- Henry Ford Health System (Grand Blanc, MI)
- Under the direction of the Outpatient Audit , Analytics & Technology Supervisor, in conjunction with OP Audit Analysts and Coordinators will utilize documentation ... prospective and retrospective evaluation and assimilation of the medical record, the OP Audit - outpatient complex audit specialist will be responsible for… more
- Elevance Health (Seven Fields, PA)
- **JR152864 Behavioral Health Clinical Quality Audit Analyst Sr** This role is primarily focused on conducting medical record reviews of facilities and clinics in our ... as ASAM monitoring, HEDIS and Clinical Practice Guideline (CPG) compliance . + Coordinates site visit dates with internal and...participants. + Contributes to the development and revision of audit tools for mental health and substance use disorder… more
- DOCTORS HEALTHCARE PLANS, INC. (Coral Gables, FL)
- … with federal, state, and local regulatory, contractual and legal requirements. As a Compliance Manager , you will be part of a fast-growing team who develops ... the Centers for Medicare and Medicaid Services (CMS). The Compliance Manager will work closely with ...letter notifications. + Works with internal departments and delegation manager to maintain audit files in Inovaare… more
- Emory Healthcare/Emory University (Atlanta, GA)
- …programs + And more **Work Location:** Atlanta, GA **Description** **Overview:** The Program Manager , Workforce Compliance plays a crucial role in enhancing the ... + Contribute to the development of training materials and documentation to support compliance processes and audit procedures. + Deliver training and guidance to… more
- Molina Healthcare (Worcester, MA)
- …the severity of illness and the site of service. **KNOWLEDGE/SKILLS/ABILITIES** The Manager , Healthcare Services provides operational management and oversight of ... License, Certification, Association** Any of the following: Certified Case Manager (CCM), Certified Professional in Healthcare Management Certification… more
- Amazon (Seattle, WA)
- …think about healthcare . Amazon Health Services (AHS) is searching for a talented Healthcare Compliance Senior Risk Manager to help us evolve the ... expanding healthcare division. Basic Qualifications - 6+ years of compliance , audit or risk management experience - Knowledge of Microsoft Office products… more
- Emory Healthcare/Emory University (Atlanta, GA)
- …+ Manages investigations and audit findings in MDAudit and communicates with the Manager , Compliance Audit and Analysis if audit findings need ... Coders (CPC) or other relevant and industry-recognized certification required. Certification in Healthcare Compliance preferred. + Minimum of three (3) years of… more
- Emory Healthcare/Emory University (Atlanta, GA)
- …+ Ongoing mentorship and leadership programs + And more! **Description** Reporting to the Manager , Compliance Audit and Analysis, develops and executes ... or other reviews in MDAudit, and works with the Manager , Compliance Audit and Analysis,...Current Certified Coding Specialist (CCS) certification required. Certification in Healthcare Compliance required. + Minimum of three… more
- HCA Healthcare (Nashville, TN)
- …opportunity to make a difference. We are looking for a dedicated Regulatory and Accreditation Clinical Compliance Audit Manager ? like you to be a part of our ... Compliance Director? At HCA, you come first. HCA Healthcare has committed up to $300 million in programs...to help effect overall compliance . The Clinical Compliance Audit Manager position will… more
- Hartford HealthCare (Hartford, CT)
- … standards and changes in regulations to ensure organizational adaptation and compliance . Participate in outside healthcare compliance organizations to ... *_Position Summary:_* Reporting to the System Director of Revenue Compliance , the Program Manager of Revenue ...RHIA *Knowledge, Skills and Ability Requirements:* . Knowledge of healthcare compliance programs and Office of Inspector… more