- Baylor Scott & White Health (Madison, WI)
- …implementation, maintenance of, and adherence to established policies and procedures in compliance with federal , state, and local laws and regulations. SALARY ... JOB SUMMARY The Healthcare Billing Compliance Consultant Sr performs ongoing activities related to...and complaints applicable to BSWH policies and procedures or federal and state laws. May coordinate investigations through completion… more
- LA Care Health Plan (Los Angeles, CA)
- …Managed Health Care (DMHC), Department of Health Care Services (DHCS), Centers for Medicare and Medicaid Services (CMS), and other federal and state guidelines. ... Manager, Financial Compliance Audit, $10,000 SIGN ON BONUS Job Category:...$10,000 SIGN ON BONUS Job Category: Accounting/Finance Department: Financial Compliance Location: Los Angeles, CA, US, 90017 Position Type:… more
- City of New York (New York, NY)
- …of the City of New York City ("FDNY") has established a Medical Billing Compliance Program to ensure that its employees and agents, either through an employment ... for ambulance services to patients, private insurance companies, and Medicare . In addition, this program is intended to apply...other persons or entities, which may be impacted by federal or state laws relating to fraud and abuse.… more
- Centene Corporation (Tallahassee, FL)
- …in the Continental United States.** **Position Purpose:** Supports the Risk Adjustment Compliance program elements, with a focus on the auditing and monitoring ... with business areas to ensure effective prevention, detection, and correction of compliance issues. Facilitates and leads external audits related to Risk Adjustment… more
- Cardinal Health (Fort Worth, TX)
- **_What Quality Compliance contributes to Cardinal Health_** Quality Compliance is responsible for the development and implementation of policies, procedures and ... and drive uncompromised supply chain integrity. This role provides Quality Compliance support for Cardinal Health at Home Solutions distribution centers (DC)… more
- Staffing Solutions Organization (Albany, NY)
- …NY** **Division of Eligibility & Marketplace Integration (DEMI)** **Bureau of Program Compliance and Audit** **50% Onsite 50% Remote** **Duties:** The Bureau of ... Program Compliance and Audit is seeking a highly motivated individual...programs are performed in accordance with applicable State and federal laws, regulations, and policies. The incumbent will participate… more
- State of Minnesota (St. Paul, MN)
- …50 miles or less from the primary work location to be eligible for telework. Federal law provides the Centers for Medicare and Medicaid Services (CMS) authority ... **Working Title: Waivers and Compliance Manager** **Job Class: Human Services Manager 2**...the state's authority to claim billions of dollars in federal Medicaid funds each year. Responsibilities include: + Direct… more
- Atlantic Health System (Morristown, NJ)
- …assure appropriateness and accurate code assignments in accordance with Center of Medicare and Medicaid (CMS) guidelines and provide ongoing feedback and analysis of ... throughout the year + Audit charts for accurate and correct coding and compliance within documentation guidelines and AHS policies + Prepares written reports of the… more
- UTMB Health (Galveston, TX)
- …government payor reimbursement-related calculations and estimates and ensures UTMB compliance with Medicare and Medicaid regulations. **Scope:** Institutional ... actions to implement appropriate processes and procedures to ensure compliance with Medicare and Medicaid regulations. +...any other basis protected by institutional policy or by federal , state or local laws unless such distinction is… more
- Humana (Austin, TX)
- …help us put health first** The Medical Director relies on fundamentals of CMS Medicare Guidance on following and reviewing home health, SNF, DME, dual Medicare ... the appropriateness of services provided by other healthcare professionals in compliance with review policies, procedures, and performance standards. All work occurs… more