The Provider Audit Reviewer is responsible for approving the audit scope determinations, conducting full reviews of the completed audits, high level desk reviews, special projects and ensures workloads are current and operating within Medicare, corporate, and departmental guidelines and budgets. Essential Functions Key Duties/Responsibilities/Accountabilities Meets contra

The Certified Coding Analyst performs coding analysis to ensure all claims billed to Medicare (Part A, B, & DME) are appropriately coded per coding standards and adheres to all Medicare rules and regulations. This position educates internal staff on coding standards and assists in the claim review process. Key Performance Indicators Performs billing and coding analysis Pr

The Provider Auditor is responsible for conducting Centers for Medicare & Medicaid Services (CMS) and other financial analysis, limited and full desk reviews, and in house and on site field audits to ensure proper reimbursement for health care providers for the Medicare programs.These positions are the face of Noridian interacting with providers/facilities management thro

The Medical Review Analyst is responsible for the completion and development of medical review reporting requirements to assist in the development of innovations and efficiencies towards the medical review workloads. This position manages all case management activities for effective progressive corrective action. Key Performance Indicators Excellent multi tasking skills P

The Operations Manager provides guidance, leadership, planning, and reporting to the assigned business unit. This position ensures the assigned business unit is administering the organizations contracts with the best possible service while maintaining contract expectations and within budget constraints and optimizing staffing levels. Essential Functions Key Duties/Respons

The Third Party Risk Analyst is responsible for assisting and guiding the risk management function, including risk document management, risk qualification, contract negotiation, ongoing monitoring, and risk relationship management programs. Essential Functions Key Duties/Responsibilities/Accountabilities Collaborates with operational areas to ensures contractual obligatio

The Provider Auditor is responsible for conducting Centers for Medicare & Medicaid Services (CMS) and other financial analysis, limited and full desk reviews, and in house and on site field audits to ensure proper reimbursement for health care providers for the Medicare programs.These positions are the face of Noridian interacting with providers/facilities management thro

The Provider Auditor is responsible for conducting Centers for Medicare & Medicaid Services (CMS) and other financial analysis, limited and full desk reviews, and in house and on site field audits to ensure proper reimbursement for health care providers for the Medicare programs.These positions are the face of Noridian interacting with providers/facilities management thro

The Provider Auditor is responsible for conducting Centers for Medicare & Medicaid Services (CMS) and other financial analysis, limited and full desk reviews, and in house and on site field audits to ensure proper reimbursement for health care providers for the Medicare programs.These positions are the face of Noridian interacting with providers/facilities management thro

The Customer Service Representative responds to calls or written correspondence and serves as a direct point of contact for customers, assisting with information in response to various inquiries. Key Performance Indicators Excellent multi tasking skills Excellent customer service skills Strong verbal and written communication skills Essential Functions Key Duties/Responsi

The Supervisor Operations provides guidance, leadership, planning and reporting to appropriate individuals, oversees frontline staff, and works with Human Resources on staffing needs. This position provides guidance, resources, and support to ensure the business unit is administering the contract requirements while providing quality service, maintaining expectations, and

The Operations Manager provides guidance, leadership, planning, and reporting to the assigned business unit. This position ensures the assigned business unit is administering the organizations contracts with the best possible service while maintaining contract expectations and within budget constraints and optimizing staffing levels. Essential Functions Key Duties/Respons

The Training Advisor analyzes and understands the department's current performance opportunities, then develops and implements learning strategies and plans to elevate the department's/division's business impact and performance. This individual continually researches, recommends, creates, and integrates new training methods and platforms. This position is responsible for

The Supervisor Operations provides guidance, leadership, planning and reporting to appropriate individuals, oversees frontline staff, and works with Human Resources on staffing needs. This position provides guidance, resources, and support to ensure the business unit is administering the contract requirements while providing quality service, maintaining expectations, and

The Provider Outreach and Education (POE) Representative is responsible for providing education to providers/suppliers that focuses on reducing the Comprehensive Error Rate Testing (CERT) and reducing claim submission errors based on data analysis. This position produces educational material and web content on topics including enrollment, billing, coding, and new initiati