Application Deadline: 07/26/2026 Address:VIRTUAL(R)32 - HomeRes - NY Job Family Group:Audit, Risk & Compliance Performs validation of models and assesses model risk to confirm model appropriateness and capability for a designated portfolio. Provides effective challenge during model
Job Description Job Summary Performs focused clinical reviews of inpatient and outpatient claims to verify that coded diagnoses, procedures, revenue codes, and corresponding reimbursement methodologies accurately reflect the patient’s documented clinical condition, services rendered, and billed
Why join us? Global Validation team is part of DataOps - Account and SSI team and the nature of the work will be diverse and is responsible for authenticating Standard Settlement Instructions any amendments to confirmations email
Overview This auditing role will focus on Coding & Clinical Chart Validation for our Outpatient and Specialty audits. The ideal candidate for this position needs to have both a clinical (nurse) and a coding / auditing background
About the Project TSMG is looking for contributors to support an AI language project focused on improving speech recognition systems. You will review AI-generated transcripts and convert them into a natural, readable text format by applying
About the Project TSMG is looking for contributors to support an AI language project focused on improving speech recognition systems. You will review AI-generated transcripts and convert them into a natural, readable text format by applying
About the Project TSMG is looking for contributors to support an AI language project focused on improving speech recognition systems. You will review AI-generated transcripts and convert them into a natural, readable text format by applying
About the Project TSMG is looking for contributors to support an AI language project focused on improving speech recognition systems. You will review AI-generated transcripts and convert them into a natural, readable text format by applying
About the Project TSMG is looking for contributors to support an AI language project focused on improving speech recognition systems. You will review AI-generated transcripts and convert them into a natural, readable text format by applying
About the Project TSMG is looking for contributors to support an AI language project focused on improving speech recognition systems. You will review AI-generated transcripts and convert them into a natural, readable text format by applying
About the Project TSMG is looking for contributors to support an AI language project focused on improving speech recognition systems. You will review AI-generated transcripts and convert them into a natural, readable text format by applying
About the Project TSMG is looking for contributors to support an AI language project focused on improving speech recognition systems. You will review AI-generated transcripts and convert them into a natural, readable text format by applying
About the Project TSMG is looking for contributors to support an AI language project focused on improving speech recognition systems. You will review AI-generated transcripts and convert them into a natural, readable text format by applying
About the Project TSMG is looking for contributors to support an AI language project focused on improving speech recognition systems. You will review AI-generated transcripts and convert them into a natural, readable text format by applying
Clinical Quality Review Specialist At UnitedHealthcare, were simplifying the health care experience, creating healthier communities and removing barriers to quality care. The work you do here impacts the lives of millions of people for the better.
Clinical Oversight And Quality Review Specialist At UnitedHealthcare, were simplifying the health care experience, creating healthier communities and removing barriers to quality care. The work you do here impacts the lives of millions of people for
Clinical DRG RN Auditor $10,000 SIGN ON BONUS FOR EXTERNAL APPLICANTS Optum is a global organization that delivers care, aided by technology, to help millions of people live healthier lives. The work you do with our
The application window is expected to close on: 07/31/2026 Job posting may be removed earlier if the position is filled or if a sufficient number of applications are received. This position is a hybrid position with
Expected Travel: Up to 10% Requisition ID: 13976 About Teleflex Incorporated As a global provider of medical technologies, Teleflex is driven by our purpose to improve the health and quality of people’s lives. Through our vision
Who We Are Vultr is on a mission to make high-performance cloud infrastructure easy to use, affordable, and locally accessible for enterprises and AI innovators around the world. With 33 global cloud data center locations, Vultr