- Hackensack Meridian Health (Hackensack, NJ)
- …healthcare and serve as a leader of positive change. The **Physician Practice Compliance Specialist** is responsible for assuring on-going compliance by actively ... for Hackensack Meridian Health and for affiliated services. The Physician Prac Compliance Spec assures the integrity of the physician practice regulatory environment… more
- City of New York (New York, NY)
- …of the City of New York City ("FDNY") has established a Medical Billing Compliance Program to ensure that its employees and agents, either through an employment ... for ambulance services to patients, private insurance companies, and Medicare . In addition, this program is intended to apply...to fill a position within its EMS Medical Billing Compliance Unit. Under the direction of the Internal Audit… more
- Centene Corporation (Tallahassee, FL)
- …in the Continental United States.** **Position Purpose:** Supports the Risk Adjustment Compliance program elements, with a focus on the auditing and monitoring ... with business areas to ensure effective prevention, detection, and correction of compliance issues. Facilitates and leads external audits related to Risk Adjustment… more
- Baystate Health (Springfield, MA)
- …documentation for professional billing to ensure it meets the AMA and CMS ( Medicare ) guidelines for the services billed, reviewing and validating billed charges and ... interacts with employees at all levels. The incumbent has an understanding of compliance audit concepts. This includes but is not limited to relaying confidential… more
- Gentiva (Athens, GA)
- …+ Supervise all volunteer activity within the designated service area. + Maintain compliance with the Medicare Hospice Conditions of Participation 5% volunteer ... requirement. + Assess patient and family needs for volunteer services and coordinate appropriate placements. + Recruit, train, and retain Administrative, Direct Care, Vigil, and Bereavement volunteers. + Facilitate volunteer orientation and annual training… more
- Covenant Health Inc. (Knoxville, TN)
- …allergies and MD orders before administering medications. + Has working knowledge of Medicare guidelines, and performs in compliance with such guidelines. + ... Follows appropriate plan of care after admission, including discharge and on-call as outlined by HomeCare policy. Consults RN and/or Clinical Supervisor regarding plan of care and care plan changes, including needs for other disciplines (HHA, OT, PT, MSW, ST,… more
- The County of Los Angeles (Los Angeles, CA)
- …health services provided meet State and Federal mandated standards and are in compliance comply with Medicare and Medi-Cal rules for reimbursement claiming. ... Oversees revenue generation in assigned programs to ensure revenue is maximized. Assists the Deputy Director or higher-level manager to develop and implement objectives, goals, policies, and procedures in connection with areas of oversight. Directs the conduct… more
- Elara Caring (San Antonio, TX)
- …staffing levels at branch locations to meet patient needs. + Ensures compliance of current Medicare , Medicaid, and third-party reimbursement regulations and ... changes. Identifies and reports potential payment/coverage problems. + Supervises and coordinates utilization review activities. + Participates in strategic development of Key Accounts, including participation in weekly, monthly, and quarterly review meetings,… more
- PeaceHealth (Bellingham, WA)
- …**What You'll Do:** + Assist clinicians with scheduling visits, monitoring Medicare benefit periods, and maintaining compliance with hospice regulations. ... + Facilitate patient intake and registration through accurate EMR creation. + Verify billing, insurance authorizations, and Medicaid pass-throughs to ensure timely reimbursement. + Order durable medical equipment and manage health information systems. +… more
- Covenant Health Inc. (Knoxville, TN)
- …throughout care. Advocates for respite care as needed. + Has working knowledge of Medicare guidelines, and performs in compliance with such guidelines. + Follows ... appropriate admission, discharge, on-call, and death procedure as outlined by Covenant HomeCare policy. + Performs basic infection control techniques according to Covenant HomeCare policy; examples are proper Bag technique, proper hand-washing, glove usage,… more