6 quality assurance specialist jobs found

Be Part of an Extraordinary Team Carelon Payment Integrity is a proud member of the Elevance Health family of companies, Carelon Insights, formerly Payment Integrity, is determined to recover, eliminate and prevent unnecessary medical-expense spending. Build the Possibilities. Make an Extraordinary Impact. Title : DRG Coding Auditor Virtual:? ? ? This role enables associates to work virtually full-time, with the exception of required in-person training sessions, providing maximum flexibility and autonomy. This approach promotes productivity, supports work-life integration, and ensures essential face-to-face onboarding and skill development. Please note that per our policy on hybrid/virtual work, candidates not within a reasonable commuting distance from the posting location(s) will not be considered for employment, unless an accommodation is granted as required by law. Alternate locations may be considered if candidates reside within a commuting distance...

DRG Coding Auditor Principal Virtual:? ?? This role enables associates to work virtually full-time, with the exception of required in-person training sessions, providing maximum flexibility and autonomy. This approach promotes productivity, supports work-life integration, and ensures essential face-to-face onboarding and skill development. Alternate locations may be considered. Please note that per our policy on hybrid/virtual work, candidates not within a reasonable commuting distance from the posting location(s) will not be considered for employment, unless an accommodation is granted as required by law. Carelon Payment Integrity is a proud member of the Elevance Health family of companies, Carelon Insights, formerly Payment Integrity, is determined to recover, eliminate and prevent unnecessary medical-expense spending. The DRG Coding Auditor Principal is responsible for auditing inpatient medical records on claims paid based on Diagnostic Relation...

DRG Coding Auditor Principal Virtual:? ?? This role enables associates to work virtually full-time, with the exception of required in-person training sessions, providing maximum flexibility and autonomy. This approach promotes productivity, supports work-life integration, and ensures essential face-to-face onboarding and skill development. Alternate locations may be considered. Please note that per our policy on hybrid/virtual work, candidates not within a reasonable commuting distance from the posting location(s) will not be considered for employment, unless an accommodation is granted as required by law. Carelon Payment Integrity is a proud member of the Elevance Health family of companies, Carelon Insights, formerly Payment Integrity, is determined to recover, eliminate and prevent unnecessary medical-expense spending. The DRG Coding Auditor Principal is responsible for auditing inpatient medical records on claims paid based on Diagnostic Relation...

The Ohio Department of Taxation is responsible for the administration of individual and business taxes across the state. Guided by our Mission Statement, we are ONE TEAM providing education, innovation, outreach, and exceptional service to our customers through courtesy, accuracy, and responsiveness in each interaction. Taxation is committed to building a strong and skilled workforce. We invest in the development of each employee through comprehensive training, a competitive total compensation package that includes benefits (medical, dental, and vision insurance), tuition reimbursement, health and wellness programs, work-life balance initiatives, and opportunities for career advancement. The Ohio Department of Taxation is seeking 2 (two) Software Development Specialist 2 in the IT Division. What you’ll do as a Software Development Specialist 2: Develop solutions and support business applications Perform testing, implementation, and quality assurance Guide...

Job Description A large financial organization is seeking an ATM QA that will sit onsite in Cincinnati Ohio for a long term contract. The ATM QA and Testing Specialist will be responsible for developing and establishing quality assurance standards. Additionally, the ATM QA will be accountable for performing tests on software applications and physical ATM devices to isolate and solve issues, including initiating tests, analyzing results, and finding solutions to technical problems. This individual will gather and analyze data in support of business cases, proposed projects, and systems requirements. Primary Responsibilities: Testing and validation of ATM software on the ATM Accurately design test plans on software applications based on business requirements and technical specifications Take the on building and executing automated testing scripts in support of the test plans Through defect management, effectively identify software failures so that...

Company : Highmark Inc. Job Description : JOB SUMMARY This job will deliver value to the Health Plan, and its beneficiaries enrolled in Risk Adjusted government programs such as Medicare Advantage (MA) and Affordable Care Act (ACA), using skills including but not limited to Hierarchical Condition Category (HCC) Coding, medical coding, clinical terminology and anatomy/physiology, Centers for Medicare and Medicaid Services (CMS) coding guidelines, and Risk Adjustment Data Validation (RADV) Audits. Works closely with physicians, team members, Quality, Compliance, partners at Enterprise and leadership to identify and deliver high quality and accurate risk adjustment coding. Supports all Remote Patient Monitoring (RPM) risk adjustment projects to comply with all CMS requirements by analyzing physician documentation and interpreting into ICD10 diagnoses and HCC disease categories. Supports other key objectives to drive capture of correct Risk Adjustment coding including...