- Tenet Healthcare (Detroit, MI)
- …to legal and ethical standards, and as directed, implementing external and internal audit recommendations. Monitors activities to ensure compliance with ... the department of Nursing who may report to a Director , Administrative Director or Executive Director...implemented and monitored. Collaborate with other members of the healthcare team to plan, implement & evaluate activities related… more
- Commonwealth Care Alliance (Boston, MA)
- 011260 CCA-Revenue Cycle Management **Position Summary:** Reporting to the Director of Encounter Data Management within the Revenue Cycle Department, the Risk ... and accurate flow of encounter and diagnosis data to external vendors and internal platforms. + Conduct regular quality assurance checks to validate data integrity,… more
- Community Health Systems (Valparaiso, IN)
- …documentation of all quality initiatives and performance improvement activities for audit readiness. + Regularly update hospital staff on regulatory changes and ... programs. + Act as a subject matter expert and internal consultant on quality-related challenges across all departments. +...and/or Compact State Licensure + Bachelor's Degree in Nursing, Healthcare Administration, or related field + 5-7 years of… more
- Tenet Healthcare (Detroit, MI)
- …JCAHO requirements and DMC policies. As directed, implements external and internal audit recommendations. Qualifications : Minimum Qualifications 1. Registered ... system that serves patients and families throughout Michigan and beyond. A premier healthcare resource, our mission is to help people live happier, healthier lives.… more
- Molina Healthcare (Cincinnati, OH)
- …+ Responsible for encounters accuracy & completeness (ie, Encounter Production, Audit , Production Vendor Oversight) for assigned lines of business. Responsible for ... submissions, rejection management & resolution for all lines of business including internal strategic partnerships supporting the production of encounters as well as… more
- Sacramento Behavioral Healthcare Hospital (Sacramento, CA)
- …of Care (POC) testing, legal tracking log); and accuracy of patient Kardex. + Audit all seclusion or manual hold interventions on assigned shift. + Monitor inventory ... staff on key issues relating to hospital policies and procedures and healthcare regulations. + Ensure accurate and timely shift-to-shift reports. Manage Patient Care… more
- Bassett Healthcare (Cooperstown, NY)
- …order to accomplish a specific task. + Receives requests from various internal and external sources and schedules appointments in accordance with departmental ... than 1 exception per year as measured by supervisory audit . + Maintains job specific knowledge and proficiency (may...department specific tasks as assigned by the manager or director . + Performs similar or related duties as requested… more
- Commonwealth Care Alliance (Boston, MA)
- …and retrospective reviews to identify areas of risk or non-compliance. * Track internal audit findings and facilitate resolution through Corrective Action Plans ... Coordinate audit universe creation, file sampling, and audit submission timelines. * Assist in training internal...preferred. Required Experience (must have): * 5+ years in healthcare compliance, regulatory affairs, or claims audit .… more
- Trane Technologies (Davidson, NC)
- …Preconstruction team covering the US and Canada. This role will report to the Director of Preconstruction, Energy Services. **_This role serves as one of the NA ... project development standard work. Key activities will include working with Clients ( Healthcare Emphasis) and Regional team members on sales and sales strategy,… more
- Independent Health (Buffalo, NY)
- …present audit results as needed, to various levels of internal senior leadership for approval of financial recoveries, provider education, and/or recommendation ... will aid in training other team members, evaluating appeals, and share audit trends across the team. Expertise and proficiency demonstrated by long-standing,… more