Overview This role is part of the training team for the Clinical Chart Validation team. This position is responsible for improving the technical effectiveness of our teams by planning, developing, and delivering technical training, mentoring, and assessment. The individual will work collaboratively with subject matter experts in the Commercial & Government Audit Teams, Quality Assurance, Concept Development, and others to validate workflows and communication tools to enhance audit productivity, performance, and client satisfaction. Responsibilities Training, Development, and Mentoring. - Assess job-specific needs and develop technical training plans with clear business objectives, including working with subject matter experts, developing training materials, and developing appropriate assessments and measurements of success. - Select training/instructional methods and procedures appropriate for the situation when learning or teaching new skills. - Deliver specific training sessions, including using suitable delivery methods such as classroom, online, and webinar. Identify the development needs of others and coach, mentor, or otherwise assist others with improving their knowledge skills. - Provide support to the CCV audit team members; assist with orientation of new members as needed, mentor new team members after orientation. - Promote audit accuracy measures by training/educating and mentoring the auditor and providing documented and validated findings. - Encourage critical thinking and discussion among team members on concepts as needed. - Provide training on one or more of the following audit types: Outpatient and Specialty Review Types to include SNF, IRF, and HH, DME, Hospice, and medical necessity. - Train Clinicians with coding certifications on coding principles. - Confer with management and conduct surveys to identify training needs based on projected production processes, changes, and other factors. - Participate in weekly/monthly team meetings to share best practices initiatives and recommend audit vulnerabilities. - Support the Medical Director to ensure accurate assessments of improper payments are based on consistent application of clinical guidelines. Assess customer/provider/stakeholder issues, complaints, and compliments. - Monitor/Assess the performance of self, other individuals, &/or organizations to make improvements or recommend remediation or corrective action. - Work with the Quality Team to train audit team members on findings from quality review audits. - Develop testing and evaluation procedures. Evaluate instructor performance and the effectiveness of training programs, providing recommendations for improvements. Conduct or arrange for ongoing technical training and personal development classes for staff members. Quality Assurance Controls. - Integrate healthcare auditing principles and use objectivity in the performance of medical audit activities and reviews. - Draw on healthcare proficiency and industry knowledge to substantiate conclusions. - Perform work independently, review and interpret audit work of others. - Depending on the nature and scope of the audit, may review medical records and apply in-depth knowledge of clinical criteria to determine medical necessity, appropriateness of setting, potential billing/coding issues, and quality concerns. - Demonstrate an understanding of complex contract specifications when performing medical record reviews. - Use healthcare expertise to determine approval or referral to the Medical Director. - Provide feedback on reviews to the Quality Assurance Manager as indicated in order to assist with the improvement of rationales sent to providers. New Concepts and Processes. - Develop reasonable and effective recommendations for concept solutions that reflect an understanding of the client environment and risks inherent to our business and industry. - Suggest and or develop and implement new ideas, approaches, decision trees, and/or technological improvements that will support and optimize audit results. - Collaborate with Data Services in developing new reports. Meets or Exceeds Standards/Guidelines for Productivity. - In addition to regular and predictable attendance, maintain production goals and quality standards set by the audit. - Performs QA audits against the expected level of quality and quantity (i.e. hit rate, # claims written, ID per hour). This job description is intended to describe the general nature and level of work being performed and is not to be construed as an exhaustive list of responsibilities, duties and skills required. This job description does not constitute an employment agreement and is subject to change as the needs of Cotiviti and requirements of the job change. Qualifications - Associates Degree or equivalent relevant experience required. Bachelor’s degree in Nursing, Healthcare Economics, Health Information Management, and/or Business, preferred, or 5 – 7 years of relevant experience (experience in any of the following: claims auditing/quality assurance/recovery auditing). - Clinical /Nursing experience in an SNF, IRF, and HH setting is required. - Coding certification is required and maintained as a condition of employment. (CCS, CPC, etc.). Candidates who hold a CCDS will also be given consideration but will need to obtain a coding certification within 6 months. - 5 to 7+ years of working with a broad knowledge of medical claims, billing/payment systems provider billing guidelines, payer reimbursement policies, medical necessity criteria, and coding terminology. - Adherence to official coding guidelines, coding clinic determinations, and CMS and other regulatory compliance guidelines and mandates. Requires expert coding knowledge - CPT and HCPCS codes. - Strong presentation skills. Comfortable in presenting/defending audit logic to clients and key