- Highmark Health (Sacramento, CA)
- …OVERVIEW:** Performs all related internal, concurrent, prospective and retrospective coding audit activities. Reviews medical records to determine data quality and ... with coding principles and guidelines. Promotes cooperation with CDMP and compliance programs to improve documentation which supports compliant coding. Interacts… more
- Cedars-Sinai (Beverly Hills, CA)
- …progress of screening, enrollment, and data submission. Responsible for ensuring protocol compliance and training of staff supporting the program. + Plans and ... supports the department/program leaders during an audit , to include direction for audit prep...+ Monitors program to ensure appropriate governance and program compliance with local, state and federal laws; accreditation, professional… more
- Datavant (Sacramento, CA)
- …company and the world's leader in health data exchange. Our vision is that every healthcare decision is powered by the right data, at the right time, in the right ... team. Together, we're rising to the challenge of tackling some of healthcare 's most complex problems with technology-forward solutions. Datavanters bring a diversity… more
- Highmark Health (Sacramento, CA)
- …for proactive and investigative purposes to comply with internal audit and regulatory requirements. **ESSENTIAL RESPONSIBILITIES** + Performs investigations into ... Credentialing or Medical Review Committee. + Engages in delivery of audit results and overpayment negotiations.Responsible for recovery/ savings of misappropriated… more
- Cedars-Sinai (CA)
- …within a rapidly growing and evolving health system. This position ensures compliance with regulations and collaborates with various departments to enhance service ... Cedars-Sinai payroll processes, employment taxes, and all applicable labor laws, and compliance with wage and hour laws and federal and state regulations. Primary… more
- Abbott (Alameda, CA)
- …+ Support and maintain recall log and files. + Develop tools to streamline audit consistency. + Update compliance team documents, as requested. + Support quality ... Abbott is a global healthcare leader that helps people live more fully...Staff Quality Auditor will serve as experts for the compliance team with respect to observation tracking, auditing, regulations… more
- Medtronic (Irvine, CA)
- …experience in cybersecurity GRC (Governance, Risk, & Compliance ), or external/internal audit , preferably within the medical device or healthcare industry. + ... life-long career of exploration and innovation, while helping champion healthcare access and equity for all. You'll lead with...the team, you will provide expertise in risk management, compliance , and security strategy, while also playing a key… more
- Carrington (Anaheim, CA)
- …system of record are current and entered upon receipt. + Respond to site audit exceptions identified by QCVM for compliance and ensure tracking and timely ... with such vendors to monitor and ensure their continued compliance with our applicable company policies and regulatory guidelines....delivery of completed site audit reports to internal stakeholders based on department procedures,… more
- Robert Half Office Team (Palm Springs, CA)
- …the unique demands of the role. Requirements EHR SYSTEM, Auditing, Compliance , Council for Affordable Quality Healthcare (CAQH), Credentialing, Credentialing ... and facilitate the initial credentialing and recredentialing process for healthcare providers participating in managed care networks. Verify licenses,… more
- Providence (Irvine, CA)
- …and compliance . **What You'll Do** + Advise business clients on compliance with key healthcare regulations, including Stark Law, Anti-Kickback Statute, False ... Are you a legal expert with a passion for healthcare and a strategic vision for the future? Join...regulatory/legal changes. + Provide legal guidance to Providence's Integrity, Audit , and Compliance Services Department, aiding internal… more
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