Quality assurance auditor work from home jobs - 359 jobs

Job DescriptionThe Lead Auditor will play a critical role in ensuring the adequate implementation of the Structural Integrity Associates quality assurance program. The individual in this position will be expected to provide quality engineering support, perform surveillances, and lead and support internal and supplier quality assurance audits. As such, the individual should be able to qualify as a lead auditor under the Structural Integrity Associates quality assurance program within the first six months of hiring on with the company. The position will also involve the performance of contract review and approval, review to support project closeout, and support of the corrective action program. Primary Responsibilities: Plan and conduct comprehensive NQA-1 audits of nuclear processes to verify compliance with regulations, standards, and implementing procedures Perform surveillances to monitor compliance with quality assurance standards Follow-up on audit findings to ensure effective implementation of corrective actions Liaise with organizational stakeholders to manage the corrective action process Contribute to the development and improvement of quality program and procedures Maintain certification as Lead Auditor in accordance with NQA-1 Review project packages against requirements in support of contract review and project closeout Review calibration records to support project activities Update approved suppliers list, performing annual and triennial updates, as applicable, to maintain associated supplier information Knowledge, Skills, and Abilities: Extensive experience with 10 CFR 50, Appendix B and NQA-1 Experience with the implementation of 10 CFR Part 21 is desired Knowledge of commercial grade dedication Familiarity with quality assurance program development, maintenance, and implementation is desired Experience in an operating quality assurance organization is highly desired Skilled in leading NIAC or NUPIC audits is highly desired Experience with customer audits is desired Knowledge in the performance of quality control inspections is desired Problem solving, critical thinking, self-starter, with effective written and verbal communication Minimum Qualifications: Bachelor's degree and five years of nuclear experience, or Associate's degree and seven years of nuclear experience. At least five years of experience in leading nuclear quality assurance audits is desired. Work Environment: The position can be performed remotely, with at least 25% travel to perform audits and support customer audits as needed If remote, the individual must be able to follow the remote work policies Pay Range: The expected salary range for this role in North Carolina is $117,000 - $125,000 annually. Exact pay will be commensurate with experience. Export Control Notice: Certain positions at SIA may require access to information and technology which is subject to Export Administration Regulations 15 CFR 730-774, including those of the US Department of Energy (DOE) in 10 CFR 810 and Nuclear Regulatory Commission (NRC) 10 CFR Part 110. Hiring decisions for such positions must comply with these regulations and may result in SIA limiting its consideration of foreign nationals who are citizens of countries that are not on the DOE's Generally Authorized Destinations List: *************************************************************************************************** About Us: SIA is an engineering consulting firm serving various industries including Nuclear Power, Energy Services, Pipeline Integrity, and Critical Infrastructure. Join a team of internationally recognized experts in a culture based on knowledge, excellence, and respect for one another. Our employees are members of a distinct community of internationally respected professionals committed to quality, engineering innovation and a shared goal of building a safer world. Why Work at SIA? SIA offers a competitive salary and performance-based bonus program. Our retirement benefits include a Traditional 401k, Roth 401k, and an employer match. To help employees maintain a work-life balance, SIA also offers various paid time off including vacation, floating holidays, sick time, and parental leave. Our employees also enjoy a comprehensive benefits program that includes the following: Medical, dental, and vision insurance Life Insurance and AD&D Short-term and long-term disability Health Savings Account with employer contribution Flexible Spending Account for health care and dependent care ID theft protection and credit monitoring Structural Integrity Associates, Inc. is an equal opportunity employer. ***************** SIA does not welcome third-party recruiters, employment agencies, headhunters, etc. Please do not reach out to SIA employees requesting a call, sit down, meeting, or email response. Powered by JazzHR JWgUGhjLFt

**Scope of Responsibilities** **:** + Conduct quality audits of A&G items including grievances, pre-service appeals, and post service appeals utilizing appropriate sources of information; including eligibility, claims, authorizations, service forms, faxes, and any additional information required to complete the request. Analyze errors and determine root causes for appropriate classification, trending, and remediation. + Record/track quality assessment scores and provide feedback to reduce errors and improve processes and performance to ensure quality. + Review and investigate appeals and grievances requests to ensure all requests are identified, classified, and fully resolved in a compliant manner. + Present results of investigations to senior staff and prepare written reports concerning investigation activities. + Subsequent auditing and handling of specific appeal and grievance requests including processing where applicable, tracking, documenting, reporting and dispersal of findings and recommendations. + Identify defects and improve departmental performance by supporting quality, operational efficiency and production goals. + Assist in the development of departmental policies and procedures; reviews the efficiency of existing training. + Meet established time frames and rates of performance for the quality and quantity of work for the position. + Participate in regulatory and mock audit activities including universe review, universe scrubbing, risk analysis, timeliness assessment, and case walkthrough activities + Additional duties as assigned **Minimum Qualifications** **:** + Experience with the investigation, resolution, and reporting of appeal and grievance processes. + Experience in Microsoft Office suite of applications including Excel (formatting formulas, managing data, and filtering results), Word (creating and editing documents), PowerPoint (creating and editing presentations). + High School Diploma or GED from an accredited institution. **Preferred Qualifications** **:** + Associate degree from an accredited institution. + ICD10 certification. + Experience in an Auditing capacity conducting root cause analysis. + Knowledge of at least two or more lines of business such as Medicare NY/NJ, Medicaid, Family Health Plus, Child Health Plus, NH Family. + Experience handling confidential information. + Compliance & Regulatory Responsibilities: Knowledge of state and federal appeal and grievance regulatory requirements. WE ARE AN EQUAL OPPORTUNITY EMPLOYER. Applicants and employees are considered for positions and are evaluated without regard to mental or physical disability, race, color, religion, gender, gender identity, sexual orientation, national origin, age, genetic information, military or veteran status, marital status, mental or physical disability or any other protected Federal, State/Province or Local status unrelated to the performance of the work involved.