stakeholders (i.e. hospitals, physicians, validation contractors, auditing team, etc.). - Independent thinker, logical, strategic, with a high focus and attention to detail. - Effective communication and presentation style (written and verbal) with proven ability to positively influence behavior and outcomes. - Knowledge of principles and methods for curriculum and training design, teaching and instruction for individuals and groups, and the measurement of training effects. - Competent administrative and organizational skills, ability to multitask, set priorities, and meet deadlines. - Professional demeanor: Ability to creatively solve problems, deal with ambiguity, develop and implement policy and procedures, perform analysis and prepare reports, and foster team building. - High level of proficiency with all audit technology i.e., R3, CAT, etc. - Proficiency in Word, Access, Excel, PowerPoint and other applications. - Excellent written and verbal communication skills. - Applicants should have home health, IRF, and SNF experience. Mental Requirements: - Communicating with others to exchange information. - Problem-solving and thinking critically. - Completing tasks independently. Physical Requirements and Working Conditions: - Remaining in a stationary position, often standing or sitting for prolonged periods. - Repeating motions that may include the wrists, hands, and/or fingers. - Must be able to provide a dedicated, secure work area. - Must be able to provide high-speed internet access/connectivity and office setup and maintenance. - No adverse environmental conditions are expected. Base compensation ranges from $105,000 to $125,000 per year. Specific offers are determined by various factors, such as experience, education, skills, certifications, and other business needs. This role is eligible for discretionary bonus consideration. Cotiviti offers team members a competitive benefits package to address a wide range of personal and family needs, including medical, dental, vision, disability, and life insurance coverage, 401(k) savings plans, paid family leave, 9 paid holidays per year, and 17-27 days of Paid Time Off (PTO) per year, depending on specific level and length of service with Cotiviti. For information about our benefits package, please refer to our Careers page. Date of posting: 3/2/2026 Applications are assessed on a rolling basis. We anticipate that the application window will close on 5/2/2026, but the application window may change depending on the volume of applications received or close immediately if a qualified candidate is selected. #LI-Remote #LI-JJ1 #Senior #LI-DNP

Overview Program Integrity Audit Analyst II - REMOTE The Program Integrity Audit Analyst II performs evaluation and development of leads associated with performance audits of Medicaid Managed Care Plans to identify potential fraud, waste, and abuse; issue findings and recommendations; and identify improper payments. In assuming this position, you will be a critical contributor to meeting CoventBridge Group's objective: To provide services to our clients that exceed their expectations and contribute to improved healthcare delivery by identifying and eliminating fraud, waste and abuse. This position will report directly to the Program Integrity Audit Supervisor and will work in our Grove City, OH office. If not local, remotely from a home office. Responsibilities/ Requirements Responsibilities: - Understanding of state Medicaid programs and managed care plan delivery systems. - Planning, coordinating, and conducting performance audits in accordance with Government Auditing Standards. - Understanding managed care encounter data and determining areas that require improved program integrity oversight. - Designing and implementing audit strategies for performing provider payment reviews and managed care plan performance audits using independent judgment to formulate a plan of action and direction in complex audit scenarios. - Work with auditors to develop audit plans clearly defining scope, steps, and tasks to achieve stated audit objectives including plans of action for audit development and information request processing. - Documenting specific findings and recommendations for improved contract compliance and process improvement; and identifying any improper payments with conclusions based on rule, policy, and billing instructions. - Developing and supporting findings that accurately report condition, criteria, cause, and effect and proposes viable recommendations for corrective actions, as applicable. - Prioritization and assignment of workload, ensuring adherence to task order policies and procedures. - Preparing factual and objective written reports in conformance with professional auditing and evaluation standards. - Ensure findings are well defined and are fully supportable and required reports are submitted according to pre-established time guidelines. - Interpret and apply pertinent laws, regulations, policies, and procedures relevant to the specific audit findings. - Conduct matrix review meetings with auditors to ensure thorough and timely completion of assigned audit tasks in accordance with task order guidelines and direction from CMS. - Prepare and submit medical record request letters to providers associated with requests for medical record requests or suspension overpayment determinations. - Serve as mentor/trainer to new Program Integrity staff. - Perform other duties as assigned by PI Audit Supervisor or the PI Manager, Deputy PI Manager, PI Project Manager, or Medicaid Operations Lead - Requirements: - Excellent research and organization, prioritization, and time management skills - Excellent verbal and written communication skills - Ability to work independently with minimal supervision - Ability to multi-task in a fast-paced environment - Knowledge of statistics, data