- Highmark Health (Harrisburg, PA)
- …to the appropriate framework, including but not limited to NIST, HITRUST, PCI, HIPAA , SOC, MAR, CMS, JCAHO, in order to identify, assess, prioritize, evaluate and ... work prepared by less experienced team members to ensure audit quality standards are consistently met in all forms...guidance (including, but not limited to NIST, HITRUST, PCI, HIPAA , SOC, MAR, CMS, JCAHO reports) and performs qualitative… more
- Penn Medicine (Philadelphia, PA)
- …technical issues maintaining compliance with regulatory standards such as HIPAA . Understands integration between various applications and functionality within those ... and procedures of Penn Medicine to ensure necessary controls, documentation, and audit trails. Performs duties in accordance with Penn Medicine and entity values,… more
- Penn Medicine (Philadelphia, PA)
- …technical issues maintaining compliance with regulatory standards such as HIPAA . Understands integration between various applications and functionality within those ... procedures of Penn Medicine to ensure necessary controls, documentation, and audit trails. Ensure system changes follow change management procedures and protocols… more
- Highmark Health (Harrisburg, PA)
- …OVERVIEW:** Performs all related internal, concurrent, prospective and retrospective coding audit activities. Reviews medical records to determine data quality and ... identified in the audits compliant with regulatory requirements. Provides written audit guidance. Participates with management in the assessment of external … more
- Highmark Health (Pittsburgh, PA)
- …force in the development of hospital/facility reimbursement related strategies to audit , educate, and secure financial recoveries when necessary, and/or to develop ... including managers, team leaders and staff have a thorough understanding of audit , compliance and strategies imperative for department success. Ensures a culture of… more
- UPMC (Pittsburgh, PA)
- …perpetual inventory logs etc. + Comply with Federal and State laws such as HIPAA , regulations such as OSHA, and PBM contracting requirements such as FWA and CMS. ... + Comply with Federal and State laws such as HIPAA , regulations such as OSHA, and PBM contracting requirements...wash logs, refrigerator logs, perpetual inventory logs etc. + Audit and maintain accurate records for controlled substances. Assure… more
- Datavant (Harrisburg, PA)
- …vulnerability management, asset inventory hygiene, identity and access management, and audit readiness. Depending on priorities, you may lean into one security ... application protection) and broader efforts such as identity and access management, audit readiness, and risk mitigation. + **Translate strategic goals into program… more
- Highmark Health (Blue Bell, PA)
- …Management governance strategy for the Enterprise to appropriately manage CMS audit risk. **ESSENTIAL RESPONSIBILITIES:** 1. Program Development and Management: + ... a governance structure that provides significant oversight of the governmental audit and compliance risks. + Build statistically sound strategies to evaluate… more
- Fresenius Medical Center (Malvern, PA)
- …point of contact and interface with cross-functional teams. + Maintain an audit trail by gathering appropriate documentation throughout the collection process and ... employee and company information in compliance with company policies and procedures, HIPAA and other regulatory requirements. + Post electronic and manual payments;… more
- Penn Medicine (Philadelphia, PA)
- …federal, state and local regulatory standards and requirements, including DOH, TJC, FDA, HIPAA , HCFA, DPW, OSHA and others for practices under their leadership. * ... Complies with yearly education requirements including HIPAA , OSHA, Safety, and CLIA. * If applicable, manages...OSHA, Safety, and CLIA. * If applicable, manages the audit /survey process for the practice(s). + **Change Management:** Provides… more