Are you passionate about making a difference in people's lives? Do you enjoy working in a service-oriented industry? If so, this opportunity may be the right fit for you! This position is responsible for proactive Clinical Quality Auditor to support the ongoing monitoring and evaluation of call quality, ensuring compliance with industry regulations, and enhancing the overall customer experience. In addition to auditing calls and processes, this role will also be responsible for processing clinical escalations and assisting with resolving any related issues. This role… Audit Strategy & Implementation: Implements audit strategies to assess the quality of calls, compliance with healthcare regulations, and overall adherence to quality standards. Conduct audits on calls, clinical charts, processes, procedures, and systems to ensure adherence to industry standards. Escalations: Process and respond to unresolved escalations (issues that arise in calls that are unable to be resolved in the moment), working closely with relevant teams to address issues and provide timely resolutions. Clinical Escalations: Complete reviews of clinical escalations resulting from outlier biometrics for process and quality recommendations. Audit Reporting & Communication: Communicates audit findings, analysis, and recommendations to senior management and key stakeholders. Highlight trends, actionable insights, and areas requiring improvement. Corrective Action Planning: Collaborates with internal teams to identify action plans and implement corrective actions based on audit findings. Tracks and monitors the progress of these action plans. Team Development & Coaching: Provides coaching and development to team members on job skills, delivery skills, and quality improvement. Offers targeted support for individuals needing additional coaching on soft skills or specific job tasks to enhance team performance. Compliance Monitoring: Ensures ongoing compliance with quality standards, industry regulations, and internal policies by extracting and evaluating calls. Monitors and assists in meeting compliance and productivity goals. Trend Analysis & Reporting: Analyze call data to identify trends, gaps, and areas for improvement. Prepare reports to share with senior management for decision-making purposes. Communication with Stakeholders: Build and maintain strong relationships with internal and external stakeholders, including healthcare providers, patients, and regulatory agencies. Ensure clear communication of audit results and next steps to involved parties. Handles routine inquiries and relay information between departments and stakeholders. Maintains security and access to sensitive materials. Assists with maintaining productivity and quality goals. Monitors and assists with QA chat channels to provide real-time support. Performs other duties as assigned by management. We are interested in speaking to individuals with the following… Bachelor's Degree in health related field required. Five (5) plus years of clinical experience. Current and unobstructed RN licensure (Preferred) Or equivalent combination of education and/or experience. Strong attention to detail and organizational skills. Collaborative and team-oriented approach. Ability to handle sensitive and confidential information. Problem-solving mindset and proactive in addressing challenges. Adaptable and flexible in responding to changing business needs. Strong knowledge of industry regulations, compliance standards, and audit processes. Excellent analytical skills with the ability to identify trends and provide actionable insights. Strong communication skills, both written and verbal, with the ability to report findings and collaborate with various departments. Experience in coaching and training team members to improve performance and achieve quality goals. Ability to work independently, prioritize tasks, and manage multiple projects simultaneously. Familiarity with clinical processes and the handling of clinical escalations is a plus. Proficiency in quality assurance software, data analysis tools, and Microsoft Office Suite (Excel, Word, PowerPoint). Salary: $60,800.00 - 82,100.00 / annually Modivcare's positions are posted and open for applications for a minimum of 5 days. Positions may be posted for a maximum of 45 days dependent on the type of role, the number of roles, and the number of applications received. We encourage our prospective candidates to submit their application(s) expediently so as not to miss out on our opportunities. We frequently post new opportunities and encourage prospective candidates to check back often for new postings. We value our team members and realize the importance of benefits for you and your family. Modivcare offers a comprehensive benefits package to include the following: Medical, Dental, and Vision insurance Employer Paid Basic Life Insurance and AD&D Voluntary Life Insurance (Employee/Spouse/Child) Health Care and Dependent Care Flexible Spending Accounts Pre-Tax and Post --Tax Commuter and Parking Benefits 401(k) Retirement Savings Plan with Company Match Paid Time Off Paid Parental Leave Short-Term and Long-Term Disability Tuition Reimbursement Employee Discounts (retail, hotel, food, restaurants, car rental and much more!) Modivcare is an Equal Opportunity Employer. EEO is The Law - click here for more information Equal Opportunity Employer Minorities/Women/Protected Veterans/Disabled We consider all applicants for employment without regard to race, color, religion, sex, sexual orientation, national origin, age, handicap or disability, or status as a Vietnam-era or special disabled veteran in accordance with federal law. If you need assistance, please reach out to us at ***************************

Ready to Build the Future? Apply Now! Join Nexis Builds and be part of a company that's redefining civil engineering with quality, technology, and innovation. Apply today and lets build something great together. What to expect: Competitive salary based on experience, ranging from $65,000 - $95,000 per year. Access to comprehensive health benefits, 401(k) employer match, and paid time off. Career development through mentorship, technical certifications, and leadership programs. About Nexis Builds At Nexis Builds, we are at the forefront of civil engineering, delivering large-scale infrastructure projects with precision, innovation, and sustainability. As a one of kind company, we are committed to building structures that last while continuously improving the way we work. Our team thrives on problem-solving, efficiency, and collaboration, ensuring that every project meets the highest standards of quality, safety, and client satisfaction. To maintain our commitment to excellence, we are seeking a Remote Quality Assurance (QA) Specialist/Engineer to oversee our project workflows, ensure regulatory compliance, and enhance quality processes from a remote setting. This role is integral to delivering high-quality engineering solutions across various projects. Your Role in Our Mission As a QA Specialist/Engineer, you will play a crucial role in ensuring that all engineering projects meet quality, compliance, and safety standards. You will work remotely to monitor performance, analyze trends, and drive continuous improvements, collaborating with onsite teams, engineers, and project managers to optimize processes. Key Responsibilities Monitor & Audit Project Workflows - Conduct remote quality audits on engineering workflows and construction documentation. - Identify deviations and work with teams to implement corrective actions. Data-Driven Quality Assurance - Track and analyze Service Level Agreements (SLAs) to ensure project deliverables meet expectations. - Develop real-time dashboards and trend reports to highlight quality performance and areas for improvement. - Work with AI-driven analytics tools to enhance predictive quality control. Process Improvement & Standardization - Collaborate with engineers and project managers to refine construction quality control plans. - Identify and eliminate inefficiencies in project execution. - Assist in developing and documenting tailored quality assurance plans for civil engineering projects. Regulatory & Compliance Oversight - Ensure all projects comply with local, national, and international regulations. - Conduct virtual inspections using remote monitoring tools, live-streaming, and drone data analytics. - Support field teams in maintaining OSHA, EPA, and building code compliance. Training & Continuous Learning - Train project teams on quality standards, best practices, and compliance protocols. - Lead virtual training sessions to enhance quality awareness across different departments. - Participate in special projects and process improvement initiatives. What Were Looking For Must-Have Skills & Experience: Bachelors degree in Civil Engineering, Quality Management, Construction Management, or a related field. 3+ years of experience in a QA/QC role within the construction or civil engineering industry. Strong understanding of quality control procedures, engineering best practices, and industry standards ). Experience using data visualization tools (Excel, Power BI, Tableau) to generate reports. Excellent analytical and problem-solving skills to detect and resolve quality issues. Proficiency in remote collaboration tools (Microsoft Teams, Asana, Trello, or similar). Strong communication and interpersonal skills for interacting with cross-functional teams. Ability to multitask and prioritize work in a fast-paced engineering environment. Nice-to-Have Skills: Experience with BIM software (Revit, AutoCAD) for virtual quality inspections. Knowledge of Machine Learning & AI applications in predictive quality control. Familiarity with cloud-based project management systems (Procore, Primavera, Bluebeam). Certifications such as Certified Quality Engineer (CQE), Six Sigma, or PMP. What You Can Expect in This Role Remote-first position with occasional onsite visits if required. Full-time (40 hours per week) role with flexible work hours. Competitive salary based on experience, ranging from $65,000 - $95,000 per year. Access to comprehensive health benefits, 401(k) employer match, and paid time off. Career development through mentorship, technical certifications, and leadership programs. Opportunity to be part of a high-impact, innovation-driven engineering team. At Nexis Builds, we believe in growth, flexibility, and innovation. We are committed to fostering a diverse, inclusive, and equitable workplace where everyone has the opportunity to thrive. Ready to Build the Future? Apply Now!

