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Senior Compliance Auditor
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Oklahoma Complete Health Columbus, United StatesSenior Compliance Auditor page is loaded · Senior Compliance Auditor · Apply · locations · Columbus (OH Easton Way, Ste BHP) · Remote-OH · time type · Full time · posted on · Posted 4 Days Ago · job requisition id · You could be the one who changes everything for our 2 ...
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coding compliance auditor
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Johnson Memorial Co Franklin, United StatesIf you are unable to complete this application due to a disability, contact this employer to ask for an accommodation or an alternative application process.CODING COMPLIANCE AUDITOR · Franklin, IN, US3 days ago · Requisition ID: 1072JOB RESPONSIBILITIES:Audits final coded accou ...
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Senior Auditor, HR Employment Compliance
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L Brands Columbus, United StatesThe Senior Auditor, HR Employment Compliance manages I-9, E-Verify, employment form and minimum wage compliance. This position works with hiring managers, HRBPs, HR Direct, and government agencies to ensure federal, state and provincial requirements Auditor, Compliance, HR, Audit ...
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Medical Billing Compliance Auditor
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Medical Billing Compliance Auditor
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Sarnova Dublin, United States· Position Title: Medical Billing Compliance Auditor - Digitech - Remote · Req ID: 4562 · Location: Remote, United States · Remote: Remote · Job Description · OverviewDigitech is seeking a Medical Billing Compliance Auditor to work as part of our Internal Auditing Team. This po ...
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Financial Analyst Ii
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Ascend Wellness Holdings Franklin, United States**JOB SUMMARY** · The Post-Harvest Associate will be responsible for preparing and processing harvests for flower sales and oil extraction. The Post-Harvest Associate will also be responsible for equipment sanitization and sterilization as well as maintaining facilities cleanline ...
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Project Management Officer
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Quality Auditor
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Revenue Integrity Auditor
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The Ohio State University Wexner Medical Center Columbus, United StatesScope of Position · Th Revenue Integrity Auditor will work with the Charge Description Master (CDM) unit to ensure the overall integrity of the CDM by maintaining a focus on accuracy, revenue cycle integrity, and compliance with third-party requirements. The Revenue Integrity Aud ...
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revenue integrity auditor
1 week ago
The Ohio State University Wexner Medical Center Columbus, United StatesScope of Position · Th Revenue Integrity Auditor will work with the Charge Description Master (CDM) unit to ensure the overall integrity of the CDM by maintaining a focus on accuracy, revenue cycle integrity, and compliance with third-party requirements. The Revenue Integrity Au ...
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Revenue Integrity Auditor
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The Ohio State University Wexner Medical Center Columbus, United StatesScope of Position · Th Revenue Integrity Auditor will work with the Charge Description Master (CDM) unit to ensure the overall integrity of the CDM by maintaining a focus on accuracy, revenue cycle integrity, and compliance with third-party requirements. The Revenue Integrity Au ...
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Revenue Integrity Auditor
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Ohio State University Wexner Medical Center Columbus, United StatesScope of Position · Th Revenue Integrity Auditor will work with the Charge Description Master (CDM) unit to ensure the overall integrity of the CDM by maintaining a focus on accuracy, revenue cycle integrity, and compliance with third-party requirements. The Revenue Integrity A ...
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Revenue Integrity Auditor
1 week ago
The Ohio State University Wexner Medical Center Columbus, United StatesScope of Position · Th Revenue Integrity Auditor will work with the Charge Description Master (CDM) unit to ensure the overall integrity of the CDM by maintaining a focus on accuracy, revenue cycle integrity, and compliance with third-party requirements. The Revenue Integrity Au ...
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Revenue Integrity Auditor
1 week ago
The Ohio State University Wexner Medical Center Columbus, United StatesScope of Position · Th Revenue Integrity Auditor will work with the Charge Description Master (CDM) unit to ensure the overall integrity of the CDM by maintaining a focus on accuracy, revenue cycle integrity, and compliance with third-party requirements. The Revenue Integrity Au ...
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Internal Auditor
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Telhio Credit Union Columbus, United StatesJob Description · Job DescriptionFormed in 1934, Telhio began as a credit union for Columbus Telephone Company (now AT&T) employees. Telhio now serves over 70,000 member-owners throughout central and southwest Ohio. As one of the largest credit unions in Ohio, Telhio is a strong ...
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Internal Auditor
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Telhio Credit Union Grandview Heights, United StatesFormed in 1934, Telhio began as a credit union for Columbus Telephone Company (now AT&T) employees. Telhio now serves over 70,000 member-owners throughout central and southwest Ohio. As one of the largest credit unions in Ohio, Telhio is a strong financial institution that contin ...
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Senior Analyst
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Veeva Systems Columbus, United StatesVeeva Systems is a mission-driven organization and pioneer in industry cloud, helping life sciences companies bring therapies to patients faster. As one of the fastest-growing SaaS companies in history, we surpassed $2B in revenue in our last fiscal year with extensive growth pot ...
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Internal Auditor
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Creative Financial Staffing Columbus, United StatesInternal Auditor · Columbus, OH · The Internal Auditor will play a key role in evaluating and improving the effectiveness of internal controls, risk management practices, and governance processes within an organization. This role involves conducting audits, analyzing financial ...
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Internal Auditor
1 day ago
Telhio Credit Union Columbus, OH, United States Full timeFormed in 1934, Telhio began as a credit union for Columbus Telephone Company (now AT&T) employees. Telhio now serves over 70,000 member-owners throughout central and southwest Ohio. As one of the largest credit unions in Ohio, Telhio is a strong financial institution that contin ...
Senior Compliance Auditor - Columbus, United States - Centene Corporation
Description
You could be the one who changes everything for our 28 million members. Centene is transforming the health of our communities, one person at a time. As a diversified, national organization, youll have access to competitive benefits including a fresh perspective on workplace flexibility.
This is a hybrid position. The team meets in the Columbus, OH office on Wednesdays, but is able to work from home on Monday, Tuesday, Thursday, and Friday.
**Position Purpose:** Responsible for the development and implementation of the health plans compliance audit work plan. Completes Prospective and retrospective audits on a monthly, quarterly and annual basis.
+ Identify regulatory oversight deficiencies, process gaps and communicate audit observations, analyzes findings to provide recommendations on process improvements to the Chief Compliance Officer.
+ Utilize compliance knowledge to analyze audit findings and in answering disputed findings.
+ Develop and implement compliance improvement and corrective action plans based on risk analysis, audit findings, and health plan performance.
+ Develop audit processes based on contract requirements defined by Centers for Medicare and Medicaid Services (CMS), State, Federal, Medicaid and/or NCQA guidelines.
+ Maintain documentation on health plan performance and provide reports to departments as required for audits and risk assessments.
+ Train internal audit participants/business owners on audit processes.
**Education/Experience:** Bachelors degree in Health Care, Law, Accounting, Psychology or related field. Masters degree preferred. 3+ years of healthcare compliance and auditing/monitoring experience.
**License/Certification:** Compliance or auditing certifications preferredPay Range: $67, $121,300.00 per year
Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law. Total compensation may also include additional forms of incentives.
Centene is an equal opportunity employer that is committed to diversity, and values the ways in which we are different. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or other characteristic protected by applicable law.