- Mount Sinai Health System (New York, NY)
- …supports regulatory activities and accreditation readiness + Ensuring documentation and billing compliance , quality and safety oversight, patient experience, and ... regulatory/survey readiness + Interfacing with other services to ensure seamless patient care delivery and communication across providers + Planning and facilitating regularly scheduled staff meetings; contributes to departmental grand rounds and other… more
- Cardinal Health (San Juan, PR)
- …and proactively provides guidance and trainings on policies. Reporting to the Director , Ethics & Compliance , this position supervises and manages audits ... of the adequacy and accuracy of documentation in support of services billed; compliance with other documentation and coding and billing standards; communication… more
- Bon Secours Mercy Health (Cincinnati, OH)
- …conjunction with other third party vendors to detect and trend potential claims and billing compliance issues relative to revenue cycle risk areas + Assists in ... in the review of Bon Secours Mercy Health coding, billing and claims processing policies and procedures for the...auditing and investigations requested by the System Director , Compliance . + Assists in the development… more
- Project Renewal, Inc. (New York, NY)
- …regulatory compliance in healthcare and related human services. The Senior Manager, Compliance reports to the Director of Legal Affairs and Compliance ... but are not limited to the following activities: + Compliance Program Management + Support the Director ...compliance training for staff on topics including privacy, billing , ethics, and regulatory compliance . + Ensure… more
- WMCHealth (Valhalla, NY)
- Compliance Analyst, 340B Program ( On-Site ) Company: WMC Advanced Physician Services PC City/State: Valhalla, NY Category: Executive/Management Department: Pharmacy ... Internal Applicant link Job Details: Job Summary: The 340B Program Compliance Analyst is responsible for maintaining regulatory compliance within… more
- Hartford HealthCare (Hartford, CT)
- …coding and billing audits as assigned or scheduled. The Revenue Compliance Auditor performs independent reviews to assess compliance with federal, state ... part of Connecticut's most comprehensive healthcare network. The Revenue Compliance Auditor contributes to the success of the Office...Work Plan or as requested by the Manager or Director . . Maintains organized files to support audit observations… more
- Veterans Affairs, Veterans Health Administration (Beckley, WV)
- …request of the Director (eg, Part-Time Physician Audits to be in compliance with OIG requirements). Work Schedule: Monday - Friday 8:00am - 4:30pm Telework: Not ... Summary The Compliance and Business Integrity (CBI) Officer manages the...CBI Program Office, the VISN CBI Officer and facility Director . Responsibilities MAJOR DUTIES AND RESPONSIBILITIES: 1) Policies and… more
- Humana (Phoenix, AZ)
- …business partners to uphold ethical standards and mitigate risks. The Senior Clinical Compliance Professional will support the Director of Compliance , by ... about 340+ senior focused primary care centers in 15 states. The Regulatory Compliance team that supports the PCO is responsibility to assess, investigate, audit and… more
- Atlantic Health System (Morristown, NJ)
- …providers, and billing department + Provides clarification on coding and compliance policies Required: * CPC Certification * Minimum 6 months experience in ... for assisting with coding inquiries from providers, charge posters, billing staff, etc. Principal Accountabilities: Coordinates, schedules, performs the professional… more
- HCA Healthcare (Nashville, TN)
- …Payer Analysis Manager to provide financial analysis and operational support for Payment Compliance functions. Assists the Manager, Director and VP of Dispute ... Healthcare. Our services include scheduling, registration, insurance verification, hospital billing , revenue integrity, collections, payment compliance , credentialing,… more