Job Description US Fertility, the nation's largest partnership of physician-owned and physician-led top-tier fertility practices, a national network of premier IVF laboratories, are united under a shared mission to deliver the joy of parenthood through advanced reproductive medicine and innovative science. The Regulatory and Quality Assurance Special II is responsible for reviewing and implementing the applicable regulatory aspects and quality systems of the company while maintaining compliance with all regulatory agencies (FDA, State, Local and AABB). We have an immediate opening for a full-time Regulatory and Quality Assurance Special II to join our team. The schedule for this position is Monday-Friday 9am-5pm, and requires travel to Marlborough, MA once per month or as needed. How You'll Contribute: Implement, monitor, maintain, and improve the company's Quality System Implement, monitor, and maintain a document control system Interpret and assure conformance to federal and state regulations that are applicable to the products produced/processed Assure appropriate licensure is held and maintained by the company Facilitate quarterly meetings with medical directors to provide regulatory and quality updates Ensure medical directors complete all signoffs as required Assure compliance to international regulatory agencies Tracking and trending of laboratory, cryogenic, andrology, and deviation systems Maintain and improve deviation/non-conformance system Report events to regulatory bodies as applicable Assure training and competency of all staff Assist in preparation of regulatory strategies for changes to existing systems Participate in Continuing Education programs in related field Participate in planning and implementation of regulatory systems, document/change control and validation activities Establish and maintain good working relationships with department heads, regulatory authorities, and government agencies Implement and oversee audits for departments and systems to assure compliance to regulations and standards Track and ensure any identified deficiencies are rectified post an inspection/audit event Monthly and quarterly in person audits of quality and regulatory manuals and records Monthly and quarterly reports to leadership on Quality and Regulatory activities Perform other related duties as assigned by management What You'll Bring: Bachelor's degree or equivalent combination of training and experience Must have a high level of interpersonal skills to handle sensitive and confidential situations. Position continually requires demonstrated poise, tact, and diplomacy Must be able to interact and communicate professionally with individuals at all levels of the organization Clear and effective communication skills Proficiency in a variety of computer software applications in word processing, spreadsheets, database, and presentation software (MSWord, Excel, PowerPoint) Self-starter that adapts well to change in a fast-paced, dynamic environment Prior laboratory experience preferred Knowledge of industry, Federal and State regulations, licensing processes Strong aptitude for analyzing data, audit processes and reconciling records Demonstrated organizational skills and the ability to prioritize and coordinate multiple processes Excellent interpersonal skills and ability to work as part of a multi-disciplinary team and build and maintain effective working relationships. Excellent verbal & written communication skills Ability to work as part of a multi-disciplinary team Ability to organize and lead collaborative teams to facilitate quality projects (validations, corrective action plans, etc.) Occasional travel required (up to 25%) Able to adapt and thrive in the fast-paced, rapidly changing environment The successful candidate will have the ability to work well independently, as well as part of a team Excellent multi-tasking abilities More important than the best skills, however, is the right person. Employees who embrace our mission, vision, and core values are highly successful. What We Offer: Competitive pay + bonus Comprehensive training Medical, dental, vision, and 401(k) matching Generous paid time off and holidays Retirement plan Tuition assistance Ability to make an impact in the communities we serve At US Fertility, we promote and develop individual strengths in order to help staff grow personally and professionally. This is an ideal time to join our team! To learn more about our company and culture, visit here.

Clinical Quality Assurance Specialist Lumos Pharma is a clinical-stage biopharmaceutical company whose mission is to develop new therapies for people with rare diseases, prioritizing its focus where the medical need is high, and the pathophysiology is clear. We are committed to this mission and a strategy grounded upon time and cost-efficient drug development to deliver safe and effective therapies to patients. We take a patient-centric approach and maintain inspection-readiness across our programs. This position reports to the Vice President, Quality and Compliance, and is responsible for providing quality oversight of clinical trial activities performed in compliance with Good Clinical Practices (GCP). This position also supports internal quality systems and compliance functions. The Clinical Quality Assurance Specialist is expected to execute established processes involving quality assurance, quality systems, and compliance. ESSENTIAL FUNCTIONS Author, review, and/or approve SOPs, protocols, study plans, and other applicable clinical documents in accordance with GCP requirements Provide input on protocol deviations and associated corrective/preventive actions involving clinical trials. Perform audits of clinical trial sites and clinical studies (e.g., trial master file, clinical study report, etc.) Complete required tasks in the electronic quality management system Assist with training coordination, ensuring employees are up to date on quality and compliance requirements Assist with audits of external suppliers Routinely work with internal and external stakeholders to achieve cross-functional goals. Each employee is responsible for financial and compliance controls as they relate to their roles. For example, being fiscally responsible in purchasing decisions and completing compliance training within the specified time frames. REQUIRED QUALIFICATIONS Education Bachelor's Degree (four-year college or technical school) required, Field of Study: Biology, Chemistry, Health Administration, or related technical discipline EXPERIENCE 1-3 years of experience in quality assurance within the pharmaceutical or biotech industry PREFERRED QUALIFICATIONS Knowledge of GMP and GCP regulations Strong attention to detail, documentation accuracy, and organizational skills Microsoft Office Experience with MasterControl is desirable Experience with CDER BIMO inspections is desirable COMPETENCIES Analytical Skills: Strong analytical skills with a strategic mindset for clinical development and commercialization. Communication: Excellent communication skills, with the ability to clearly articulate complex scientific information to technical and non-technical audiences. Relationship Builder: Ability to work effectively in a cross-functional team environment and to build relationships with internal and external stakeholders. Business Acumen: Business acumen is the ability to understand and discriminate between various business-related topics and issues. Decision-Making/Judgment : Decision-making skills look at the ability of the individual to select an effective course of action while controlling resources and expenditures. WORK ENVIRONMENT This position can work remotely in the United States. TRAVEL EXPECTATION Up to 10% What you can expect as a Lumosian Industry-competitive compensation Generous health and welfare benefits, including company-paid dental and vision benefits with dependents coverage, short-term and long-term disability, and basic life Insurance. Lumos covers 85 - 95% of the medical premium Health Reimbursement Arrangement 8 weeks of fully paid parental leave for all new parents Gym or fitness class reimbursement 401(k) with 5% employer contribution Flexible work hours and location Generous PTO policy 11 paid holidays in the US Offices in Austin, TX, and Ames, IA

The Kestra team has over 400 years of experience in the external and internal cardiac medical device markets. The company was founded in 2014 by industry leaders inspired by the opportunity to unite modern wearable technologies with proven device therapies. Kestra's solutions combine high quality and technical performance with a wearable design that provides the greatest regard for patient comfort and dignity. Innovating versatile new ways to deliver care, Kestra is helping patients and their care teams harmoniously monitor, manage, and protect life. The ASSURE Patient Specialist (APS) conducts patient fitting activities in support of the sales organization and the team of Regional Clinical Advisors (RCA). The APS will serve as the local patient care representative to provide effective and efficient patient fittings. This is a paid per fitting position. ESSENTIAL DUTIES Act as a contractor ASSURE Patient Specialist (APS) to fit and train local patients with a wearable defibrillator via training assignments dispatched from corporate headquarters. The APS will be trained and Certified as an ASSURE Patient Specialist by Kestra. Ability to provide instruction and instill confidence in Assure patients with demonstrated patient care skills Willingness to contact prescribers, caregivers and patients to schedule services Ability to accept an assignment that could include daytime, evening, and weekend hours Travel to hospitals, patient's homes and other healthcare facilities to provide fitting services Measure the patient to determine the correct garment size Review and transmit essential paperwork with the patient to receive the Assure garment and services Manage inventory of the Assure system kits, garments, and electronic equipment used in fittings Flexibility of work schedule and competitive pay provided Adhere to Pledge of Confidentiality Information regarding a patient of this company shall not be released to any source outside of this company without the signed permission of the patient. Furthermore, information will only be released internally on a need-to-know basis. All Team Members will not discuss patient cases outside the office or with anyone not employed by this company unless they are directly involved with the patient's case. COMPETENCIES Passion: Contagious excitement about the company - sense of urgency. Commitment to continuous improvement. Integrity: Commitment, accountability, and dedication to the highest ethical standards. Collaboration/Teamwork: Inclusion of Team Member regardless of geography, position, and product or service. Action/Results: High energy, decisive planning, timely execution. Innovation: Generation of new ideas from original thinking. Customer Focus: Exceed customer expectations, quality of products, services, and experience always present of mind. Emotional Intelligence: Recognizes, understands, manages one's own emotions and is able to influence others. A critical skill for pressure situations. Highly organized, service and detail orientated Passionate about the heart-failure space and a strong desire to make a difference Strong interpersonal skills with communicating and assisting clinicians with providing care for patients. Interest and desire for life-long learning to continuously improve over time. Requirements Education/Experience Required: 1 year in a paid patient care experience (not as a family care giver) Clinical or engineering background which may include but is not limited to nurses, cardiac device sales representatives, clinical engineers, catheterization lab technicians, physician assistants, or ECG technicians. Disclosure of personal NPI number (if applicable) Completion of background check. Florida and Ohio must complete a level 2 screening paid for by Kestra. Willingness to pay an annual DME fee which is deducted from the completed work order Ability to pay for vendor credentialing upfront during a 90-day probationary period Experience in patient and/or clinician education Valid driver's license in state of residence with a good driving record Ability to consistently work remotely Disclosures are required for any potential relationships and referral sources Must be able to achieve credentialing for hospital system entry including, but not limited to: Documentation of vaccination and immunization status Pass background check Pass drug screening testing Review and agree to hospital policies and procedures Completion of online courses, i.e., HIPAA, Bloodborne Pathogens and Electrical/Fire Safety Preferred: Knowledge of MS Office, Excel, PowerPoint, MS Teams Direct cardiac patient care experience - RN, RT, CVIS, Paramedic, CRM WORK ENVIRONMENT Variable conditions during travel Minimal noise volume typical to an office or hospital environment Possible environmental exposure to infectious disease (hospital and clinic settings) Extended hours when needed Drug-free PHYSICAL DEMANDS Ability to travel by car Frequent repetitive motions that may include wrists, hands and/or fingers, such as keyboard and mouse usage Frequent stationary position, often standing or sitting for prolonged periods of time Frequent computer use Frequent phone and other business machine use Occasional bending and stooping Ability to lift up to 40 pounds unassisted, at times from in and out of vehicle TRAVEL Frequent travel by car in agreed upon geography OTHER DUTIES: This job description is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities that are required of the Team Member. Duties, responsibilities, and activities may change, or new ones may be assigned at any time with or without notice.

