- Highmark Health (Nashville, TN)
- …with coding principles and guidelines. Promotes cooperation with CDMP and compliance programs to improve documentation which supports compliant coding. Interacts ... system entities in response to external coding audits conducted by the Medicare Administrative Contractor, the RAC, MIC, ZPIC, etc. Determine appeal action, prepare… more
- UnityPoint Health (Anamosa, IA)
- …department compliance requirements for federally funded healthcare programs (eg, Medicare and Medicaid) regarding fraud, waste, and abuse. Brings any questions ... mobility equipment when appropriate. + Performs other duties as assigned. Regulatory Compliance + Maintains compliance and is responsible for executing and… more
- UnityPoint Health (Sioux City, IA)
- …complete information and accurate legal record of patient's care. + Follows compliance requirements for federally funded programs (eg Medicare and Medicaid) ... all policies and procedures, and guides team members with compliance . + Reliable attendance is an expectation of the...all patient/family needs are met. Collaboration: + Practice indicates compliance with HIPAA, DNV, OSHA and all other regulatory… more
- CHS (Clearwater, FL)
- …claims and customer service calls to ensure validity, accuracy, and compliance with appropriate policies, procedures, and regulations + **Health, Dental, Vision, ... customer service calls within the MPS call center. + Ensures compliance with appropriate company policies, procedures, guidelines, and reporting requirements;… more
- Community Health Systems (Powell, TN)
- …registration, insurance verification, and financial clearance processes while maintaining compliance with regulatory and audit requirements. The Director works ... cycle performance, monitor metrics, and address operational barriers. + Ensures compliance with policies and regulatory requirements related to Medicaid eligibility,… more
- UnityPoint Health (Sioux City, IA)
- …complete information and accurate legal record of patient's care. + Follows compliance requirements for federally funded programs (eg Medicare and Medicaid) ... all policies and procedures, and guides team members with compliance . + Reliable attendance is an expectation of the...all patient/family needs are met. Collaboration: + Practice indicates compliance with HIPAA, DNV, OSHA and all other regulatory… more
- Trinity Health (Silver Spring, MD)
- …survey readiness and promote a culture of continuous regulatory compliance and quality improvement. **Job Title: Regulatory, Accreditation Coordinator** **Employment ... agencies such as The Joint Commission (TJC), Centers for Medicare & Medicaid Services (CMS), and state health departments...audits, assessments, and mock surveys to identify areas of non- compliance and facilitate corrective actions. + Serve as a… more
- AdventHealth (Hendersonville, NC)
- …requirements (bylaws, rules and regulations, policies and procedures) while ensuring compliance with external accreditation standards, state and federal laws and ... Medicare conditions of Participation. The Director ensures administrative interface...implements practices of systems and functions to ensure continuous compliance by regulatory agencies and accrediting bodies (DNV, AOA,… more
- Texas Health Resources (Kaufman, TX)
- …of our stakeholders. Job Qualifications Regulatory Accreditation, Certification, and Compliance 1. Responsible for regulatory compliance , accreditation, and ... submissions and follow-up, including the annual mock survey, Evidence of Standards Compliance (ESC), response to TJC, CMS or other regulatory agencies complaint… more
- UnityPoint Health (Anamosa, IA)
- …department compliance requirements for federally funded healthcare programs (eg Medicare and Medicaid) regarding fraud, waste and abuse.Brings any questions or ... mobility equipment when appropriate. + Performs other duties as assigned. Regulatory Compliance + Maintains compliance and is responsible for executing and… more