- Terumo Medical Corporation (Somerset, NJ)
- …the development and implementation of a monitoring and testing program, managing compliance with all Federal and State transparency reporting obligations, and ... divisional business functions to conduct and expand the Healthcare Compliance risk assessment. + Manages the Federal ...and a minimum of 10 years monitoring and transparency compliance experience in the medical device, healthcare… more
- University of Michigan (Ann Arbor, MI)
- Medical Coder Compliance Spec **Extended Site Maintenance** We are performing updates and maintenance to our applicant experience. As a result, the site will be ... assignments, and modifier assignment in accordance with Center of Medicare and Medicaid Service (CMS) Guidelines, AMA and AHA...employer. **Job Detail** **Job Opening ID** 264371 **Working Title** Medical Coder Compliance Spec **Job Title** … more
- Fairview Health Services (St. Paul, MN)
- …advanced knowledge of CPT, Level II HCPCS, ICD-10 CM diagnosis coding, and federal , state, and local regulations. + Design compliance internal audit programs ... **Job Overview** **Fairview is looking for a Senior Corporate Compliance Auditor to join our Corporate Compliance department.** **Bring Your Possibilities to… more
- Humana (Dover, DE)
- …clinical reference materials, internal teaching conferences, and other sources of expertise. Medical Directors will learn Medicare and Medicare Advantage ... authorized. All work occurs with a context of regulatory compliance , and work is assisted by diverse resources which...group practice management. + Utilization management experience in a medical management review organization, such as Medicare … more
- Hartford HealthCare (Hartford, CT)
- …Manager of Revenue Compliance will have a firm understanding of the Medicare IPPS, OPPS and ASC payment system. Works to develop strong relationships with key ... across the system. *_Position Summary:_* Reporting to the System Director of Revenue Compliance , the Program Manager of Revenue Compliance contributes to the… more
- LA Care Health Plan (Los Angeles, CA)
- Compliance Advisor III Job Category: Administrative, HR, Business Professionals Department: Compliance Location: Los Angeles, CA, US, 90017 Position Type: Full ... net required to achieve that purpose. Job Summary The Compliance Advisor III ensures that the Plan's processes and...processes and operations are compliant with all state and federal regulatory requirements, including but not limited to, the… more
- Point32Health (Canton, MA)
- …responsible for development, implementation and management of significant and complex compliance programs, initiatives and projects associated with federal and ... of education and experience. 3 - 5 years of Medicare , Medicaid and/or Commercial compliance experience. Demonstrated...and comprehensive total rewards package which currently includes: + Medical , dental and vision coverage + Retirement plans +… more
- USAA (San Antonio, TX)
- …and claims experience to safeguard long-term morbidity outcomes; providing expert medical consultation on Medicare Supplement policies and claims; conducting ... with significant impact. + 4 years of experience in medical coding and/or Medicare billing practices. +...waste, and abuse. + Regulatory Experience: Experience working with Medicare state and federal regulations. + Investigation… more
- Humana (Richmond, VA)
- …approaches to assignment and influences the department's strategy. The Senior Quality Compliance Professional will conduct and manage medical records reviews to ... and enter data in supplemental data base. + Conducts medical record audits and assessments to evaluate compliance...Medicare & Medicaid Services (CMS) and Department of Medical Assistance Services (DMAS) standards. + Prepares for external… more
- LA Care Health Plan (Los Angeles, CA)
- …business units are compliant with all Product Lines' contractual, state and federal regulatory, and accreditation requirements. The Compliance Advisor develops ... of Governors and provides support for the management of external state and federal regulatory audits. The Compliance Advisor prepares executive summaries and… more