GENERAL JOB DESCRIPTION The Quality Assurance (QA) Specialist is responsible for reviewing, auditing, and ensuring accuracy across multiple revenue cycle functions, including Accounts Receivable (AR), Charge Capture, Payment Posting, Refunds, Patient AR, and Call Center operations. This role requires a highly detail-oriented and analytical individual with extensive knowledge of RCM processes and AR workflows. The QA Specialist will work closely with department managers to provide feedback on complex cases, uphold confidentiality, and support employee performance assessments. This role will play a critical part in maintaining compliance, improving accuracy, and ensuring high-quality standards in billing processes. Qualifications QUALIFICATIONS Education & Experience • High school diploma or GED required . • Minimum of 5 years of experience in medical billing, revenue cycle management, or healthcare QA auditing. • Extensive knowledge of RCM workflows, including AR, charge capture, payment posting, refunds, and call center operations . • Experience in healthcare QA, auditing, or compliance roles strongly preferred.

Shape the Future of Clinical Accuracy. Are you a coding professional who thrives on precision, collaboration, and continuous improvement? As a QA Specialist, you'll play a key role in ensuring the integrity of clinical documentation and coding across both Inpatient and Outpatient settings. This is an opportunity to make a real impact-enhancing compliance, optimizing reimbursement, and supporting better patient outcomes. Position Summary: The QA Specialist is responsible for ensuring the accuracy, compliance, and integrity of coding and clinical documentation across Inpatient and Outpatient settings. This role will focus on auditing ICD-10-CM/PCS/CPT/HCPCS codes, and IRF-PAI submissions to validate adherence to regulatory requirements, payer guidelines, and organizational standards. The QA Specialist collaborates with coders, clinical teams, and leadership to identify trends, provide feedback, and implement process improvements that enhance coding accuracy, optimize reimbursement, and minimize compliance risk. Key Responsibilities: Audit Inpatient, Outpatient, and IRF-PAI coded records for accuracy, compliance, and completeness. Validate ICD-10, CPT, HCPCS, and IRF-PAI coding/documentation against guidelines and payer rules. Provide feedback and education to coders and clinicians on audit findings. Track and report audit results, error trends, and coder performance. Ensure compliance with CMS, OIG, HIPAA, and payer requirements. Collaborate with coding, CDI, and revenue cycle teams to improve documentation and coding practices. Support readiness for regulatory updates and external audits. Qualifications: CCS, CPC, CIC, or CCA certification; additional IRF-PAI training/certification preferred. 12 months in coding and/or auditing Inpatient, Outpatient, and/or Rehab records; strong knowledge of ICD-10-CM/PCS, CPT, and HCPCS coding systems. Strong knowledge of ICD-10-CM/PCS, CPT, HCPCS, DRGs, APCs, and IRF-PAI requirements. Excellent analytical, communication, and reporting skills proficiency with EHR and coding/auditing software. Netsmart is proud to be an equal opportunity workplace and is an affirmative action employer, providing equal employment and advancement opportunities to all individuals. We celebrate diversity and are committed to creating an inclusive environment for all associates. All employment decisions at Netsmart, including but not limited to recruiting, hiring, promotion and transfer, are based on performance, qualifications, abilities, education and experience. Netsmart does not discriminate in employment opportunities or practices based on race, color, religion, sex (including pregnancy), sexual orientation, gender identity or expression, national origin, age, physical or mental disability, past or present military service, or any other status protected by the laws or regulations in the locations where we operate. Netsmart desires to provide a healthy and safe workplace and, as a government contractor, Netsmart is committed to maintaining a drug-free workplace in accordance with applicable federal law. Pursuant to Netsmart policy, all post-offer candidates are required to successfully complete a pre-employment background check, including a drug screen, which is provided at Netsmart's sole expense. In the event a candidate tests positive for a controlled substance, Netsmart will rescind the offer of employment unless the individual can provide proof of valid prescription to Netsmart's third party screening provider. If you are located in a state which grants you the right to receive information on salary range, pay scale, description of benefits or other compensation for this position, please use this form to request details which you may be legally entitled. All applicants for employment must be legally authorized to work in the United States. Netsmart does not provide work visa sponsorship for this position. Netsmart's Job Applicant Privacy Notice may be found here.

