- Humana (Trenton, NJ)
- …mitigate risks. The Senior Clinical Compliance Professional will support the Director of Compliance, by ensuring compliance with governmental requirements for ... revenue cycle management (related to billing, coding, collections for Medicare and Medicaid claims) + Experience with Auditing and monitoring of healthcare records +… more
- Hackensack Meridian Health (Edison, NJ)
- …of positive change. Under the general direction of the Physician Billing (PB) Director of Coding and Manager of Education and Audit, this position supervises the ... for medical provider documentation while adhering to Centers for Medicare and Medicaid Services (CMS) and Office of Inspector General (OIG) guidelines for Hackensack… more
- Nestle (Bridgewater, NJ)
- …distributor partnerships. Collaborating with National Account Senior Managers and the Director of the Distributor Channel, the Senior Manager develops and implements ... healthcare market dynamics, including reimbursement models and payer landscapes ( Medicaid , Medicare, and private insurance). By negotiating and executing distributor… more
- Atlantic Health System (Morristown, NJ)
- …fraud and abuse issues, HIPAA compliance, EMTALA, Medicare and Medicaid compliance, licensure issues, pay-to-play issues, corporate governance and regulatory ... corporate work experience, including prior experience with hospitals, Medicare and Medicaid , and federal and state healthcare regulatory issues, including fraud and… more
- Atlantic Health System (Morristown, NJ)
- …- its highest - twelve consecutive times, and the Centers for Medicare and Medicaid Services awarded us again with its highest five-start rating in 2020. Morristown ... - its highest - twelve consecutive times, and the Centers for Medicare and Medicaid Services awarded us again with its highest five-start rating in 2020. Morristown… more
- Atlantic Health System (Morristown, NJ)
- …needs of the department. Dual Reporting * Educator directly reports to Unit Director /Manager * Educator has dotted line report to Nursing Manager * Nursing Education ... coverage based on unit educator LOAs & vacancies when notified by unit manager/ director 2) assign additional education support for units inundated with orientees and… more
- Cardinal Health (Trenton, NJ)
- …and proactively provides guidance and trainings on policies. Reporting to the Director , Ethics & Compliance, this position supervises and manages audits to determine ... coders, billers and other appropriate staff. This position will also support the Director with transactional audit diligence and integration planning, as well as the… more
- Serenity Hospice Care (Atlantic County, NJ)
- …physician. + Consults with the patient's attending physician, the medical director and other healthcare practitioners regarding the patient's eligibility for care, ... needs of patients and family/caregiver + Makes recommendations to the Medical Director regarding patient eligibility for certification and recertification for care +… more
- Atlantic Health System (Newton, NJ)
- …and adherence with corrective action plans and reports findings to the Director of Quality and Patient Safety or designee. 4. Regulatory Compliance: Participates ... Joint Commission, State Department of Health, Centers for Medicare and Medicaid , payers and other agencies. Provides support during accreditation/regulatory surveys.… more
- Atlantic Health System (Morristown, NJ)
- …to practice area. Job Function: 06. Other tasks as required by manager, director , or leadership. Education Master's Degree in Social Work from an accredited school ... - its highest - twelve consecutive times, and the Centers for Medicare and Medicaid Services awarded us again with its highest five-start rating in 2020. Morristown… more