• Compliance Auditor - SRS

    Sharp HealthCare (San Diego, CA)
    …of CPT, ICD-10 and HCPCS codes is required. + Thorough understanding of Medicare , insurance documentation, and compliance and coding requirements. + Expert ... standards by clinical providers as established by SHC Corporate Compliance in accordance to the CMS and local MAC... in accordance to the CMS and local MAC ( Medicare Administrative Contractor) requirements. **Required Qualifications** + 3 Years… more
    Sharp HealthCare (11/18/25)
    - Related Jobs
  • Remote LVN/LPN

    Insight Global (San Francisco, CA)
    …to go over the patients care plan and medications, followed by strict documentation for Medicare compliance . He or she will have weekly check ins with the ... is a plus Experience working in neurological care, geriatric, PCM/CCM - Medicare programs Background knowledge in Medicare compliance Telehealth experience more
    Insight Global (01/06/26)
    - Related Jobs
  • Corporate Compliance Regulatory Analyst

    Rush University Medical Center (Chicago, IL)
    …allegations. 2. Perform targeted reviews of documentation and billing to ensure compliance with Medicare Teaching Physician guidelines and conditions of payment. ... Rush Medical Center Hospital: Rush University Medical Center Department: RUSH Corporate Compliance **Work Type:** Full Time (Total FTE between 0.9 and 1.0)… more
    Rush University Medical Center (12/02/25)
    - Related Jobs
  • Executive Director, Actuarial

    Health Care Service Corporation (Chicago, IL)
    …insights into actionable recommendations for product design, pricing strategy, and long-term Medicare positioning. Audit, Governance & Compliance * Serve as ... that will invest in your professional development. **Job Summary** The Executive Director, Medicare Part D Actuarial will lead the actuarial function for Medicare more
    Health Care Service Corporation (01/08/26)
    - Related Jobs
  • Occupational Therapist

    Catholic Health Initiatives (Pendleton, OR)
    …COTA/OT student; delegate routine care, acting in a supervisory role. + ** Medicare Compliance :** Collect and provide necessary billing documentation for ... Medicare patients. **Sign-On Bonus, Student Loan Repayment Program and Relocation Assistance offered!** **Job Requirements** **What You'll Bring:** + **Exceptional Clinical Skills:** Evaluate, plan, and administer effective OT treatments. + **Required… more
    Catholic Health Initiatives (12/03/25)
    - Related Jobs
  • Patient Account Specialist - PFS Billing Services

    Scripps Health (San Diego, CA)
    …government Payers and payer requirements. * Knowledge of Medical Terminology and Medicare Compliance . * Familiarity with HIPAA privacy requirements for patient ... of healthcare EPIC software preferred. * Minimum two year experience billing Medicare , Medicaid, Blue Cross and Commercial insurance preferred, three or more years… more
    Scripps Health (11/12/25)
    - Related Jobs
  • Billing Specialist I, II or III

    Sea Mar Community Health Centers (Federal Way, WA)
    …required are general computer skills, typing skills and a working knowledge of Medicare Compliance , OSHA and HIPAA. Responsibilities include: + Posting payments, ... ensuring accurate and timely processing of all third party insurance, Medicaid, Medicare , Private Pay, and special programs. This position will require that… more
    Sea Mar Community Health Centers (10/28/25)
    - Related Jobs
  • Associate Director of Finance - Government…

    UTMB Health (Galveston, TX)
    …government payor reimbursement-related calculations and estimates and ensures UTMB compliance with Medicare and Medicaid regulations. **Scope:** Institutional ... takes necessary actions to implement appropriate processes and procedures to ensure compliance with Medicare and Medicaid regulations. + Supports Director,… more
    UTMB Health (11/07/25)
    - Related Jobs
  • RN Manager Hospice

    Baylor Scott & White Health (Temple, TX)
    …Stewardship, and patient census growth. This position is responsible for ensuring compliance with Medicare Hospice Conditions of Participation (COPs), revenue ... OF THE ROLE** Acts as Administrator of the agency(s) for purposes of compliance with Medicare Conditions of Participation regulations (COPs). Manage daily… more
    Baylor Scott & White Health (01/05/26)
    - Related Jobs
  • (RN) Registered Nurse Coding Auditor - HCS-D,…

    Northwell Health (Garden City, NY)
    …coding rules and regulations to the validation review process. 6.Reviews codes on Medicare /non- Medicare charts for compliance to rules and conventions. ... and principals; performs coding audits for optimization. 4.Audits and reviews Medicare /non- Medicare charts to ensure that proper standards are maintained… more
    Northwell Health (12/20/25)
    - Related Jobs