CTEC is a leading technology firm that provides modernization, digital transformation, and application development services to the U.S. Federal Government. Headquartered in McLean, VA, CTEC has over 300 team members working on mission-critical systems and projects for agencies such as the Department of Homeland Security, Internal Revenue Service, and the Office of Personnel Management. The work we do effects millions of U.S. citizens daily as they interact with the systems we build. Our best-in-class commercial solutions, modified for our customers' bespoke mission requirements, are enabling this future every day. The Company has experienced rapid growth over the past 3 years and recently received a strategic investment from Main Street Capital Corporation (NYSE: MAIN). In addition to our recent growth in Federal Civilian agencies, we are seeking to expand our capabilities in cloud development and footprint in national-security focused agencies within the Department of Defense and U.S. Intelligence Community. We are seeking to hire an EN/VR QA & Training Specialist to our team! Join Us in Empowering Lives Through SSA's Employment Support Initiatives Are you passionate about making a meaningful difference in people's lives? The Social Security Administration (SSA) is committed to helping individuals with disabilities achieve greater independence through employment. By joining our team, you'll play a vital role in supporting this impactful mission-helping people unlock their potential, build confidence, and create brighter futures. If you're driven by purpose and inspired by the chance to make a lasting impact, we invite you to be part of a program that changes lives every day. The EN/VR QA & Training Specialist leads advanced quality assurance and training activities for the EN/VR Help Desk. This position performs in-depth performance analysis, conducts comprehensive call monitoring, and delivers individualized coaching and feedback to Help Desk staff to drive ongoing quality improvement and compliance. The Specialist develops and updates training programs, oversees onboarding and continuing education initiatives, and works closely with management to identify trends and recommend process enhancements. Responsibilities include detailed documentation of findings, analysis of key performance metrics, and facilitating workshops or group training sessions. Duties and Responsibilities: • Lead advanced call monitoring and quality assurance for EN/VR Help Desk operations. • Analyze performance data and key metrics to identify trends, risks, and opportunities for improvement. • Provide detailed coaching and actionable feedback to individual staff and teams. • Develop, deliver, and update training programs, materials, and job aids. • Facilitate onboarding for new Help Desk staff and ongoing development for existing team members. • Document and report on quality assurance findings, compliance issues, and training effectiveness. • Collaborate with management to implement process improvements and best practices. Requirements: • Bachelor's degree with 2-4 years of relevant experience, or high school diploma/GED with 8-10 years related experience. • In-depth experience conducting quality assurance, performance analysis, and staff coaching in customer service or help desk environments. • Strong analytical skills and proficiency with call monitoring and reporting tools. • Demonstrated ability to develop training content and deliver effective training sessions. • Excellent written and verbal communication and interpersonal skills. • Leadership ability and proven track record of driving quality improvements. • Thorough understanding of program compliance and service standards. Must be able to obtain and maintain a SSA Public Trust Clearance If you are looking for a fun and challenging environment with talented, motivated people to work with, CTEC is the right place for you. In addition to employee salary, we offer an array of employee benefits including: Paid vacation & Sick leave Health insurance coverage Career training Performance bonus programs 401K contribution & Employer Match 11 Federal Holidays

At BiOptimizers, our mission is to move people from baseline health to peak biological performance. Rooted in scientific rigor, we design supplements and experiences that empower individuals to excel. Our remote-first team collaborates cross-functionally, blending innovation with results to magnify human potential. The QA/Compliance Specialist plays a key role in ensuring that all products, raw materials, and manufacturing partners meet the company's quality and regulatory standards. This position is responsible for reviewing and maintaining quality documentation, approving and monitoring suppliers, and ensuring compliance with the Dietary Supplement Health and Education Act (DSHEA), 21 CFR Part 111/117, and related FDA and FTC regulations Key Responsibilities Quality Documentation & Product Compliance Review Certificates of Analysis (CoAs), master manufacturing records (MMRs), and batch production records (BPRs) from contract manufacturers for accuracy and completeness. Verify that all documentation complies with internal specifications, label claims, and DSHEA requirements for identity, purity, strength, and composition. Maintain comprehensive document control systems, including version management, retention, and archival of GMP documentation. Review finished product labels and marketing claims for DSHEA and FDA compliance. Support product release processes by ensuring that each lot meets established quality standards before distribution. Supplier Qualification & Oversight Lead or support supplier qualification, approval, and requalification activities per company procedures and DSHEA/GMP standards. Evaluate supplier documentation, including GMP certifications, audit reports, questionnaires, and ingredient specifications. Maintain the Approved Supplier List (ASL) and track supplier performance, deviations, and corrective actions. Support audits of contract manufacturers and ingredient suppliers to verify compliance with GMP and DSHEA. Regulatory & DSHEA Compliance Ensure all dietary supplement products are manufactured, labeled, and marketed in compliance with DSHEA, FDA, and FTC regulations. Maintain awareness of regulatory updates related to dietary supplements and communicate implications to internal stakeholders. Assist in managing adverse event reporting, product recalls, and regulatory inspections in alignment with DSHEA and company policy. Support development, review, and continuous improvement of SOPs, CAPAs, and change control processes. Partner with cross-functional teams to ensure product claims are substantiated and compliant with DSHEA structure/function requirements. Continuous Improvement & Quality Culture Identify gaps in quality systems and recommend enhancements to strengthen compliance and operational efficiency. Support internal training programs on DSHEA, GMP, and quality standards to reinforce compliance culture across teams. Participate in internal audits and assist in readiness for FDA, NSF, or third-party inspections. Education: Bachelor's degree in Life Sciences, Food Science, Chemistry, Biology, or related field required. Experience: 3-5 years of QA/compliance experience in the dietary supplement, nutraceutical, or pharmaceutical industry. Demonstrated understanding of DSHEA, FDA cGMP (21 CFR Part 111/117), and related regulatory requirements. Experience working with contract manufacturers and suppliers in a quality or compliance capacity. Strong attention to detail and organizational accuracy. Excellent written and verbal communication skills. Proficiency with document management systems and Microsoft Office Suite. Ability to interpret and apply DSHEA, GMP, and labeling regulations in practical business settings. Preferred Qualifications Experience with regulatory submissions, structure/function claim substantiation, and label compliance review. Familiarity with NSF, UL, Non-GMO, and Organic certification standards. Experience using electronic QMS or document control software (e.g., MasterControl, Greenlight Guru, TrackWise). Knowledge of international supplement regulations (e.g., Health Canada, EU). Work Location This is a fully remote position. BiOptimizers has a globally distributed team and supports flexible work arrangements across time zones. Company Hours & Collaboration With team members across many countries and time zone differences of up to 16 hours, we've established a standard collaboration window from 9:00 AM - 5:00 PM EST. This is not a required work schedule, but a shared time frame for meetings and team syncs. At BiOptimizers, we support flexibility - team members are encouraged to work the hours that best suit them, as long as they: Attend required meetings Communicate effectively across time zones Deliver work by agreed-upon deadlines Equal Opportunity Statement BiOptimizers is committed to diversity and inclusion and is proud to be an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, creed, gender, national origin, age, disability, veteran status, sexual orientation, gender identity, or any other basis protected by applicable law.

Everlywell is a digital health company pioneering the next generation of biomarker intelligence-combining AI-powered technology with human insight to deliver personalized, actionable health answers. We transform complex biomarker data into life-changing insights-seamlessly integrating advanced diagnostics, virtual care, and patient engagement to reshape how and where health happens. Over the past decade, Everlywell has delivered close to 1 billion personalized health insights, transforming care for 60 million people and powering hundreds of enterprise partners. In 2024 alone, an estimated 1 in 86 U.S. households received an Everlywell test, solidifying our spot as the #1 at-home testing brand in the country. And we're just getting started. Fueled by AI and built for scale, we're breaking down barriers, closing care gaps, and unlocking a more connected healthcare experience that is smarter, faster, and more personalized. We are seeking a clinically experienced and detail-oriented Nurse Educator & Quality Assurance Specialist (Contractor) to support provider education and ensure high-quality clinical documentation and consults across our care delivery ecosystem. This contract role will focus on educating our interdisciplinary provider network - including physicians, nurse practitioners, nurses, and medical assistants - on best practices, documentation standards, and evolving clinical workflows. In parallel, you will conduct clinical quality reviews of telehealth consults and documentation to promote consistency, safety, and regulatory compliance.Education & Training: Deliver onboarding, orientation, and skills training for new clinical team members across multiple roles. Create and update training resources (e.g., presentations, SOPs, job aids) for internal use. Conduct periodic refresher trainings or workshops based on emerging trends or observed gaps. Assist with provider questions regarding workflows, documentation, or standards of care. Collaborate with operations, compliance, and clinical leadership to ensure training materials are aligned with current practice and regulatory expectations Quality Assurance & Documentation Review: Perform retrospective chart reviews of provider consults, documentation, and care notes. Evaluate documentation for clinical accuracy, completeness, professionalism, and adherence to internal protocols and external standards (e.g., CMS, HEDIS, HIPAA)/ Identify patterns in documentation deficiencies or clinical deviations and flag opportunities for training or system improvements. Support the implementation of quality initiatives and feedback loops for continuous improvement Required Qualifications: Registered Nurse (RN) or APP (NP/PA) with active, unrestricted license in the U.S. Minimum of 5 years of clinical experience, with at least 2 years in an education, quality, or supervisory role. Experience with telehealth, outpatient, and diagnostic care settings preferred. Familiarity with clinical documentation standards, quality improvement principles, and adult learning methods. Working knowledge of risk adjustment documentation requirements, including familiarity with HCC coding principles, MEAT criteria, and best practices for capturing chronic and complex conditions in provider documentation. Strong attention to detail, excellent communication skills, and ability to give clear, constructive feedback. Proficiency with digital tools such as Google Workspace, EMRs/EHRs, and learning management systems. Preferred Qualifications: Experience in a startup, virtual care, or fast-paced healthcare organization. Background in compliance, utilization review, or peer review is a plus. Prior experience training multidisciplinary teams.

