- Texas Tech University Health Sciences Center - El Paso (El Paso, TX)
- …current knowledge of billing and coding requirements, risks and billing compliance requirements. Regularly reviews JH-MAC website and Texas Medicaid policies. ... Demonstrate knowledge of compliance documentation and coding standards, seeking guidance from supervisor...to obtain copies of government initiated audits. Conduct concurrent audit /review to determine possible risks and opportunities to assist… more
- Commonwealth Care Alliance (Boston, MA)
- …Appeals and Grievances Program Advisor monitors and supports the operations and compliance of the Appeals and Grievances department through many NCQA and other ... reviews with MDs, and preparation of case samples for audit review. This position works collaboratively with the AG...to NCQA program support, this role will also support compliance with CMS and MassHealth requirements and will be… more
- Target (Brooklyn Park, MN)
- …your family. Target offers eligible team members and their dependents comprehensive health benefits and programs, which may include medical, vision, dental, life ... your career while having a healthy balance with life outside of work. **Internal Audit ** helps bring Target's purpose to life through assurance & risk insights that… more
- Nuvance Health (Danbury, CT)
- …coding, billing, and documentation auditing for professional coding at Nuvance Health . Conducts routine quality assurance (QA) audits on Professional Coding team ... compiles reports on their accuracy for leadership. Makes recommendations based on audit findings for educational programs for both coding personnel and clinical… more
- Danaher Corporation (Sunnyvale, CA)
- At Cepheid, we are passionate about improving health care through fast, accurate diagnostic testing. Our mission drives us, every moment of every day, as we develop ... scalable, groundbreaking solutions to solve the world's most complex health challenges. Our associates are involved in every stage of molecular diagnostics, from… more
- Cardinal Health (Atlanta, GA)
- …for transactions, including but not limited to Accounting, Finance, Internal Audit , Legal, Sales/Account Management, Revenue Management, Contracting, Standards & ... Compliance , etc. + Assists in the management of the...in related field, including but not limited to Finance, Audit , or Accounting (preferred) + Strong MS Excel and… more
- Sanford Health (Sioux Falls, SD)
- …collection, batching and shipping as required. Collect source documents for sponsor or audit review. Assess subject compliance with the test article and ... **Careers With Purpose** **Sanford Health is one of the largest and fastest-growing...study subjects. Prepare case report forms for sponsor or audit review. Responsible for insurance pre-authorization for study participation,… more
- Trinity Health (Ann Arbor, MI)
- …payment arrangements. Obtains medical authorization or referral forms, if appropriate. Audit authorizations for accuracy and determine if delay/deny policy needs to ... hire and ongoing as new systems and processes are created. Maintains compliance with HIPAA and other regulatory requirements throughout all activities. Protects the… more
- Bozeman Health (Bozeman, MT)
- …housing availability and logistics for employees while contributing to HR compliance , documentation, and administrative workflows. The coordinator acts as a liaison ... + Familiarity with HRIS platforms, incentive program tracking, or HR compliance processes. Preferred: + Human Resources Professional Certification. + Experience in… more
- Texas Tech University Health Sciences Center - El Paso (El Paso, TX)
- …regulatory requirements + Meets with Senior Director - Project Management to discuss compliance standards and audit outcomes Documents and maintains audit ... and interpretation + Compiles outcomes report on HEDIS measures and compliance with HEDIS recommendations + Builds and maintains reports synthesizing analytical… more