- Guthrie (Sayre, PA)
- …five (5) years. Knowledge and ability to demonstrate understanding of Medicare /Medicaid regulations, Medicare Advantage UM rules/regulations, and Commercial ... activities and processes. + Maintains knowledge of regulatory requirements ( federal , state, accrediting bodies) + Understands and utilizes satisfaction data… more
- MD Anderson Cancer Center (Houston, TX)
- …Center and/or other Houston area locations for clinical service. Administrative . Must assure compliance with standards of CAP, JCAHO, FDA, Medicare , and CLIA. . ... he/she is working complies with the CAP, JCAHO, FDA, Medicare , and CLIA regulations for accreditation. . Must be...any other basis protected by institutional policy or by federal , state or local laws unless such distinction is… more
- Saint Francis Health System (Tulsa, OK)
- …denials, productivity, and reimbursement trends. Maintains and leads the revenue cycle compliance program, ensuring alignment with federal and state regulations, ... leadership over key revenue cycle support functions including Analytics, Compliance , Revenue Integrity, and Vendor Management across the healthcare system.… more
- AdventHealth (Altamonte Springs, FL)
- …allied health practitioners, nursing, and care management. This includes quarterly compliance updates from Medicare . + Effectively and appropriately communicates ... with physicians, nursing and HIM coders. The CDI Quality & Compliance Team Leader strategically facilitates and obtains appropriate and quality physician… more
- Highmark Health (Pittsburgh, PA)
- …members and improve engagement strategies. + **Regulatory Compliance :** Maintain compliance with all applicable federal , state, and local regulations, ... care management principles, operational efficiency, financial performance, and regulatory compliance . The Director will lead and develop high-performing teams,… more
- Highmark Health (Nashville, TN)
- …with coding principles and guidelines. Promotes cooperation with CDMP and compliance programs to improve documentation which supports compliant coding. Interacts ... and evaluates their recommendations and/or teaching plans in accordance with federal and state regulations and guidelines **ESSENTIAL RESPONSIBILITIES:** + Plans and… more
- AdventHealth (Hendersonville, NC)
- …while ensuring compliance with external accreditation standards, state and federal laws and Medicare conditions of Participation. The Director ensures ... and accrediting bodies (DNV, AOA, CMS, NCQA, AHCA, FMQA, AHS Corporate Compliance , Federal and State Regulations, etc.). + Participates on hospital compliance… more
- Texas Health Resources (Kaufman, TX)
- …of our stakeholders. Job Qualifications Regulatory Accreditation, Certification, and Compliance 1. Responsible for regulatory compliance , accreditation, and ... submissions and follow-up, including the annual mock survey, Evidence of Standards Compliance (ESC), response to TJC, CMS or other regulatory agencies complaint… more
- Bethel Lutheran Home (Madison, SD)
- …services, and maintenance and plant operation; is directly responsible for maintaining compliance with federal , state and local codes, regulations and ordinances ... and implements Bethel Lutheran policies and procedures to comply with Federal , State and Local requirements and to fulfill licensure certification standards.… more
- Trinity Health (Philadelphia, PA)
- …Vision, and Values in behaviors, practices, and decisions. Adheres to applicable Federal , State, and local laws and regulations, Trinity Health's Integrity and ... Compliance Program and Code of Conduct, as well as...other institutions for Intern and Resident rotations, necessary for Medicare Regulations. Each letter of Agreement must be signed… more