Health Plans LPN Auditor conducting independent chart reviews for Arizona's health plans. Collaborating with facilities to ensure compliance with quality standards and regulations.
Responsibilities
Independently review patient medical charts for compliance
Provide feedback and assistance to facilities for compliance
Perform quality medical record reviews and data analysis
Monitor and track Corrective Action Plans (CAPs)
Report potential risk or compliance issues
Support continuous improvement in Medical Management
Requirements
Current, unrestricted State of Arizona LPN license
Two years of experience, preferably in a family practice or pediatric medical office setting
Excellent verbal and written communication skills
Strong collaborative skills
Knowledge and understanding of HEDIS specifications
Knowledgeable of NCQA, HEDIS, AHCCCS, and CMS standards and reporting requirements
Risk & Regulatory IT Audit Senior Associate in a global accounting firm. Focused on digital assurance and helping clients navigate complex regulatory and IT environments.
Auditor collaborating with brokers and agents at Prima to shape the auto insurance future. Supporting strategy, training, and audits for market products.
Quality auditor checking glass quality and conducting tests for innovative glass product manufacturing. Engaging in quality assurance and troubleshooting within the production process.
Quality Auditor/Reviewer Clinician conducting reviews of clinical records for compliance and quality. Collaborating with staff for ongoing education and quality improvement initiatives.
Night Auditor providing first contact service for guests at AC Wichita, KS. Responsible for check - in, check - out, and overall guest satisfaction during overnight shifts.
Corporate Auditor responsible for risk - oriented audits and ensuring compliance at Heraeus. Engaging with management teams to recommend improvements based on audits.
Senior Internal Auditor enhancing control environments and SOX compliance at Caris. Engaging in audits and contributing to finance and operational improvements.
Senior IT Internal Auditor focusing on SOX compliance and IT controls in a healthcare innovator. Leading audit engagements and advising on technology risks and control design.