Senior Quality Auditor: Reimbursement and Policy Compliance
Jobtailor
Jobtailor is seeking a qualified QA Auditor to perform retrospective quality audits of audit cases and ensure findings are well-supported and properly documented. The role requires strong reimbursement experience and the ability to apply payer policies and coding guidelines to determinations. Ideal candidates hold a BA/BS, RN license (preferred), and CCS/CPC certifications (preferred). You will maintain quality dashboards, participate in calibration sessions, and contribute to improvements in #J-18808-Ljbffr Jobtailor
$30 - $33 per hour
...Senior Talent Acquisition Specialist - Healthcare role at Griffin... ...cover everything from compliance to payroll, employee benefits... ...overall staffing strategies, policies, practices, and standards.... ...based on PT/FT status). Reimbursement and/or coverage of relevant...ReimbursementSeniorPolicyFull timePart timeWork at officeRemote workWork from home10 hours per weekFlexible hours- Senior Commercial Kitchen Equipment Technician Join TWC Services, Inc.... ...supplemental insurance Wellness plan with reimbursement for physical & gym memberships... ...and parts used. Ensure compliance with safety standards and company policies. Qualifications: High school diploma...ReimbursementSeniorPolicyHourly payRelocation package
- ...seeking an experienced Senior Utility Coordinator /... ...agreements, permits, and reimbursement. Coordinate with... ...contract documents, ensuring compliance with FDOT, FHWA, and... ...staff, and provide quality assurance and quality... ...and AASHTO standards, policies, procedures, and reimbursement...ReimbursementSeniorPolicyContract workTemporary workFor contractorsWork at officeLocal areaImmediate startRelocationFlexible hours
$66.17k - $123.07k
...performance of managed care plans to ensure compliance and effectiveness. Provides ongoing... ...provider group leaders on managed care policies and procedures. Collaborates with... ...of medical terminology, CPT‑coding, and reimbursement mechanisms. [Required] Effective verbal...ReimbursementSeniorPolicyFull timeContract workWork experience placementLocal areaShift workAfternoon shiftEarly shift$120k - $135k
Senior Human Resources Business Partner, Southern Region The Human... ...management, labor law compliance, HR operations, and skill development... ...people-related services, HR policies, practices, and procedures.... ...spending accounts, fitness reimbursement, voluntary life insurance....ReimbursementSeniorPolicyWork at officeFlexible hours- ...The Senior Clinical Coder serves as a subject matter expert... ...accuracy, regulatory compliance, and appropriate reimbursement across inpatient and outpatient... ..., claims operations, and quality management. This position... ...and apply medical policies, benefits, limitations, and...ReimbursementSeniorPolicyFull timeWork at officeRemote workWork from homeHome office
- ...Physician Coder II, and Physician Senior Coder positions. Applicants... ...accounts to maximize reimbursement (i.e., Insurance Denials).... ...consistent with Orlando Health policies, the ADA, FMLA and other federal... ...local standards. Maintains compliance with all Orlando Health...ReimbursementSeniorPolicyWork at officeLocal area
- ...position is eligible for the Education Debt Reduction Program (EDRP) - a student loan payment reimbursement program. You must meet specific eligibility requirements per VHA policy and submit your EDRP application within four months of appointment. Program Approval - award...ReimbursementSeniorPolicyWork at officeRemote workRelocation packageMonday to Friday
$200k
...Reduction Program (EDRP) , a student loan payment reimbursement program. You must meet specific eligibility requirements per VHA policy and submit your EDRP application within four... ...the criteria). Grade Determinations GS-12 Senior Social Worker candidates must have the...ReimbursementSeniorPolicyInternshipWork at office- A healthcare solutions provider is seeking a Senior Clinical Coder to serve as a subject matter expert in medical coding and... ...extensive experience in coding accuracy, regulatory compliance, and reimbursement processes for both inpatient and outpatient services. The...ReimbursementSeniorRemote jobFull time
- ...role requires auditing technical documentation and ensuring compliance with aviation standards. Candidates should have at least 10 years... ...Office. Benefits include medical insurance, a 401K plan, education reimbursement, and generous paid time off. #J-18808-Ljbffr AersaleReimbursementSeniorWork at office
- ...for efficiency. Qualifications include 10+ years in Aviation Technical Records, a Bachelor's degree in a relevant field, and proven leadership in record management. Aersale offers excellent benefits including medical and education reimbursement. #J-18808-Ljbffr AersaleReimbursementSenior
- ...City of Coconut Creek, FL, is seeking a senior-level position within the Sustainable Development... ...plan review, permitting, and ensuring compliance with the Land Development Code. The... ...independent judgment calls based on policies and procedures. #J-18808-Ljbffr City-of...SeniorPolicy
