- Northwell Health (Lake Success, NY)
- …state laws and guidelines pertaining to Medicare and NYS Medicaid. + Provides general compliance education and support to audit and facility staff involved in ... and billing, Conflicts of Interests (COI) or other compliance program(s). Plans and implements research coding ...drafts findings and advises with organization leadership to provide education on regulations and mitigate compliance risk.… more
- Seattle Children's (Seattle, WA)
- …policies, and ethical standards. This includes identifying and leading special compliance projects or investigations related to coding , billing, reimbursement, ... Under the direction of the Professional Compliance Officer (CO), this role will develop and... work plan, advises the CO on billing and coding matters, and conducts research and analysis to support… more
- Option Care Health (Itasca, IL)
- …the best and brightest talent in healthcare. **Job Description Summary:** The Manager , Compliance Operations & Investigations supports Option Care Health's ... systemic issues, and provides guidance and reporting to stakeholders. The Manager collaborates with cross-functional partners to route matters appropriately, resolve… more
- TD Bank (Portland, ME)
- …depending on availability and individual circumstances._ **Job Profile Summary:** The Compliance Business Oversight Manager provides advice, support and ... who can provide you more specific details for this role. **Line of Business:** Compliance **Job Description:** **Why Work with Us?** At TD Bank US Compliance ,… more
- Sharp HealthCare (San Diego, CA)
- …issues.Schedules and provides 1:1 training to provider to ensure maximum coding compliance guidelines are followed.Evaluates the inpatient and outpatient ... support to SRS management, physicians, administrative and support staff for coding , documentation and compliance .Provides support with TES/CM edit resolution… more
- J&J Family of Companies (Santa Clara, CA)
- …priority accounts and use approved Shockwave tools to deliver relevant training and education on coding , billing, and reimbursement. + Develop a monthly report ... and Johnson is currently seeking the best talent for a Field Reimbursement Manager within the Johnson & Johnson MedTech organization.** **About MedTech** Fueled by… more
- Mount Sinai Health System (New York, NY)
- …Team within MSHP is responsible for the negotiation, implementation and contract compliance related to Facility Contracts for all Commercial, Medicare Advantage and ... Mount Sinai Health System. MSHP seeks a **Senior Contract Manager Analyst** will play a critical role in testing,... Analyst** will play a critical role in testing, coding , modeling, and reporting on Hospital Billing (HB) and… more
- LA Care Health Plan (Los Angeles, CA)
- …strong control points, and consistent application of benefits, provider contracts, coding standards, and regulatory requirements. The Manager oversees ... Manager , Claims Quality Assurance Job Category: Claims Department:...Integrity remediation. Ensures quality reviews measure accuracy, consistency, and compliance with policies, benefit structures, provider contracts, coding… more
- Cardinal Health (Jackson, MS)
- …Summary Cardinal Health is seeking a driven, self-starter and highly skilled manager with expertise in healthcare regulatory compliance , including third party ... the At-Home Solutions business + 7+ years of related work experience supporting compliance programs in DMEPOS suppliers, coding and medical necessity expertise,… more
- Mount Sinai Health System (New York, NY)
- …conjunction with the Associate Director and Director of DRG Validation to help develop coding education and training and institutional coding policies to ... the physician documentation for specificity, completeness and quality to support coding accuracy, and to identify physician query opportunities to improve the… more