- Amergis (Cleveland, OH)
- …on a given day, reports absence as soon as possible to the Professional Recruiter Coding Manager , or via established time off request procedures for future time ... records . Ensures optimal reimbursement of all cases in compliance with CMS policies and procedures and official ...compliance with CMS policies and procedures and official coding guidelines . Implements medical center's physician query process… more
- Henry Ford Health System (Grand Blanc, MI)
- …conjunction with OP Audit Analysts and Coordinators will utilize documentation and coding expertise to facilitate audits of the quality and completeness of medical ... be responsible for utilizing knowledge of Local, State and Federal coding guidelines and regulations, NCCI Edits, ICD-10CM, CPT, Hierarchical Condition Categories… more
- Providence (Oakland, CA)
- …Special Investigations Unit \* Remote The SIU Audit Investigator supports the compliance related activities of the Special Investigations Unit (SIU) at the Health ... Plan. This role assists the External Audit Senior Manager with developing, implementing and performing compliance related auditing and monitoring activities at… more
- CIBC (Chicago, IL)
- …As part of the Bank's Second Line of Defense, the Credit Risk Regulatory Compliance Manager serves as the Credit Risk Management representative for regulatory, ... to deliver high quality processes and procedures while ensuring compliance with CIBC requirements standards, work practices, processes, security standards… more
- MedKoder (Mandeville, LA)
- …CPT, HCPCS, AMA, CMS, AHA Coding Clinics, HHS/OIG). + Ensure coding compliance with industry standards and payer requirements. + Address discrepancies ... of certified coders throughout the United States, MedKoder emphasizes coding excellence, remote -work flexibility, and a positive...Description: Under the direction of the Director of Physician Coding , the Audit and Education Manager is… more
- CIBC (Chicago, IL)
- …more about CIBC, please visit CIBC.com (https://www.cibc.com/en/about-cibc.html) The Corporate Function Compliance (CFC) Officer will assist in the management of CFC ... oversight function responsibilities related to CIBC's Regulatory Compliance Management (RCM) program. The RCM program establishes CIBC's...days per week on-site, while other days will be remote ._ **CONDUCT & CULTURE RISK /How You'll Succeed** Our… more
- Marshfield Clinic (Marshfield, WI)
- …Medicaid. This is a condition of employment. Employee must immediately notify his/her manager or the Health System's Compliance Officer if he/she is threatened ... the most exciting missions in the world!** **Job Title:** Claims Auditor ( Remote - WI or MN) **Cost Center:** 682891379 SHP-Claims **Scheduled Weekly Hours:**… more
- Bon Secours Mercy Health (Cincinnati, OH)
- …suspect algorithms for potential internal HCC build improvements. + Partners with BSMH Compliance to deliver accurate HCC coding instruction as part of ... ambulatory provider training and onboarding, ensuring compliance with federal and state coding regulations. + Identifies opportunities for performance… more
- Banner Health (AZ)
- …and Directors to achieve designated financial and revenue cycle goals and coding compliance . CORE FUNCTIONS 1. Selects, trains, coaches, motivates, conducts ... a difference in the lives of others." Looking for a motivated, experienced Associate Manager , Physician Coding to join our talented team. **This position covers… more
- Molina Healthcare (Dayton, OH)
- …complex business challenges that impact cost containment and regulatory compliance . The position requires strong business judgment, cross-functional coordination, ... that drive measurable improvement. + Partners with finance and compliance to develop business cases and support reporting that...years of experience as a Business Analyst or Program Manager in a Managed Care Organization (MCO) or health… more
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