- WellSpan Health (York, PA)
- …and improve 340B Program compliance and performance and for compliance and audit purposes. Maintains up-to-date policies and procedures on 340B purchasing processes. ... fosters working relationships with internal working counterparts (eg, IT, internal audit , accounting, etc.) to facilitate productive exchanges of information, to… more
- Elevance Health (Indianapolis, IN)
- …in a timely manner to ensure prompt resolution. + Tracks and trends audit results, providing feedback to management. + Identifies and reports on systemic issues ... which create ongoing quality concerns. + Generates monthly reports of audit findings, supports clients with issues identified and develops reports to assist… more
- Excellus BlueCross BlueShield (Dewitt, NY)
- …receivable process. This includes the cash/payment reconciliation of the organizations audit groups, overseeing the day-to-day activity of the Accounts Receivable ... and monthly reconciliation; identifying, researching, and resolving variances; and managing audit groups, pursuit of outstanding balances outside of contract grace… more
- Addiction Recovery Care (Lexington, KY)
- …comprehensive audits of client's medical records in an assigned facility per audit policies and procedures to determine standards of care compliance and medical ... government regulations and appropriate accreditation standards. + Prepares and communicates audit results, conclusions and recommendations to the VP of Compliance,… more
- Whitney Young Health Center (Albany, NY)
- …statements in an accurate and timely manner for submission to management and Finance/ Audit Committee. Reviews and signs off on all journal entries. Prepares monthly ... analysis of operations for Finance/ Audit Committee and management. Attends Finance Committee meetings and...Coordinates preparation of designated third party cost reports including Medicare , Medicaid and OASAS and assists in the preparation… 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 ... coding, coding trends found during chart reviews, third party audit findings, and annual coding updates. + Evaluates and...recurring. + Meets with the providers to review the audit findings and to recommend ways to improve when… more
- LA Care Health Plan (Los Angeles, CA)
- …Quality Improvement, Utilization Management (UM) and so forth) and developing audit tools. Demonstrated experience developing and delivering training programs and ... making presentations. Preferred: 2 years of Medi-Cal, Medicare or commercial product compliance. Regulatory change management and risk management experience and/or… more
- NHS Management, LLC (Birmingham, AL)
- …with internal controls and state and federal regulations. + Ability to audit resident accounts, assess accuracy and collectability of accounts receivable balances, ... other business office related tasks, including but not limited to: + Medicaid, Medicare and/or secondary billing + Assist with evaluation and selection of all… more
- Bassett Healthcare (Cooperstown, NY)
- …is entered or scanned into the system accurately as monitored by system audit Accurate confirmation of attending PCP and Billing PCP, when appropriate. Assures ... of Advanced Beneficiary Notice signatures and form processing to meet Medicare regulations. Ensures all corrections (demographics, insurance eligibility etc. based… more
- Parkview Health (Fort Wayne, IN)
- …for the operation of the compliance program with an emphasis on Medicare /Medicaid billing compliance and HIPAA compliance. Serve as the Parkview Health Privacy ... Conduct. Collaborate with other departments, including HR, Risk Management, Legal and Internal Audit , to ensure that there is an appropriate and thorough review of… more
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