- Dana-Farber Cancer Institute (Brookline, MA)
- …and state regulations, payer requirements, national coding guidelines, and internal policies. The Billing Compliance Reviewer is responsible for developing ... coding processes. This role works collaboratively with Coding , HIS, Billing and other internal and...(eg, CPC, CCS, RHIT, RHIA)Preferred: CPMA (Certified Professional Medical Auditor ), CHC (Certified in Healthcare Compliance ) or… more
- Emory Healthcare/Emory University (Atlanta, GA)
- …of experience working as a medical coder, coding auditor , and/or coding educator. + Certified in Healthcare Compliance (CHC or CPCO) preferred. If no ... providers and other stakeholders to ensure accurate and compliant coding , with an emphasis on Evaluation and Management (E/M)...AUDITING & REPORTING:** + Participate in specialty and high-risk internal audits and reviews to assess compliance … more
- Option Care Health (Bannockburn, IL)
- …preferred, as is familiarity with statistical methodologies. + Certified in Healthcare Compliance (CHC), Certified Internal Auditor (CIA), Certified Fraud ... teams to develop and implement analytics-driven, risk-based capabilities to continuously monitor compliance with internal policies and federal, state, and local… more
- YMCA of Greater Seattle (Seattle, WA)
- …VP Finance, FP&A, Revenue, and program teams on accounting questions, fund coding needs, and compliance considerations. Qualifications Minimum Qualifications: . ... versatile and respectful manner. Job Summary The Director of Accounting and Compliance provides operational leadership for the YMCA of Greater Seattle's accounting… more
- Empire State University (NY)
- …Description: Empire State University is currently seeking a Director of IT Compliance and Digital Accessibility in the Office of Integrated Technologies. The ... in designing, implementing, and continuously improving the university's IT compliance program, including oversight of regulatory adherence, risk management, and… more
- Catholic Health Initiatives (Little Rock, AR)
- …travel may be involved. + Supports quality, clinical practice, safety, risk coding , compliance , patient experience and Health Information Management functions ... organizational roles. + Serves as market liaison, interfacing with internal clinical leaders and external payer partners for all...and risk for the value hub. + Through Risk Management/ Auditor Manager, implements a risk adjustment coding … more
- SUNY Upstate Medical University (Syracuse, NY)
- …professional OB/GYN encounters. This position serves as a key liaison between coding , clinical, and compliance departments ensuring that all documentation and ... ongoing education to OB/GYN providers and clinical staff on documentation quality, coding updates, and best practices to optimize compliance and reimbursement.… more
- University of Southern California (Alhambra, CA)
- …conducts meetings to evaluate department charge processes to improve charge capture and coding compliance . The Senior RI Specialist also coordinates with Keck ... to clinical revenue generating departmental staff regarding the CDM Maintenance process, coding updates, compliance issues, and charge capture improvement. The… more
- Commonwealth Care Alliance (Boston, MA)
- …Working under the direction of the Sr. Director, TPA Management and Claims Compliance , Healthcare Medical Claims Coding Sr. Analyst will be responsible for ... health care programs and reimbursement methodologies (Medicaid and Medicare) + Medical Coding , Compliance , Payment Integrity and Analytics + Direct and relevant… more
- Excellus BlueCross BlueShield (Rochester, NY)
- …in discussions with Medical Directors and/or clinical consultants. + Serves as an internal auditor /peer reviewer for new clinical staff, as needed. + Mentors ... provides practical business recommendations for corrections. Works with business area staff, Compliance , and other internal departments as necessary to develop… more