IT Internal Audit Senior Stride, Inc.IT Internal Audit SeniorSanta Fe, New MexicoThe IT Internal Audit Senior executes IT General Controls (ITGC) and IT Application Controls (ITAC) testing as part of the company's SOX compliance program, while also planning and executing risk-based IT internal audits across the broader technology environment. Bachelor's degree in a major or concentration relevant to the position, such as Accounting, Business Administration, Risk Management, Information Systems, Management Information Systems, Computer Information Systems, or a related field .
IT Audit Associate - REMOTE Ryder System IncIT Audit Associate - REMOTESanta Fe, NMRemoteCompensation Information : The compensation offered to a candidate may be influenced by a variety of factors, including the candidates relevant experience; education, including relevant degrees or certifications; work location; market data/ranges; internal equity; internal salary ranges; etc. RAS consists of both audit and advisory activities aimed at adding value and driving continuous improvement in Ryder's business processes and providing assurance that the Company remains compliant with a variety of internal policies and external regulatory obligations.
Premium Audit Reviewer II CopperPoint Insurance CoPremium Audit Reviewer IINMRemote$52,000–$83,000 / yearRequires 2+ years commercial insurance, premium audit review or related experience to include multi-state accounts and/or multiple lines of business resulting in solid working knowledge of a variety of policy types such as guaranteed costs, high deductible, loss retro-incurred, composite ratings, and/or group captives. Enters audited exposures into appropriate rating system for all lines of business for all states, validates rating systems have accurately calculated total policy premiums, and bills the final policy premium, making referrals to Underwriting on pertinent information found during the review process.
Hotel Glorieta | Night Audit Schulte Hospitality Group IncHotel Glorieta | Night AuditSANTA FE, NMSHG provides a rewarding, fun and flexible work environment, exciting perks, an atmosphere designed to encourage and promote career growth within the company and a robust benefit package including, but not limited to: Work Today, Get Paid today, with Daily Pay! Our portfolio includes a wide array of reputable brands like Marriott, Hilton, IHG and Hyatt as well as many unique, independent, boutique and lifestyle properties and restaurants.
Profee Remote Auditor/Educator Presbyterian Healthcare ServicesProfee Remote Auditor/EducatorNMRemoteResponsibilities: With minimal supervision directly supports the following responsibilities of the Coding and documentation quality assurance (CDQA) team: implementation of and compliance to enterprise-wide and department coding policies and procedures for PHS; compliance to all external regulatory agency coding rules and regulations; Demonstrates high-level of proficiency in performing and/or managing on-site internal audits or reviews to assess compliance/quality monitoring performed by PHS/PMG departments while serving as a resource on documentation, coding, billing, and coding compliance questions. Provides support via auditing and training the enterprise-wide corrective action plans for coding, audit, physician and clinician personnel identified as low performers; perform medical record and billing reviews of denied and appealed claims and takes appropriate action to ensure accurate payment of claims; coordinate review and tracking of appealed claims including the communication process with affected payers; research and interpret all regulatory agency regulations.
Remote Pro Fee Auditor/Educator Presbyterian Healthcare ServicesRemote Pro Fee Auditor/EducatorRemote Workers New Mexico, NMRemoteWith minimal supervision directly supports the following responsibilities of the Coding and documentation quality assurance (CDQA) team: implementation of and compliance to enterprise-wide and department coding policies and procedures for PHS; compliance to all external regulatory agency coding rules and regulations; Demonstrates high-level of proficiency in performing and/or managing on-site internal audits or reviews to assess compliance/quality monitoring performed by PHS/PMG departments while serving as a resource on documentation, coding, billing, and coding compliance questions. Provides support via auditing and training the enterprise-wide corrective action plans for coding, audit, physician and clinician personnel identified as low performers; perform medical record and billing reviews of denied and appealed claims and takes appropriate action to ensure accurate payment of claims; coordinate review and tracking of appealed claims including the communication process with affected payers; research and interpret all regulatory agency regulations.
VP, Head of Investment Accounting (open to remote) Reinsurance Group of America IncVP, Head of Investment Accounting (open to remote)NMRemote$180,220–$268,400 / yearOwns accurate and timely month-end, quarter-end, and annual close and reporting for invested assets and related income and expenses across GAAP, statutory/regulatory, tax, and management reporting bases. Leads investment accounting policy, interpretation, and application for complex transactions and instruments (including derivatives and hedge-related strategies, as applicable), and provides guidance to portfolio management and business development teams.
Auditor, Healthcare Services (RN) Molina Healthcare IncAuditor, Healthcare Services (RN)Santa Fe, NMPerforms audits in utilization management, care management, member assessment, behavioral health, and/or other clinical teams, and monitors clinical staff for compliance with National Committee for Quality Assurance, Centers for Medicare and Medicaid Services (CMS), and state/federal guidelines and requirements. At least 2 years health care experience, with at least 1 year experience in utilization management, care management, and/or managed care, or equivalent combination of relevant education and experience.
Coding Data Quality Auditor CVS Health CorpCoding Data Quality AuditorWork At Home, NM$18.50–$38.82 / hourResponsible for performing audit and abstraction of medical records (provider and/or vendor) to identify and submit ICD codes that are submitted to the Centers for Medicare and Medicaid Services (CMS) for the purpose of risk adjustment processes are appropriate, accurate, and supported by clinical documentation in accordance with all State and Federal regulations and internal policies and procedures. Experience with Medicare and/or Commercial and/or Medicaid Risk Adjustment process and Hierarchical Condition Categories CRC (HCC)CPMA (Certified Professional Medical Auditor), CDEO (Certified Documentation Expert Outpatient) or CPC-I (Certified Professional Coding Instructor) preferred.