- AssistRx (Des Moines, IA)
- … Manager in the review and management of third-party audits. + Verifies compliance with insurer rules, Medicare , Medicaid, HIPAA, and other applicable ... are conditional based on the successful completion of a pre-employment background check. In compliance with federal law, all persons hired will be required to… more
- AdventHealth (Orlando, FL)
- …individuals at all levels of the organization: executive leadership, management, staff, medical staff, and third parties, including Federal and state government ... and 125,000 outpatients each year **The role you'll contribute:** The **Director of Compliance ** reports to the Regional Compliance Officer for the for… more
- Mount Sinai Health System (New York, NY)
- …and contract compliance related to Facility Contracts for all Commercial, Medicare Advantage and Medicaid Managed Care Plans. The team serves as MSHP's subject ... Mount Sinai Health System. MSHP seeks a Senior Contract Compliance (Professional Billing) Analyst who will primarily be responsible...Sinai Health System is one of the largest academic medical systems in the New York metro area, with… more
- HCA Healthcare (Tallahassee, FL)
- …invested over 156,000 hours impacting our communities. As a(an) Division Director Regulatory Compliance with HCA Healthcare, you can be a manager in an organization ... colleagues. The available plans and programs include: + Comprehensive medical coverage that covers many common services at no...Come join our team as a(an) Division Director Regulatory Compliance . We care for our communities and employees! HCA… more
- Humana (Nashville, TN)
- …of our caring community and help us put health first** The Senior Compliance Professional ensures compliance with governmental requirements. The Senior ... or data requires an in-depth evaluation of variable factors. The Senior Compliance Professional develops and implements compliance policies and procedures.… more
- Prime Healthcare (Ontario, CA)
- …and maintaining effective compliance programs + Knowledge of laws relating to Medicare , Medicaid, EMTALA, HIPAA, the Stark Law, the False Claims Act, and the ... military status, genetic information or any other basis protected by applicable federal , state, or local laws. The Company also prohibits harassment of applicants… more
- TEKsystems (Honolulu, HI)
- … Compliance : Ensure all claims processing activities comply with federal , state, and local regulations. Operations Improvement: Identify and implement process ... oversee the claims processing operations, ensuring accuracy, efficiency, and compliance with regulatory requirements. This role requires a thorough understanding… more
- Kelsey-Seybold Clinic (Pearland, TX)
- …of diagnoses which fall into the HCC model as required by CMS for Medicare Advantage plans. To ensure documentation of diagnoses meets the requirements set forth by ... Guidelines for Coding and Reporting. **Job Title: HCC Coding Compliance Assistant** **Location: Pearland Administrative Office** **Department:** **KS Plan… more
- Adecco US, Inc. (Penn Valley, CA)
- …billing information and records. + Assist with understanding bills and navigating Medicare /Medi-Cal billing processes. + Ensure compliance with all relevant ... certificate or associate degree preferred. + Proven experience in medical billing, with specific knowledge of Medicare ...Sick Leave or any other paid leave required by Federal , State, or local law, as well as Holiday… more
- Elara Caring (Dallas, TX)
- …Health, and Personal Care Services (PCS) agencies at Elara Caring to ensure compliance with Medicare and Medicaid regulations and billing rules. Areas of ... the Right Time, in the Right Place. **Job Description:** The Billing Compliance Auditor performs comprehensive audits within the Skilled Home Health, Hospice,… more