- Highmark Health (Harrisburg, PA)
- …with coding principles and guidelines. Promotes cooperation with CDMP and compliance programs to improve documentation which supports compliant coding. Interacts ... and modifier systems, missed secondary diagnoses and procedures and ensures compliance with DRG/APC structure and regulatory requirements. Performs periodic claim… more
- Highmark Health (Pittsburgh, PA)
- …to contractual and payment issues both internally and externally. Ensures compliance with contractual terms. **ESSENTIAL RESPONSIBILITIES** + Monitor activities by ... each contract and maintaining some mechanism for monitoring and documenting compliance with those terms. Perform special studies/audits, coordinating office site… more
- PNC (Pittsburgh, PA)
- …subject matter specialties, communicates effective enterprise wide and business unit compliance program requirements and implications to comply with the Bank Secrecy ... constructively challenge conclusions/status quo and credibly influences customers. + Updates Compliance policies and procedures as needed. Ensures that Compliance… more
- PNC (Pittsburgh, PA)
- …business leaders, customers, regulators, and auditors. + Oversees the update of Compliance policies and procedures as needed. Ensures Compliance Manuals, Front ... AML and Sanctions Program monitoring reviews. + Reviews AML and Sanctions compliance reports and related customer risk profiles. Identifies issues, escalates through… more
- Highmark Health (Pittsburgh, PA)
- …infection data to prevent the spread of infection and ensure compliance with required regulations. Additionally, the team focuses on continued education ... responsible for implementing hospital-wide infection prevention programs while ensuring compliance with the mandates of required accrediting and regulatory agencies.… more
- Highmark Health (Pittsburgh, PA)
- …& Thursdays) This job executes operational, regulatory, and information technology compliance audits and advisory engagements to determine whether Highmark Health ... perform planning activities for operational, regulatory, and information technology compliance audits across the Highmark Health Enterprise, including the… more
- The Hartford (Philadelphia, PA)
- …opportunities to optimize the Construction XS risk profile.* Regulatory Compliance : Ensure compliance with all relevant regulatory requirements.Qualifications:* ... Legal Notice (https://www.thehartford.com/legal-notice) Accessibility StatementProducer Compensation (https://www.thehartford.com/producer-compensation) EEO Privacy Policy (https://www.thehartford.com/online- privacy -policy) California Privacy… more
- Coinbase (Harrisburg, PA)
- …security of solutions. * *Ensure Responsible AI:* Work with Security, Legal, and Compliance teams to ensure all AI solutions adhere to strict security, privacy ... & Risk Awareness:* * Experience working cross-functionally with legal, security, compliance , and engineering teams. * Strong understanding of data privacy… more
- Coinbase (Harrisburg, PA)
- …Audit is to objectively evaluate and audit the effectiveness of governance, compliance , risk management, and control process. The in-house Coinbase Internal Audit ... Legal, IT, Security, and 2nd Line functions like Risk Management and Compliance ) and external auditors. Strategically manage these relationships to coordinate audit… more
- Highmark Health (Pittsburgh, PA)
- …and management program development. ESSENTIAL RESPONSIBILITIES: + Ensures hospital compliance with infection control practices with regard to sterilization and ... storage practices and assures compliance with local, DOH, national, professional and manufacturer's regulations...of 1996 (HIPAA) as described in the Notice of Privacy Practices and Privacy Policies and Procedures… more