So, you like working with a creative, dynamic team and making a difference? Sometimes the grass is greener! The mission of First Call Hospice, a locally owned agency founded in 1993, is to provide individualized quality hospice care to meet the unique needs of patients with a limited life expectancy. The primary goal of First Call Hospice is to enhance the quality of life when the quantity of life is limited. Rated one of Sacramento's 2024 Best Places to Work, First Call Hospice is growing and looking for experienced, compassionate Quality Assurance Specialist to join our team! JOB SUMMARY The Quality Assurance Specialist is responsible for analyzing data integrity and consistency of documentation and assessment processes. This position will ensure appropriate ICD-9 - ICD-10 coding and sequencing and will work with clinical staff to clarify documentation and data integrity issues. DUTIES & RESPONSIBILITIES Prospectively reviews all assessments to ensure appropriateness, completeness, and compliance with federal and state regulations and organization policy. Ensures appropriate ICD-9 - ICD-10 coding and sequencing as it relates to the patient's medical condition, including any co-morbidities. Consults with appropriate clinical staff to clarify any data integrity issues and works with clinician to make appropriate corrections per organization policy. Reviews visit utilization for appropriateness of care guidelines and patient condition; reports potential financial losses and/or underutilization to the clinical manager/designee. Notifies Quality Assurance and Agency Managers of problematic trends as a result of documentation review. Participates in Quality Improvement and Corporate Compliance activities as assigned. Assists with other chart audit activities as assigned. Maintains professional and technical knowledge by attending educational workshops and reviewing professional publications. The above statements are only meant to be a representative summary of the major duties and responsibilities performed by the employee of this job. The employee may be requested to perform job-related tasks other than those stated in this description. JOB REQUIREMENTS (Education, Experience, Knowledge, Skills & Abilities) Active California RN or LVN license required 1-2 years of experience of hospice clinical, coding, or billing experience required. Working knowledge of ICD-9/ICD-10 coding. Knowledge of federal regulations and state licensure requirements. Working knowledge of computer systems. Licensed driver with automobile that is in good working order and insured in accordance with organization requirements. Excellent coordination and communication skills. Detail oriented and able to work with minimal supervision Why First Call? First Call Hospice is part of the Cornerstone Group with close to 80 agencies throughout the country. While we are part of a large family, we operate as a local team. We understand we are nothing without great employees! It is through our team's dedication to deliver life changing service that we become the “provider of choice” in the community that we serve. Join a culture of high performers who are on a mission to create the best agency in the Greater Sacramento Area! What makes us unique besides our culture of high performers and exceptional care? At First Call, we foster an environment where clinicians and staff members have an unprecedented level of freedom to create and implement the programs that will best serve their patients and communities. We operate with the Core Values of CAPLICO in mind: Celebration Accountability Passion for Learning Love One Another Intelligent Risk Taking Customer Second Ownership The employer for this position is stated in the job posting. The Pennant Group, Inc. is a holding company of independent operating subsidiaries that provide healthcare services through home health and hospice agencies and senior living communities located throughout the US. Each of these businesses is operated by a separate, independent operating subsidiary that has its own management, employees and assets. More information about The Pennant Group, Inc. is available at ****************************

SCAN Group is a not-for-profit organization dedicated to tackling the most pressing issues facing older adults in the United States. SCAN Group is the sole corporate member of SCAN Health Plan, one of the nation's leading not-for-profit Medicare Advantage plans, serving more than 277,000 members in California, Arizona, Nevada, Texas and New Mexico. SCAN has been a mission-driven organization dedicated to keeping seniors healthy and independent for more than 45 years and is known throughout the healthcare industry and nationally as a leading expert in senior healthcare. SCAN employees are a group of talented, passionate professionals who are committed to supporting older adults on their aging journey, while also innovating healthcare for seniors everywhere. Employees are provided in-depth training and access to state-of-the-art tools necessary to do their jobs, as well as development and growth opportunities. SCAN takes great pride in recognizing our team members as experts in their fields and rewarding them for their efforts. If you are interested in becoming part of an organization that is innovating senior healthcare visit ********************* *********************** or follow us on LinkedIn, Facebook, and Twitter. Job Description: Quality Specialist Fully Remote The job Ensures compliance with regulatory and company/departmental standards by monitoring staff and processes, and implementing corrective action, as required. Improves service quality and efficiencies by developing and implementing standards, workflows and processes that are compliant with regulatory requirements and supports the delivery of service excellence. You will Maintain regulatory compliance by remaining knowledgeable of regulations and contractual requirements related to customer service operations, developing and implementing processes and policies/procedures that meet or exceed requirements. Ensure the SCAN commitment of service excellence to our customers by ensuring that staff consistently provide a level of service that meets or exceeds the customer's expectation while being respectful, kind and knowledgeable about SCAN benefits and services. Identify and remediate deficient practices/processes by monitoring processes and staff interactions with customers, providing feedback, identifying trends and overseeing and measuring corrective actions. Provide management with feedback on staff performance and participate in coaching of the staff. Improve service quality by measuring the quality, effectiveness and efficiency of the customer experience and provide recommendations for improvement to management. Support the Member Services Trainer by providing feedback on training needs and assist in the development and presentation of training, as required. Maintain awareness of membership and service issues by generating reports, analyzing data to identify trends, and making recommendations for improvement. Contribute to team effort by accomplishing related results, as needed. Actively support the achievement of SCAN's Vision and Goals. Other duties as assigned. Your qualifications Required: Bachelor's degree A comparable combination of education/experience and/or training will be considered equivalent to the education listed above. 5+ years' preferably within healthcare industry. Demonstrated efficiency/effectiveness in an environment with a high call volume; 1+ years of prior experience with Medicare benefits, including Medicare Advantage Plans preferred; Experience in the healthcare, insurance or pharmacy industry highly desirable. Excellent communication skills, both oral and written. Strong interpersonal skills, including excellent verbal communication skills. What's in it for you? Base Pay Range: $45,300-$72,500 Work Mode: Remote An annual employee bonus program Robust Wellness Program Generous paid-time-off (PTO)- 11 paid holidays per year, 1 floating holiday, birthday off, and 2 volunteer days Excellent 401(k) Retirement Saving Plan with employer match Robust employee recognition program Tuition reimbursement An opportunity to become part of a team that makes a difference to our members and our community every day! We're always looking for talented people to join our team! Qualified applicants are encouraged to apply now! At SCAN we believe that it is our business to improve the state of our world. Each of us has a responsibility to drive Equality in our communities and workplaces. We are committed to creating a workforce that reflects our community through inclusive programs and initiatives such as equal pay, employee resource groups, inclusive benefits, and more. SCAN is proud to be an Equal Employment Opportunity and Affirmative Action workplace. Individuals seeking employment will receive consideration for employment without regard to race, color, national origin, religion, age, sex (including pregnancy, childbirth or related medical conditions), sexual orientation, gender perception or identity, age, marital status, disability, protected veteran status or any other status protected by law. A background check is required. #LI-JR1 Equal Opportunity Employer/Protected Veterans/Individuals with Disabilities The contractor will not discharge or in any other manner discriminate against employees or applicants because they have inquired about, discussed, or disclosed their own pay or the pay of another employee or applicant. However, employees who have access to the compensation information of other employees or applicants as a part of their essential job functions cannot disclose the pay of other employees or applicants to individuals who do not otherwise have access to compensation information, unless the disclosure is (a) in response to a formal complaint or charge, (b) in furtherance of an investigation, proceeding, hearing, or action, including an investigation conducted by the employer, or (c) consistent with the contractor's legal duty to furnish information. 41 CFR 60-1.35(c)

