- Wolters Kluwer (Austin, TX)
- …efficiently manage the Change of Agent process from initial client inquiry through compliance audit , order processing, and sending the deliverables to the ... Efficiently manage the Change of Agent process from initial client inquiry through compliance audit , order processing, and sending the deliverables to the… more
- Centene Corporation (Austin, TX)
- …(JD) preferred + 10+ years progressive experience in fraud investigations, healthcare compliance , or regulatory enforcement. required + Significant experience ... detecting, preventing, and correcting fraud, waste, and abuse ("FWA") in healthcare billing through investigation and coordination with internal and external… more
- Methodist Health System (Dallas, TX)
- …organizational goals, policies, procedures and contract terms. * Serves as the hospital Compliance Officer and primary contact for internal audit functions and ... maximize the hospital's financial performance and contribution to the overall healthcare system's strategic and operational goals through innovative leadership and… more
- Datavant (Austin, TX)
- … Compliance , and Scalability** + Ensure analytics products support audit defensibility, regulatory compliance , and documentation traceability. + Design ... in health data exchange. Our vision is that every healthcare decision is powered by the right data, at...client usability and customization. + Partner with Security and Compliance teams to uphold data privacy and HITRUST standards.… more
- Healthpeak Properties, Inc. (Houston, TX)
- …Ensure operational compliance (ie vendor contract reviews, insurance certificate compliance , tenant contact audit , etc.) + Regularly review receivable ... in owning, operating, and developing high-quality real estate focused on healthcare discovery and delivery. Our impressive portfolio includes nearly 50 million… more
- Catholic Health Initiatives (Bryan, TX)
- …and medical and/or surgical Registry Abstraction + One (1) year healthcare -related quality management/performance improvement experience (eg, chart audit , PI ... OPPE, FPPE). Participates in an integral role to ensure compliance with CMS HIQRP/HOQRP, TJC, Leapfrog, etc., data collection...field in state of practice. + Certified Professional in Healthcare Quality (CPHQ), or Healthcare Quality and… more
- Sanford Health (TX)
- …regulatory coding compliance guidelines and company procedures. Review and audit medical record documentation accurately to reflect healthcare coding and ... medical documentation, assign appropriate codes (ICD-10, HCPCS, CPT), and ensure compliance with coding standards, regulations, and company procedures. The position… more
- Vighter Medical Group (San Antonio, TX)
- …and personal growth. Vighter's Mission is to provide efficient, fast, high quality healthcare staffing to our clients. Our Culture's 5 key elements are crucial to ... the financial aspects of government contracts, including cost reporting, invoicing and compliance . The ideal candidate will have a solid understanding of government… more
- Humana (Austin, TX)
- …Research and analyze compliance information necessary to support internal and external audit activity. + Act as "Go To" person for resolution of issues relating ... provides support for handling and analyzing data that pertains to the compliance of Humana producers. The Business Technical Support Professional will work… more
- Fresenius Medical Center (Abilene, TX)
- …core values and customer service philosophy. Adheres to the FMCNA Compliance Program, including following all regulatory and company policy requirements PRINCIPAL ... work progress on caseloads; Analyzes patient reports from billing systems as an audit check to ensure the correct insurance information is entered into the billing… more