analysis techniques, and PC skills are preferred - Experience with an inventory management and reporting system preferred - Proficiency with Microsoft Word and Excel required Educational/Experience Qualifications: - High School Diploma or G.E.D. equivalent, with preference given to those candidates who have successfully completed college or technical degree programs related to the position (e.g., Criminal Justice, Statistics, Data Analysis, etc.) - Candidates with Certified Fraud Examiner (CFE) Certifications will be given priority consideration - Minimum of one (1) year of experience conducting performance or compliance audits, with preference given to those who have conducted audits involving state Medicaid programs, or one (1) year of experience with an advanced degree preferred Benefits - Medical, Dental, Vision plans - Life, LTD and STD paid by the employer - 401(k) with company match up to 4% - Paid Time Off and company paid holidays - Tuition assistance after 1 year of service The salary range for this role is $60,000 to $70,000 annually. This is the lowest to highest salary we in good faith believe we would pay for this role at the time of this posting. We may ultimately pay more or less than the posted range, and the range may be modified in the future. An employee’s pay position within the salary range will be based on several factors including, but not limited to, relevant education, qualifications, certifications, experience, skills, geographic location, performance, and business or organizational needs. Pursuant to the San Francisco Fair Chance Ordinance, we will consider for employment qualified applicants with arrest and conviction records. About Us: CoventBridge Group is the global leader in full-service investigations providing Surveillance, SIU and Compliance, Claims Investigation, Counter-Fraud Programs, Desktop Investigations, Social Media, Record Retrieval, Canvasses and Vendor Management programs. The company provides top tier data privacy and security practices, deploys robust case management technology customized to clients’ needs and delivers worldwide coverage via its 1000 employees and affiliates worldwide. CoventBridge is an equal opportunity employer. We evaluate qualified applicants without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, caste, disability, veteran status, and other legally protected characteristics and maintains a drug-free workplace. CoventBridge is committed to the full inclusion of all qualified individuals. As part of this commitment, CoventBridge will ensure that persons with disabilities are provided reasonable accommodations. If reasonable accommodation is needed to participate in the job application or interview process, to perform essential job functions, and/or to receive other benefits and privileges of employment, please contact: Human Resources; 888-932-7364; humanresources@coventbridge.com.

Seeking a parttime (20 hours a week) inpatient auditor to validate DRGs, Pdx, MCC, CC, SOI, ROM, POA, PCS, and DD. Must have a minimum of 2 years of recent IP auditing experience and least 5 years of experience of prior IP coding experience. Must be experienced with auditing cases from an academic university health system and trauma level 1. Must be comfortable with reviewing cases from all specialties. Must have experience with Cerner and 3M. Prior to access being granted approx. 4 hours of learning modules must be completed, any candidate applying must be able to comment getting done within 48 hours of being released to the candidate. Candidate will be paid for the time. Schedule can be flexible within reason, but for initial training (1-2 weeks) must be available for a couple hours between 8a and 4p Mountain Time each day. AAP/EEO Statement Omega Healthcare is an Equal Employment Opportunity employer. All qualified applicants will receive consideration for employment without regard to their race, color, religion, national origin, gender, age, sexual orientation, gender identity or expression, marital status, mental or physical disability, protected veteran status, and genetic information, or any other basis protected by applicable law. Omega Healthcare also prohibits harassment of applicants or employees based on any of these protected categories. Omega Healthcare makes reasonable accommodations when needed for applicants and candidates with disabilities or religious observances. If reasonable accommodation is needed to participate in the job application, interview, or any other part of the hiring process, please contact Human Resources at employeerelationsus@omegahms.com. Founded in 2003, Omega Healthcare Management Services® (Omega Healthcare) empowers healthcare to thrive via intelligent solutions that optimize revenue cycle operations, administrative workflows, care coordination, and clinical research on a global scale. The company works with providers, payers, life science companies, medical device manufacturers, health technology firms, researchers, and industry partners to amplify teams with robust technology, specialty expertise, and operational support. Omega Healthcare serves more than 350 healthcare organizations with 35,000 skilled workers in the United States, India, Colombia, and the Philippines. For more information, visit www.omegahms.com