- ...EHS Sr Specialist located in St Petersburg, FL. In this role, you will implement health and safety policies, deliver training on environmental issues, and ensure compliance with safety documentation. The ideal candidate will have a strong understanding of EHS regulations...SeniorPolicy
- ...Senior Managed Care Analyst - Full Time page is loaded##... ...Ranked #1 for Safety, Quality and Patient... ...and non-governmental reimbursement methodologies.* Attention... ...payor regulations and policies.* Maintain positive working... ...Medicaid regulations, Compliance guidelines, ICD-10 and...ReimbursementSeniorPolicyFull timeContract workWork at office
$53.5k - $86.4k
...most complex cases Applies advanced understanding of insurance policies written by the company, the industry, and organizational... ...eligible to work from home also receive a monthly connectivity reimbursement to help offset internet costs. When working from home, you must...ReimbursementSeniorPolicyRemote jobWork from home- ...Health in the Town of Florida, NY, is seeking a Senior Analyst for its PS Finance Enablement team.... ...will be responsible for governance of policies and procedures, supporting SOX and SOC audit testing, and ensuring compliance with policies. With at least 2 years of experience...SeniorPolicy
$85k - $121.4k
Gainwell Technologies is seeking a highly skilled Senior Certificate Engineer to design and manage enterprise Public Key... ...Microsoft PKI architecture and automation while ensuring compliance with security policies. This position offers competitive salary ranging from $85...SeniorPolicyRemote jobFlexible hours- Shoptalk is seeking a Senior Collections Associate based in the Town of Florida, NY. In this role, you will manage debt... ...collection efforts, negotiate payment arrangements, and ensure compliance with established policies. The ideal candidate has a high school diploma and at...SeniorPolicy
$110k
...accounting and a CPA or equivalent certification. The successful candidate will research compliance with GAAP standards, maintain lease databases, and prepare financial reports while adhering to company policies and procedures. #J-18808-Ljbffr Veridian National SearchSeniorPolicy- AMPERA INC in New York is seeking a Director of Quality Assurance to lead its nuclear quality assurance programs as the company... .... This role focuses on developing quality assurance policies, ensuring compliance with NRC requirements, and establishing QA controls across...SeniorPolicy
$87.98k - $103.5k
Kidde Global Solutions seeks a Senior Accountant to oversee financial accounting activities in compliance with U.S. Generally Accepted Accounting Principles (U.S. GAAP... ...in managing financial resources, documenting policies, and performing consolidation processes. Ideal...SeniorPolicy- A leading workforce management company in New York seeks a Compliance Operations Coordinator to strengthen its corporate compliance program... .... This role involves managing compliance operations, drafting policies, and collaborating with departments for operational...SeniorPolicy
- ITI Engineering in Town of Florida seeks a Senior Contracts Administrator to manage the full lifecycle of contracts, ensuring compliance with policies and regulations. This key role involves drafting, reviewing, and negotiating complex agreements essential for supporting...SeniorPolicyContract work
$20 - $28 per hour
...Position Summary As a Senior Meat Cutter you will drive... ...products—ensuring compliance with food safety standards... ...training and product quality with the member in... ...according to company policies and procedures, ensuring... ...and surrogacy expense reimbursement, and more. Live Better...ReimbursementSeniorPolicyHourly payMinimum wageFull timeTemporary workPart timeImmediate startFlexible hours- ...This role includes overseeing schedules, ensuring operational continuity at three separate plant sites, and enforcing compliance with internal policies and environmental standards. Candidates must have extensive experience in power generation, supervisory skills, and the...SeniorPolicy
- Garmin Ltd. is seeking a full-time Senior International Trade Compliance Specialist at its U.S. headquarters. This role involves leading compliance... ...experience. Responsibilities include developing compliance policies, overseeing classification compliance, and mentoring...SeniorPolicyFull time
- ...services company is seeking an experienced Senior Counsel to provide legal support... ...on commercial contracts and regulatory compliance. The role involves advising on regulatory... ...business operations, and developing corporate policies. A Juris Doctor Degree is required along...SeniorPolicy
- The State of Florida is seeking a Senior Human Services Program Specialist to assist in administering policies and compliance for Adult Protective Services. This highly responsible role involves training and management, requiring at least 2 years of experience in Adult...SeniorPolicy
- ...prevention and patient safety initiatives. You will coordinate training, ensure regulatory compliance, and drive quality improvement across the practice sites and labs, including audits and policy development. This role emphasizes evidence-based care, mentorship, and cross-team...SeniorPolicy
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