About Ossium Ossium's mission is to improve the health, vitality, and longevity of human beings through bioengineering. We develop, manufacture, and bank cell therapy products that apply the power of stem cell science to revolutionize treatment for patients with blood, immune, and orthopedic diseases. At Ossium, we empower our employees, maintain the highest standards of operational excellence, and are a force for good. Ossium's mission is to improve the health, vitality, and longevity of human beings through bioengineering. We develop, manufacture, and bank cell therapy products that apply the power of stem cell science to revolutionize treatment for patients with blood, immune, and orthopedic diseases. At Ossium, we empower our employees, maintain the highest standards of operational excellence, and are a force for good. About the Job We're hiring a Quality Assurance Specialist to focus on Product Quality and uphold compliance with internal/external standards, regulations, policies, and procedures. This individual will review production and testing records related to the production of bone marrow and bone marrow derived products, ultimately signing off on the Quality Assurance (QA) release of the product for clinical applications. In this role, you will work closely with other departments to identify deficiencies, deviations, and improvement opportunities. Additionally, you'll be responsible for the execution and monitoring of various quality systems as well as assisting in the development and modification of internal systems to ensure that Ossium products maintain the highest standards of quality and safety. This position reports to our Associate Supervisor, Product Quality. Required Qualifications Associates degree in Life Sciences/Chemistry and 5+ years of experience in Quality Ability to complete tasks and projects with little oversight Capable of effectively assimilating information from visual inspection, written documents, and verbal inputs and identifying potential compliance risks High level of professionalism and good judgment Strong computer skills, including Microsoft Office Excellent written and oral communication skills Capability to operate with a high level of organization and excellent time management in a dynamic startup environment This position is based on site in our Indianapolis office; employees will report to Ossium's facility Monday through Thursday and have the option to work remotely on Fridays Qualified candidates must be legally authorized to be employed in the United States; Ossium is unable to provide sponsorship for employment visa status (eg, H-1B or TN status) for this position, either now or in the future Preferred Qualifications Bachelor's Degree in Life Sciences/Chemistry Experience in tissue, organ or cell industry Understanding of 21 CFR 210, 21 CFR 211, 21 CFR 1271, AATB Standards, and other GMP requirements Familiarity with and previous experience working with Master Control, preferably in the Production Records module Key Responsibilities Review technical production and testing records and identify deviations, non-conformances, and compliance issues Work across departments to resolve issues and implement improvements Coordinate and communicate effectively with impacted stakeholders Sign off on QA release of product for clinical applications Promote a culture of quality and continuous improvement through actions and education Track and trend data related to product quality Support audits as needed In your first six months some projects you'll work on include: Review Production and Quality Control records and work with the departments to correct errors Perform the QA release of clinical product so that it can be used as a life-saving treatment Learn about Production and Quality Control activities to identify areas of improvement Physical Requirements This position involves work in a facility containing biological materials including human blood and tissues. Blood-borne pathogen training is required, and new hires will be given the option of Hepatitis B vaccination. Other physical demands or requirements include: Reporting to Ossium's facility during regular business hours Consistently adhering to Ossium's safety protocols, including wearing appropriate PPE Moderately noisy open-office environment Must be able to sit or stand for long periods of time We offer a full slate of employee benefits including: Competitive salaries Stock options 401(k) matching Medical, dental and vision coverage Four weeks of PTO accrued (vacation & sick time) annually + 11 company holidays Employer paid life insurance and long term disability Gym membership/recreational sports reimbursements Ossium Health provides equal employment opportunities (EEO) to all employees and applicants for employment without regard to race, color, religion, sex, national origin, age, disability, protected veteran status, sexual orientation, gender identity, gender expression, or any other protected characteristic. Our Equal Employment Opportunity Policy Statement and the Know Your Rights: Workplace Discrimination is Illegal Poster reaffirm this commitment. Pursuant to the San Francisco Fair Chance Ordinance, we will consider for employment qualified applicants with arrest and conviction records. If reasonable accommodation is needed, please contact our People Team at ************************ or ************. Ossium Health complies with federal and state disability laws and makes reasonable accommodations for applicants and candidates with disabilities. Principals / direct applicants only please. Recruiters, please do not contact this job poster. Equal Opportunity Employer/Veterans/Disabled

This position is responsible for conducting coding audits, communicating results and recommendations to providers, management, and executive administration, and providing training and education to providers and ancillary staff. This position will support the implementation of changes to the CPT, CDT, HCPCS and ICD‐10 codes on an annual basis. Responsibilities Essential Duties: * Conduct prospective and retrospective chart reviews (i.e. baseline, routine periodic, monitoring, and focused) comparing medical and/or dental record notes to reported CDT, CPT, HCPCS, and ICD codes with consideration of applicable FQHC and payer/title/grant coding requirements.• Identify coding discrepancies and formulate suggestions for improvement.• Communicate audit results/findings to providers and/or ancillary staff and share improvement ideas.• Work with the Office of the CMO and provider leadership to identify and assist providers with coding.• Report findings and recommendations to Compliance Officer or designee, management, and executive leadership.• Provide continuing education to providers and ancillary staff on CDT, CPT, HCPCS, and ICD-10 coding.• Support compliance policies with government (Medicare& Medicaid) and private payer regulations.• Perform research as needed to ensure organizational compliance with all applicable coding and diagnostic guidelines.• Maintain professional and technical knowledge by attending educational workshops and reviewing professional publications.• Work closely with all departments, including but not limited to, Clinical Services, Nursing, Practice Leadership, Finance, IT, Training, and Billing to assist in accuracy of reported services and with chart reviews, as requested.• Work with the Purchasing department to order and distribute annual coding materials for all clinical sites and departments.• Assist Director of Compliance with incidents and investigations involving coding and/or documentation.• Work closely with all other Compliance personnel to provide coding/compliance support.• Advise Compliance Officer or designee of government coding and billing guidelines and regulatory updates.• Provide training to billing coding staff on coding compliance.• Participate in special projects and performs other duties as assigned.Knowledge/Skills/Abilities:• Proficiency in correct application of CPT, CDT, HCPCS procedure, and ICD‐10‐CM diagnosis codes used for coding and billing for medical claims.• Knowledge in correct application of SNOMED, SNODENT, and LOINC.• Knowledge of medical terminology, disease processes, and pharmacology.• Strong attention to detail and accuracy.• Excellent verbal, written, and communication skills.• Excellent organizational skills.• Ability to multi‐task.• Proficient in Microsoft Office Suite.• Critical thinking/problem solving.• Ability to provide data and recommend process improvement practices. Qualifications MINIMUM EDUCATION: High school diploma or equivalent. MINIMUM EXPERIENCE: 5 years of healthcare experience4 years of procedural and diagnostic coding REQUIRED CERTIFICATIONS/LICENSURE: UPON HIRE AAPC Certified Professional Coder (CPC) certification ORCertified Coding Specialist (CCS) certification through American Health Information Management Association (AHIMA)

