Conducts audits of highly complex accounts substantiating accuracy of policy classifications.
Conducts interviews to obtain information regarding the insured's operations and business model.
Determines employee job classifications based on job role, responsibilities and exposure to hazard.
CNA strives to create a culture in which people know they matter and are part of something important, ensuring the abilities of all employees are used to their fullest potential. They are committed to advancing a culture of inclusion – one that attracts talent from all walks of life, fosters respect and collaboration, and enables all of their colleagues to do their best work.
Responsible for the systematic review of anesthesia records to ensure accuracy, completeness, and compliance with regulatory and institutional standards.
Verifies that all required documentation, provider signatures, and charges are present and appropriately supported.
Plays a key part in supporting quality assurance and regulatory compliance within the anesthesia department and assists with other auditor duties.
Shriners Children’s respects, supports, and values each other. They provide excellence in patient care, embracing multi-disciplinary education, and research with global impact. They were named the 2025 best mid-sized employer by Forbes, fostering a learning environment that values evidenced based practice, experience, innovation, and critical thinking.
Evaluate and present audit results and educational instruction to physicians, coders, and staff.
Review clinical documentation to ensure adherence to billing guidelines and internal coding policies.
Provide instruction on documentation standards and correct use of CPT‑4 and ICD‑10 codes.
Pediatrix Medical Group is a leading provider of specialized healthcare for women, babies, and children. Since 1979, they've grown into a national, multispecialty medical group with a commitment to coordinated and compassionate care, bolstered by investments in research, education, and safety.
Perform inpatient coding audits and review services remotely.
Identify trends and suggest corrective action plans.
Provide in-service education to clients on coding trends.
UASI has over 40 years of experience and enduring partnerships with its valued clients. The company was recognized as a Top Workplace by the Cincinnati Enquirer in 2022, 2023 and 2024, with a dedicated team and long-term success.
Plan field audits based on risk, not routine clinic rotation.
Review reports critically and identify unsupported conclusions or weak evidence.
Escalate serious concerns with clear evidence and recommended next steps.
New Incentives - All Babies Are Equal Initiative is an evidence-based organization working to increase childhood vaccination rates through conditional cash transfers. They prioritize caregivers and infants, and their operations are guided by integrity, evidence, and continuous improvement.
Research and document new payment integrity concepts by analyzing medical policies, billing regulations, and reimbursement logic.
Translate complex billing rules into precise technical specifications for automated claim auditing algorithms.
Conduct hands-on data analysis using Microsoft Excel to explore datasets and quantify savings potential for clients.
Cohere Health's clinical intelligence platform delivers AI-powered solutions that streamline access to quality care by improving payer-provider collaboration, cost containment, and healthcare economics. They work with over 660,000 providers and handle over 12 million prior authorization requests annually. The Coherenauts who succeed here are empathetic teammates who are candid, kind, caring, and embody their core values and principles.
Design and implement a comprehensive, risk-based global internal audit program.
Provide internal audit coverage of MoonPay's operations.
Coordinate with external auditors on regulatory audit requirements and maintain regulatory examination readiness.
MoonPay is a unified payments platform for digital currency, making it easy for anyone to buy, sell, swap, and pay in digital currencies. Trusted by over 30 million customers and over 500 ecosystem partners, MoonPay is driving mainstream crypto adoption worldwide.