- St. Mary's Healthcare (Amsterdam, NY)
- …federal regulations; medical staff bylaws/rules and regulations; hospital policy and compliance requirements. Prepared to meet with The Joint Commission during ... . Assists with legal requests in collaboration with the Compliance and Privacy Officer. . Oversees insurance, auditing reviews...requests in a timely manner. . Provides on-going EMR education to providers and staff. Serves as technical expert… more
- CareFirst (Baltimore, MD)
- …utilization of referral services. Enhances quality of care by assuring compliance with policies, including safety, infection control, regulatory and accreditation ... of practice of Utilization Management and reimbursement methodologies and treatment coding . + Manages policies and procedures of inpatient and outpatient services.… more
- Dartmouth Health (Nashua, NH)
- …revenues and minimizing operating costs/expenses by periodically reviewing patient billing, coding practices and compliance , fee structure, and the ... performance of administrative and clinical staff, encourages and supports staff education , and fosters personal and professional development of all support… more
- Albany Medical Center (Albany, NY)
- …responsible for performing coding quality audits on staff and providing thorough education and feedback to the medical coding specialists. They will be ... training sessions and materials and working with the denial's specialist for education and compliance . They optimize hospital reimbursement by auditing and… more
- AdventHealth (Altamonte Springs, FL)
- … Coding programs. Will work with Case Management, the Billing Office, Coding Manager , Clinical Documentation Improvement specialists and the coding ... encountered in every task associated with this job.8. Requires compliance with department Coding Policy, Coding...documentation in a medical record and to enter the coding software. ** EDUCATION AND EXPERIENCE REQUIRED:** 1)… more
- Nuvance Health (Poughkeepsie, NY)
- …PCS codebook. * Mentor and train junior coders * Perform audits as assigned by coding manager * Demonstrates advanced knowledge of the impact of coding ... timely manner. * Attends and participates in required hospital education programs in order to maintain and enhance their... coding credentials in accordance with the certified coding requirements and demonstrates annual compliance . *… more
- University of Miami (Hialeah, FL)
- …documents) and misplaced documentation; promptly reports findings to the Professional Coding Manager . + Assesses documentation and/or queries physician for ... + Generate OR and Open Encounter Reports + Identify compliance or coding issues to management +...conduct standards. + Ability to remain current with continuing education requirements to maintain credentials. + Ability to work… more
- Walmart (Bentonville, AR)
- …adapting to competing demands organizational changes and new responsibilities Models compliance with company policies and procedures and supports company mission ... and promotes the highest standards of integrity ethics and compliance models the Walmart values and leads by example.... Live Better U is a Walmart-paid education benefit program for full-time and part-time associates in… more
- Centene Corporation (Indianapolis, IN)
- …benefits including a fresh perspective on workplace flexibility. **Position Purpose:** Manage compliance with all Federal and State Laws and Regulations related to ... of combined medical claim investigation, financial impact analysis, business analysis, compliance or fraud and abuse experience. Thorough knowledge of medical… more
- Highmark Health (Jefferson Hills, PA)
- …health professionals to accomplish organization and practice goals. + Ensures compliance with all regulatory requirements. + Participates in budget preparation for ... **QUALIFICATIONS** Minimum + Bachelor's degree or relevant experience and/or education as determined by the company in lieu of...of medical terminology, insurance theory and ICD-9, and CPT coding required. + CPR - American Heart Association +… more