- Atlantic Health System (Morristown, NJ)
- …collection of co-payments, and collection of associated paperwork. Ensures compliance with regulatory requirements and hospital policies and protocols. Acts ... or charge codes within the financial system. + Ensures compliance with Health Insurance Portability and Accountability Act (HIPAA)...highest - twelve consecutive times, and the Centers for Medicare and Medicaid Services awarded us again with its… more
- Saratoga Hospital (Saratoga Springs, NY)
- …federal and accreditation requirements, including but not limited to the Centers for Medicare and Medicaid (CMS) and the Joint Commission (JC), DNV, OSHA, CMS and ... with the Policy and Regulatory Readiness Manager to ensure regulatory compliance . The Clinical Regulatory Readiness Manager supports the Policy and Regulatory… more
- Integra Partners (Troy, MI)
- …timely issue resolution. In this role, you will ensure work is in compliance with all legal, regulatory, and internal Integra policies and procedures, including ... HIPAA compliance . If you have previous medical billing or claims...objectives + Stay informed on product information, changes in Medicare /State/Contract funding procedures, and updates in policies and procedures… more
- UnityPoint Health (Rock Island, IL)
- …department compliance requirements for federally funded healthcare programs (eg Medicare and Medicaid) regarding fraud, waste and abuse. Brings any questions or ... concerns regarding compliance to the immediate attention of hospital administrative staff....action on concerns reported by department staff related to compliance . Qualifications Education: + Associate's Degree in related field… more
- Ochsner Health (Raceland, LA)
- …with accreditation standards, state and federal licensure or regulations, Medicare , Medicaid, and other regulations, guidelines, requirements, and statutes as ... apply to the assigned area of responsibility and ensures compliance with all such laws, regulations and standards. This...and standards. This employer maintains and complies with its Compliance & Privacy Program and Standards of Conduct, including… more
- Ventura County (Ventura, CA)
- …health care facilities; responsible for adhering to regulatory, accreditation, and compliance guidelines, as well as Post Stabilization notification. The incumbent ... appropriate resource use; + Recommends alternative levels of care and ensures compliance with federal, state and local requirements; + Assesses high risk patients… more
- Molina Healthcare (Dallas, TX)
- …to review, communicate findings and identify opportunities for improved quality and compliance . * Shares quality and productivity scores with individual staff for ... (DARR) is run each work day and cases found non-compliant or missing compliance elements are remediated promptly. * May collaborate with leadership ensuring the care… more
- Virtua Health (Pennsauken, NJ)
- …Summary:Responsible for application of appropriate medical necessity tools to maintain compliance and achieve cost effective and positive patient outcomes.Acts as a ... Six Sigma committee, department and/or divisional teams and community activities. Compliance * Understands and applies applicable federal and state requirement.*Identify… more
- UPMC (Bridgeville, PA)
- …insurers, nursing home facilities and patients and/or their representatives. + Attend compliance training program as defined in the compliance training policy ... and collection skills required + Knowledge of all third-party payors ( Medicare , Blue Cross, Medical Assistance, Commercial, etc.), the applicable reimbursement… more
- UnityPoint Health (Des Moines, IA)
- …department compliance requirements for federally funded healthcare programs (eg Medicare and Medicaid) regarding fraud, waste and abuse.Brings any questions or ... concerns regarding compliance to the immediate attention of hospital administrative staff.Takes...action on concerns reported by department staff related to compliance . Qualifications Minimum Requirements Identify items that are minimally… more