Wojeski & Company is an Albany, New York based CPA mid-size Firm with an excellent reputation and a great culture. We are "accountants with personality" known for our expertise, high service standards, impeccable integrity, community involvement and fun! Our service-oriented firm provides audit, tax, and consulting services to a broad range of clients. Position Summary: The Audit Associate will be responsible for performing necessary procedures in attestation engagements for clients in accordance with applicable accounting standards. This position will assist audit senior associated and managers with tasks and assigned projects, and work with a diverse client base. The audit associate should be eager to develop the fundamental knowledge and technical skills to grow into a senior role within the firm. Responsibilities: Perform and assist with audits, reviews and compilations for clients in various industries. Prepare financial statements, reports and other required compliance information. Assist with the coordination of the planning, fieldwork and wrap-up of engagements. Develop effective working relationships with clients Communicate with managers and partners, keeping them apprised of project status Interaction with clients to help ensure that requests and information is received for the engagement Have initiative to learn and develop new audit and attest skills Maintain and promote the ideals, values, mission, and vision of Wojeski & Co. Qualifications: Bachelor's or Master's degree in accounting CPA candidate, if not already obtained 1+ years of public accounting auditing experience Strong computer skills Strong written and oral communication skills Ability to work addition hours during peak client service delivery times Benefits and Perks Include: Company Outings In-Office Events Competitive compensation and PTO 401(k) program with employer match Discounted Financial Planning/Counseling Flexible Schedules Reduced Summer Hours Work From Home Policy CPE Exam Reimbursement Health and Wellness Benefits Mentorship and Learning Development

We are seeking highly motivated individuals to join our firm's audit division. Our Certified Public Accounting firm specializes in independent financial statement audits and single audits. We offer great opportunities for professional fulfillment and advancement in public accounting, balanced with individual needs. We provide flexible schedules, unlimited paid time off accrual, remote work, and an opportunity to work with an awesome team of professionals. Our firm is lead with compassion and greatly values mental health of team. We recently opened a state-of-the-art office in Secaucus, NJ that exemplifies our commitment to our team and every individual on it. Responsibilities and Duties Audit associates will go through comprehensive training and will then be initially assigned audit testing and analysis under the supervision of experienced team members to gain a better understanding of accounting and internal controls. Audit associates are developed as both accountants and critical thinkers. Some light and local travel will be required to clients in northern New Jersey. Qualifications and Skills Individuals should have a bachelor's or master's degree in accounting. Some experience is preferred, but not required. Culture and Compensation At DGDT, what you do matters! We see business and government from many perspectives. Our unique expertise and experience along with our belief that when what you do matters, what we do matters, is what makes us one of New Jersey's most highly regarded firms. We pride ourselves on caring by providing dynamic, expert, highly individualized services to clients ranging from private individuals and businesses to local governments and nonprofits. We have a great team environment and are always invested in growing our members. Competitive salary and benefits including: Health insurance Dental insurance Life insurance 401(k) Unlimited paid time off accrual Flexible schedule

The Internal Auditor II works in a self-directed team environment to execute internal audits as defined by management and the Audit Committee with progressive latitude for team goal setting, initiative and independent judgement on collective work products. The auditor works to identify and evaluate organizational risk, recommends and monitors mitigation action and supports the development of the annual audit plan. Essential Functions: Conduct operational, performance, financial and/or compliance audit project work including, business process survey, project planning, risk determination, test work, recommendation development and monitoring and validation of remediation Work within a self-directed team environment with limited direct supervision, employing significant creativity in determining efficient and effective ways to achieve audit objectives Actively participate in the development and implementation of a flexible risk-based, flexible annual audit plan considering control concerns identified by senior management Coordinate and collaborate on internal audit projects including assessing the adequacy of the control environment to achieve defined objectives in accordance with the approved audit program and professional standards Facilitate communication of organizational risks and audit results to business owners through written reports and oral presentations and provide support and guidance to organizational leadership on effective internal control design and risk mitigation Coordinate, monitor, and complete team tasks within agreed upon timeframes and meet individual and team project timelines, which may be aggressive at times. Influences team prioritization and scheduling of work, problem solving, assignment of tasks, and takes initiative when problems arise. Provides cross-training of team members Support management in onboarding new team members through mentorship, shadowing, and training of all required functions and processes and influence standards for expected team behaviors Assist in the coordination of external audits of CareSource by government agencies, accounting firms, etc. Develop and maintain productive professional relationships with CareSource staff and management by developing trust and credibility Significant interaction with others in the Department of differing skillsets (clinical, IT, etc.), organizational management and staff throughout CareSource, including interaction with the senior most levels Coordinate audit projects as necessary with other CareSource functions, including CareSource Assurance teams Generally conform to IIA standards and maintain all organizational and professional ethical standards, even in difficult or challenging situations Willing to accept feedback, coaching and criticism from others, including peers and management both in Internal Audit or outside of Internal Audit, reflect on the information, and adapt when appropriate Perform any other job duties as requested Education and Experience: Bachelor's degree in finance, business management, healthcare administration, accounting or related field or equivalent years of relevant work experience is required Master of Business Administration (MBA), or other graduate degree is preferred A minimum of three (3) years of finance, business management, healthcare administration, accounting or related field is required; experience in internal auditing or public accounting is preferred Knowledge of audit principles and IIA Standards and Code of Ethics required Experience in risk and control assessments is preferred Experience in thoroughly documenting process flows and controls in financial, and/or business operations cycles preferred Experience with Sarbanes Oxley 404 or Model Audit Rule preferred Experience in health care or insurance fields is preferred Competencies, Knowledge and Skills: Strong communication skills, including proper writing skills adaptable for the audience and purpose, presentation skills for internal or external audiences and senior management, and interpersonal skills sufficient to develop strong professional relationships with CareSource management and staff Solid critical thinking skills including professional skepticism and problem resolution Data analysis and trending skills and ability to compose and present reports using audit data Ability to work in a matrix environment with responsibility for multiple deliverables for multiple functional areas within CareSource Team and customer service oriented Collaborative mindset and ability to operate in a self-directed team environment with collective accountability Strong ability to adapt to changing environment Strong self-leadership, organizational and time management skills Driven to proactively seek relevant development, education and training opportunities Strong sense of integrity and ethics in performance of all duties Takes initiative to identify and influence innovative process improvement Self-driven to work independently within a team environment Success in working in a self-directed matrixed environment Advanced level experience in Microsoft products Licensure and Certification: CIA, CISA, CPA, CMA, CRMA or other appropriate finance, IT or internal audit licensure or certification is preferred Working Conditions: Most work will be performed in an office or virtual setting; however, performing onsite audits may also be necessary depending on assignments May be required to sit or stand for extended periods Compensation Range: $61,500.00 - $98,400.00 CareSource takes into consideration a combination of a candidate's education, training, and experience as well as the position's scope and complexity, the discretion and latitude required for the role, and other external and internal data when establishing a salary level. In addition to base compensation, you may qualify for a bonus tied to company and individual performance. We are highly invested in every employee's total well-being and offer a substantial and comprehensive total rewards package. Compensation Type (hourly/salary): Salary Organization Level Competencies Fostering a Collaborative Workplace Culture Cultivate Partnerships Develop Self and Others Drive Execution Influence Others Pursue Personal Excellence Understand the Business This is not all inclusive. CareSource reserves the right to amend this job description at any time. CareSource is an Equal Opportunity Employer. We are dedicated to fostering an environment of belonging that welcomes and supports individuals of all backgrounds.#LI-RW1