clinical documentation supports the assigned ICD 10 CM/PCS codes, the selection of the principal diagnosis and discharge disposition following CMS requirements and Coding Clinic guidance Conducts second level reviews for MGUH approved CDI/HI

Lead small audits, or own completion of significant components of larger audits. Develop engagement planning documentation for assigned areas to communicate rationale for scoping decisions, and develop audit programs to ensure adequate coverage of risks. Design and execute appropriate audit procedures to verify the effectiveness of internal controls. Document auditee proc