- Molina Healthcare (TX)
- …improvement activities. Responsible for overseeing delegated activities to ensure compliance with the National Committee for Quality Assurance (NCQA), Centers ... and cost-effective member care. This position will support our Corporate Compliance business. The candidate must have an unrestricted LVN licensure. Candidates… more
- Sutter Health (Sacramento, CA)
- …and resolution; and technical support to achieve desired outcomes and compliance with Sutter Health policies/procedures and standards. Manages team workload, ... resources and compliance with service level agreements to ensure activities are...Management or related field **CERTIFICATION & LICENSURE:** CPC-Certified Professional Coder OR COC-Certified Outpatient Coding OR RHIT-Registered Health Information… more
- McLaren Health Care (Mount Pleasant, MI)
- …in healthcare related field + ACMA or ACDIS memberships + Certified Medical Coder , Certified in Healthcare Compliance , Certified Coding Specialist, or Certified ... revenue cycle process (Central Business Services - CBS) to ensure both compliance and the maximization of appropriate reimbursementon denied/appealed cases based on… more
- Geisinger (Danville, PA)
- …order to meet and maintain enterprise, goals and objectives, regulatory compliance , quality initiatives, policy and procedures, and personnel management. Create ... risk of mortality, quality measure and metric support, and DRG assignment in compliance with industry rules and regulations, for completeness and accuracy of the… more
- CenterWell (Fort Worth, TX)
- …medical record documentation in a timely manner working with a quality- based coder to optimize coding specificity. Follows policy and protocol defined by Clinical ... local primary care "on-call" program of CenterWell as needed. Assures personal compliance with licensing, certification, and accrediting bodies. Spend 100% of your… more
- CenterWell (Port Arthur, TX)
- …medical record documentation in a timely manner working with a quality- based coder to optimize coding specificity. . Follows policy and protocol defined by Clinical ... "on-call" program of CenterWell as needed. . Assures personal compliance with licensing, certification, and accrediting bodies. . Spend...the policy of Humana to take affirmative action, in compliance with Section 503 of the Rehabilitation Act and… more
- CenterWell (Houston, TX)
- …record documentation in a timely manner, working with a quality-based coder to optimize coding specificity. + Coordinate patient services, including specialty ... "on-call" program of CenterWell as needed. + Ensure personal compliance with licensing, certification, and accrediting bodies. + Spend...the policy of Humana to take affirmative action, in compliance with Section 503 of the Rehabilitation Act and… more
- Ideal Home Care (Islandia, NY)
- …medical billing processes, coding diagnoses and procedures, and ensuring compliance with healthcare regulations. Key Responsibilities: + Curriculum Delivery: Teach ... HCPCS coding systems, insurance claims, reimbursement processes, and regulatory compliance . + Instructional Methods: Utilize a variety of instructional techniques… more
- Houston Methodist (Houston, TX)
- …current staff to enhance coding skills as well as to ensure compliance with regulations/guidelines. This position deploys the education plans and training programs ... is required **LICENSES AND CERTIFICATIONS - PREFERRED** + CPC-I - Certified Professional Coder Instructor (AAPC) -- (CBO Coders only) **OR** + CPMA - Certified… more
- Bluestone Physician Services (Stillwater, MN)
- …guidance and feedback to providers to facilitate improved documentation practices and ensure compliance with coding standards. + Act as a resource for clinical staff ... Information Management, Nursing, or related field. + Certified Risk Adjustment Coder (CRC) certification, Risk Adjustment Coding (RAC) or related risk certification… more