12 auditor jobs found

Overview The Pharmacy 340b Analyst/Auditor will be responsible for analysis, investigations and special projects associated with 340b drug program. This person will assist with development of monitoring protocols and ensuring effective internal controls for the program. Responsibilities Key Responsibilities and Essential Functions ·         Developing a thorough understanding of the split-billing/third party administrator systems and the functions to be preferred. ·         Conducting weekly and monthly 340B audits of contract pharmacies and in-house pharmacies to verify adherence to the 340B program guidelines and policies, and providing results to the Business Manager of Pharmacy Services. ·         Development an updating 340B program reports detailing volume, financial value, and other metrics as needed to accurately depict findings from audits to be shared with the pharmacy leadership...

Position Title: Internal Auditor (Information Technology, Accounting, Clinical) Department: Internal Audit Job Description: Ask your recruiter about our competitive wages and total rewards package ! This position may be filled as levels II, or III, depending on individual experience, education, certification(s), and business need. General Description: The Internal Auditor I reviews, analyzes, and interprets financial and operational data, including compliance with federal and state laws and regulations, to study and evaluate the business process. The Auditor I evaluates and communicates the efficiency and effectiveness of the study. Final results are reported to OU Health operational leaders through written communications for process improvement and action planning. Essential Responsibilities: Responsibilities listed in this section are core to the position.  Inability to perform these responsibilities, with or without an accommodation, may...

Overview The Pharmacy 340b Analyst/Auditor will be responsible for analysis, investigations and special projects associated with 340b drug program. This person will assist with development of monitoring protocols and ensuring effective internal controls for the program.   • Developing a thorough understanding of the split-billing/third party administrator systems and the functions to be preferred. • Conducting weekly and monthly 340B audits of contract pharmacies and in-house pharmacies to verify adherence to the 340B program guidelines and policies, and providing results to the System Director of Pharmacy Services. • Development and updating 340B program reports detailing volume, financial value, and other metrics as needed to accurately depict findings from audits to be shared with the pharmacy leadership team. • Managing multiple audits accurately and consistently tracking and reporting outcomes for compliance and audit purposes. • Developing and/or...

Thank you for considering a career at Ensemble! Ensemble is a leading provider of technology-enabled revenue cycle management solutions for health systems, including hospitals and affiliated physician groups. They offer end-to-end revenue cycle solutions as well as a comprehensive suite of point solutions to clients across the country. Ensemble keeps communities healthy by keeping hospitals healthy. We recognize that healthcare requires a human touch, and we believe that every touch should be meaningful. This is why our people are the most important part of who we are. By empowering them to challenge the status quo, we know they will be the difference! O.N.E Purpose: Customer Obsession:  Consistently provide exceptional experiences for our clients, patients, and colleagues by understanding their needs and exceeding their expectations. Embracing New Ideas:  Continuously innovate by embracing emerging technology and fostering a culture of creativity and...

When you join the growing BILH team, you're not just taking a job, you’re making a difference in people’s lives. Under direction from the Manager, Health Information Management, a Lead Health Information Management Audit Specialist collaborates closely with other departments/teams to provide efficient and thorough healthcare claims auditing requirements for Beth Israel Lahey Health (BILH) and its affiliates. The Lead is responsible for a variety of third-party audits of medical record 1 data for reimbursement, regulatory compliance, quality, and appropriateness. Assists in the medical record documentation review. Key responsibilities include providing colleague training and education, orientation, monitoring productivity, quality of work standards, updating workflow procedures, and assisting the manager in day-to-day activities. The Lead is also responsible for processing and resolving complex audit compliance transactions. Job Description: Assists the manager of the...

Hello, Thank you for your interest in career opportunities with the University of Mississippi Medical Center.  Please review the following instructions prior to submitting your job application: Provide all of your employment history, education, and licenses/certifications/registrations.  You will be unable to modify your application after you have submitted it. You must meet all of the job requirements at the time of submitting the application.  You can only apply one time to a job requisition.  Once you start the application process you cannot save your work. Please ensure you have all required attachment(s) available to complete your application before you begin the process. Applications must be submitted prior to the close of the recruitment. Once recruitment has closed, applications will no longer be accepted. After you apply, we will review your qualifications and contact you if your application is among the most highly qualified. Due to the...

