Diagnosis-Related Group (DRG) Auditor III
Conduct comprehensive MS-DRG and APR-DRG coding reviews to ensure accuracy in reimbursement and audit findings. Maintain compliance with industry regulations while meeting quality and productivity standards.
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Conduct comprehensive MS-DRG and APR-DRG coding reviews to ensure accuracy in reimbursement and audit findings. Maintain compliance with industry regulations while meeting quality and productivity standards.
The 340B Auditor is responsible for monitoring and auditing the 340B Drug Discount Program to ensure compliance with federal regulations and organizational policies. This role involves performing daily, weekly, and monthly audits, managing data uploads into software systems, and assisting with external audits.
The Nurse Auditor performs comprehensive charge audits and billing validation to ensure accuracy, compliance, and revenue integrity. They collaborate with clinical and billing teams to identify discrepancies and provide actionable insights to prevent recurring audit issues.
Perform second-party food safety audits for retail clients and summarize findings effectively. Communicate audit results to clients and management while maintaining high standards of quality and integrity.
The auditor will plan, conduct, and report on various Pharmacovigilance audits while ensuring compliance with regulatory requirements. They will also manage quality assurance projects and follow up on corrective and preventive action (CAPA) plans.
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The Coding Auditor is responsible for performing chart reviews, analyzing coding quality, and ensuring compliance with state and federal regulations. They also act as a subject matter expert to provide audit results and support coding education initiatives across the health system.
The auditor will conduct independent, risk-based examinations of regulated financial entities to assess compliance with AML/CFT requirements. Responsibilities include testing controls, documenting findings in workpapers, and monitoring the remediation of identified issues.
The auditor will plan, prepare, conduct, and report on various Pharmacovigilance audits while managing follow-up activities including CAPA plans. They will also execute quality assurance projects and ensure compliance with regulatory requirements and Good Pharmacovigilance Practice.
The auditor will assess ISO13485 quality management systems and regulatory requirements at client sites or remotely. They are responsible for writing comprehensive reports and presenting findings to medical device manufacturers.
The Attorney Auditor reviews legal and non-legal invoices for insurance carriers, corporate legal departments, and government entities to ensure compliance with billing guidelines. They also communicate with law firms regarding billing requirements and manage invoice workflows to meet production objectives.
The NE Auditor is responsible for conducting audits to ensure compliance with organizational standards and regulatory requirements. They will collaborate with care teams to support the mission of providing expert cancer care and research.
The Internal Auditor will lead global SOX audits for ITGCs and ITACs while conducting business process and operational control audits. This role involves preparing audit reports, interfacing with internal clients, and coordinating with co-sourced providers and external auditors.
The auditor evaluates the accuracy and quality of medical records by conducting routine and targeted audits to ensure adherence to coding guidelines and regulatory standards. They also provide constructive feedback to coders, develop educational resources, and analyze audit data to identify trends and process improvements.
The Forensic Utility Bill Auditor will analyze utility accounts to identify billing errors, rate misclassifications, and overcharges using data extraction tools. They are responsible for maintaining organized audit files, communicating findings to utility providers, and performing quality assurance on billing data.
The Coding Auditor reviews medical encounters to validate coding profiles and ensure compliance with internal and federal guidelines. They also provide summary reports, facilitate feedback sessions, and assist with coding corrections and staff education.
Audit AWS Trainium and NKI tasks to ensure technical accuracy, reproducibility, and rigorous evaluation criteria. Provide actionable feedback on hardware acceleration inefficiencies, kernel execution bugs, and logic errors.
Audit and evaluate GPU kernel tasks to ensure technical accuracy, solvability, and reproducibility within AI training workflows. Provide actionable feedback on memory allocation, execution bottlenecks, and parallel computing logic errors.
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Audit AI-assisted developer workflow tasks to ensure they are technically accurate, realistic, and reproducible. Provide actionable feedback on IDE integration faults, coding inefficiencies, and logic errors within the training tasks.
Audit AWS Serverless and Infrastructure as Code tasks to ensure technical accuracy, solvability, and reproducibility for AI training. Provide actionable feedback on deployment pipeline failures, configuration bugs, and architecture logic errors.
Audit machine learning tasks to ensure technical accuracy, solvability, and reproducibility. Provide actionable feedback on data pipeline flaws, model training inefficiencies, and algorithmic logic errors.
Audit and evaluate AI training tasks to ensure technical accuracy, realism, and reproducibility in CVE and application security. Provide actionable feedback on security vulnerabilities, exploit execution, and mitigation logic errors.
Audit Kubernetes tasks to ensure technical accuracy, reproducibility, and rigor for AI training workflows. Provide actionable feedback on orchestration issues, configuration bugs, and logic errors within the tasks.
Audit software engineering tasks to ensure they are technically rigorous, accurate, and reproducible for AI training. Provide actionable feedback on codebase integration issues, test failures, and logic errors.
The role involves traveling to automotive dealerships and repair facilities to conduct vehicle inventory and audits. You will be responsible for accurately documenting vehicle information and ensuring data is submitted in accordance with company and manufacturer guidelines.
The Coding Auditor performs quality and integrity reviews of coding data to ensure compliance with ICD-10, CPT, and governmental guidelines. They also manage external audits and DRG billing denials by writing appeals and defending coded data based on provider documentation.
Perform ISO 19443 customer audits, which includes traveling to customer sites to review quality systems. Provide feedback to customers and write detailed reports identifying findings or recommending certification.
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The auditor will ensure claims are processed according to internal procedures and plan documents while monitoring audit workflows for timely turnaround. They will also provide coaching to the claims team, conduct specialized audits, and assist with system upgrade testing.
The auditor is responsible for delivering IATF 16949 audit services to clients, managing a portfolio, and ensuring compliance with regulatory requirements. They will conduct assessments, report findings, and mentor colleagues to meet business objectives.
The Senior Internal Auditor assesses and enhances business processes and internal controls by conducting risk-based operational, financial, and commercial audits. They lead audit engagements, facilitate discussions with management on risk mitigation, and provide coaching to the audit team.
Develops, plans, and conducts internal audits of ACG processes to evaluate the effectiveness of internal controls and risk management. Leads audit team activities, prepares formal audit reports for management, and validates remediation activities for identified audit findings.
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