- Fresenius Medical Center (Dallas, PA)
- …vision, core values and customer service philosophy. Adheres to the FMCNA Compliance Program, including following all regulatory and FMS policy requirements. Ensure ... while maintaining cost-effective clinical operations in accordance with all legal, compliance , and regulatory requirements and programs. Adheres to all requirements… more
- Penn Medicine (Bala Cynwyd, PA)
- …provider groups and alternative care settings. Under the direction of the Director of Hospital Compliance , Government Audit and Appeals, receives, reviews, ... entry and organization of documents related to government audits, to include coding and medical necessity reviews. Logs medical record requests and audit results,… more
- CVS Health (Harrisburg, PA)
- …States: **Texas, Ohio, New York, and Oklahoma** + Experience with Interpreting Contracts + Billing and Coding certifications such as CPC (AAPC) + Knowledge of ... prosecution of health care fraud to recover lost funds. Responsible for compliance with state and federal regulations mandating the reporting of corporate… more
- Highmark Health (Pittsburgh, PA)
- …to achieve positive outcomes. Participate in educational and training sessions for provider billing staff to ensure understanding of and compliance with proper ... to contractual and payment issues both internally and externally. Ensures compliance with contractual terms. **ESSENTIAL RESPONSIBILITIES** + Monitor activities by… more