When you join the growing BILH team, you're not just taking a job, you’re making a difference in people’s lives. The Senior Reimbursement Reporting Analyst, reporting to the Director, Cost Reporting & Reimbursement, participates in a wide variety of tasks in support of the institution's Third-Party reimbursement efforts and valuation of the Third-Party Accounts Receivable. Responsible for the full range of reimbursement functions: cost reporting, audit, interim rate and settlement calculation, net revenue preparation and analysis, net revenue budget preparation and various special projects. Assist in the management of projects and work closely with all members of the Reimbursement work team, including the Director, other Sr. Financial Analysts and Financial Analysts, as well as other Finance personnel. Job Description: Keep abreast of Center for Medicare and Medicaid Services and State Regulations where changes and updates may have an impact on the BILH...

When you join the growing BILH team, you're not just taking a job, you’re making a difference in people’s lives. The Senior Reimbursement Reporting Analyst, reporting to the Director, Cost Reporting & Reimbursement, participates in a wide variety of tasks in support of the institution's Third-Party reimbursement efforts and valuation of the Third-Party Accounts Receivable. Responsible for the full range of reimbursement functions: cost reporting, audit, interim rate and settlement calculation, net revenue preparation and analysis, net revenue budget preparation and various special projects. Assist in the management of projects and work closely with all members of the Reimbursement work team, including the Director, other Sr. Financial Analysts and Financial Analysts, as well as other Finance personnel. Job Description: Keep abreast of Center for Medicare and Medicaid Services and State Regulations where changes and updates may have an impact on the BILH...

Overview About the Role The primary purpose of the Medical Records Technician (Release of Information) position is foster a high level of customer service by assisting patients and their families, caregivers, outside auditors, community physicians, external agencies, and hospital personnel and ensuring they receive appropriate, timely and complete health information in response to written, phone, fax, email and/or in-person requests. Answers inquiries for medical record information in accordance with established hospital and departmental policies and procedures, and according to HIPAA standards.   Responsibilities What You’ll Do   Provide exceptional customer service to patients, families, caregivers, physicians, auditors, external agencies, and hospital staff. Respond to requests for medical records and health information received by phone, email, fax, written correspondence, or in person. Ensure the...

When you join the growing BILH team, you're not just taking a job, you’re making a difference in people’s lives. This position supports BILH Pharmacy in Westwood and is (Remote). Job Summary: Key team player in financial management of BILH Pharmacy Inc. Responsibilities include variance analysis, budgeting, forecasting and financial analysis. This position will have exposure to senior leaders and the CFO on a regular basis. Job Description: Essential Responsibilities: Prepares and supports the accurate and timely distribution of both corporate and individual revenue and expense statements. Oversees/prepares the monthly input of financial information into the general ledger system, and makes any corrections necessary. Inaccurate information could negatively impact financial performance and decision making ability. Review accounting systems and procedures and makes suggestions on how to improve on current methods. Reconciles all balance sheet accounts,...

Department:          Health Information Management Reports To:           Coding Supervisor   SUMMARY The Coding Specialist is responsible for the accurate and timely review, abstraction, and assignment of diagnosis and procedure codes for outpatient and/or inpatient medical records. This position ensures compliance with ICD-10-CM, ICD-10-PCS, CPT, HCPCS, and applicable payer guidelines while supporting optimal reimbursement, data integrity, quality reporting, and regulatory requirements. The employee must maintain effective communication and good working relationships with the revenue cycle personnel, other departments, Medical Staff and the public, in conjunction with organization policies.     ESSENTIAL DUTIES AND RESPONSIBILITIES include the following. Other duties may be assigned. Review medical records and clinical documentation to assign accurate diagnosis and procedure codes. Abstract pertinent patient,...

Hello, Thank you for your interest in career opportunities with the University of Mississippi Medical Center.  Please review the following instructions prior to submitting your job application: Provide all of your employment history, education, and licenses/certifications/registrations.  You will be unable to modify your application after you have submitted it. You must meet all of the job requirements at the time of submitting the application.  You can only apply one time to a job requisition.  Once you start the application process you cannot save your work. Please ensure you have all required attachment(s) available to complete your application before you begin the process. Applications must be submitted prior to the close of the recruitment. Once recruitment has closed, applications will no longer be accepted. After you apply, we will review your qualifications and contact you if your application is among the most highly qualified. Due to the...