Join AAFCPAs as a Senior Accountant in Audit and become part of a team that values authenticity, inclusivity, innovation, and professional growth. In this role, you will manage multifaceted and complex assignments for a variety of clients and businesses while guiding other team members in the same. Our ideal candidate demonstrates a breadth and depth of professional knowledge and technical skills, interest in continuous learning, and the ability to build strong relationships with your teams and clients. You will collaborate as appropriate with AAFCPAs’ multidisciplinary team to meet clients’ evolving needs, sharing accountability with the manager and partner in ensuring timely and accurate service delivery and optimal client satisfaction. You will also lead audit engagement teams with an emphasis on clear communication, collaboration, and flexibility while ensuring deliverables are provided at agreed upon timelines. A people-first CPA and consulting firm, AAFCPAs seeks ambitious, proactive individuals with great minds and great hearts. We are committed to fostering a diverse and inclusive environment where you can bring your authentic self to work and feel like you truly belong. We prioritize people over profit, emphasizing meaningful work, self-care, empathy, and support for our team members. Our firm is dedicated to making a positive impact through exceptional service and a people-first approach. If you are driven, compassionate, and eager to contribute to a transformative and socially minded firm, we encourage you to apply. Company Description AAFCPAs is an innovative and forward-thinking firm. We have enjoyed primarily organic growth with a laser focus on people, culture, and a profitable growth mindset. We have a supportive, entrepreneurial, and purposeful culture and plan to remain independent. Our multidisciplinary team of 350+ professionals provide assurance, tax, outsourced accounting, business consulting, IT advisory, and wealth management services to nonprofits, commercial companies, wealthy individuals, and estates. In 2023, we celebrated 50 Years of Impact (1973-2023), and our sincere approach to business and service excellence has attracted discerning clients along with the best and brightest CPAs and consulting professionals. AAFCPAs donates 10 percent of its net profits annually to nonprofit organizations. We have an active Inclusion and Belonging committee and a commitment and accountability to these efforts. We publish our Impact Report annually. AAFCPAs is an independent member of PrimeGlobal, the fourth largest CPA firm association in the world with 300+ member firms in 80+ countries. This provides our clients with seamless national and global coverage along with an advantageous pay-as-you-use model. Core Competencies Technical Skills - BS/BA degree with a concentration in accounting and active pursuit of CPA - 3+ years of auditing experience with independent or charter schools with a public accounting firm - A service mentality and a thorough understanding of accounting debits and credits along with audit risk areas - Ability to work independently on assignments and address issues or questions with your engagement manager or partner - Strong time management, communication, interpersonal, and organizational skills along with attention to detail - Understand full engagement management process including client expectations, able to leverage your manager’s time well - Ability to build relationships with client staff - Encourage open dialogue and ongoing team communication - Open to learning and practicing effective presentation skills both verbally and written - Learn and employ best practice supervision techniques and use team resources effectively - Research and propose ideas to increase innovation and efficiency - Identify training needs and develop team members - Understand risks and ensure compliance with firm policy - Knowledge and demonstrated proficiency with Microsoft Excel and other Microsoft Office applications - Experience with Pro F/X is a plus Benefits - Competitive Salary and Bonus Plan - Flexible, Work from Anywhere Policy (Westborough, Boston, hybrid, or remote) - Comprehensive Benefits Package (subsidized medical and dental, 401(k), life insurance and disability coverage) - Generous and Flexible PTO - On-staff Leadership and Professional Development Coaching and Training - Complimentary Consultations with AAF Wealth Management Wealth Advisors - Abundant Learning and Development (CPE) Catalog and Resources - Firm-sponsored Memberships (AICPA, State CPA Society, and other Associations) - Zip2CPA and Tailored MBA Programs - Peer-driven and Partner-nominated Awards - Team Member Referral Incentives - Full access to AAFCPAs’ Automation Center of Excellence to streamline manual processes The salary range for this position reflects a broad set of factors considered in compensation decisions, including—but not limited to—skills, experience, training, certifications, and overall business needs. The stated range has not been adjusted for geographic differentials that may apply based on the position’s location. At AAFCPAs, it is uncommon for an individual to be hired at or near the top of the range, as compensation decisions are based on each candidate’s specific background and circumstances. A reasonable estimate of the current salary range for this role is $89,000 – $ 104,000 per year not inclusive of bonus potential. **Please note that while this position is remote, occasional travel to client locations, corporate meetings and trainings may be required to facilitate effective collaboration and engagement implementation. All your information will be kept confidential according to EEO guidelines. AAFCPAs is an equal opportunity employer and is committed to providing a workplace free from harassment and discrimination. We celebrate the unique differences of our employees because that is what drives curiosity, innovation, and the success of our business. We do not discriminate on the basis of race, religion, color, national origin, gender, sexual orientation, gender identity or expression, age, marital status, veteran status, disability status, pregnancy, parental status, genetic information, political affiliation, or any other status protected by the laws or regulations in the locations where we operate. Accommodations are available for applicants with disabilities.