- Covenant Health Inc. (Knoxville, TN)
- …inpatient and out-patient and/or physician practice. Good working knowledge of healthcare billing, Medicare /Medicaid billing guidelines, and other Third Party ... by CMS and the OIG via the Federal Register, fraud alerts, OIG advisory opinions, and other publications relative...coding, modifiers and billing processes to ensure compliance with Medicare , Medicaid guidelines and other insurance payers and to… more
- UnityPoint Health (Cedar Rapids, IA)
- …and department compliance requirements for federally funded healthcare programs (eg Medicare and Medicaid) regarding fraud , waste, and abuse. Brings any ... We're proud to be recognized as a Top 150 Place to Work in Healthcare by Becker's Healthcare several years in a row for our commitment to our team members. Our… more
- Walmart (Bentonville, AR)
- …work across our Accounts Receivable teams supporting both traditional AR and healthcare AR operations. This role will be responsible for setting strategic direction, ... strategic vision for accounts receivable operations, aligning with organizational goals and healthcare compliance standards. + Lead and mentor AR managers and teams… more
- Stanford Health Care (Palo Alto, CA)
- …while identifying instances of overpayments and underpayments. Proficiency in healthcare claims analysis, including the ability to review, interpret, and ... after a detailed review of medical records. Ensure compliance with Medicare , Medicaid, third-party guidelines, Local Coverage Determinations (LCD), National Coverage… more
- Somatus (Mclean, VA)
- …to enhance contract and member performance. + Use analytics to identify healthcare cost trends and drivers. + Partner with **teams** to evaluate initiatives ... + **Payment Integrity Product Areas:** Clinical Claim Review, Payment Analytics, Fraud Capture, Utilization Review **Product Management** + **Build** business cases… more
- MVP Health Care (Tarrytown, NY)
- …Anti- Fraud investigation and reporting requirements including HIPAA, CMS, Medicare , Medicaid, and any corporate compliance initiatives or policies. + Minimal ... York State Nursing license required (RN preferred). Experience in health insurance fraud investigations preferred. + Obtain CPC and/or COC credential. + Maintain… more
- UnityPoint Health (Anamosa, IA)
- …and department compliance requirements for federally funded healthcare programs (eg Medicare and Medicaid) regarding fraud , waste and abuse). Brings any ... We're proud to be recognized as a Top 150 Place to Work in Healthcare by Becker's Healthcare several years in a row for our commitment to our team members. Our… more
- UnityPoint Health (Anamosa, IA)
- …and department compliance requirements for federally funded healthcare programs (eg Medicare and Medicaid) regarding fraud , waste and abuse. Brings any ... We're proud to be recognized as a Top 150 Place to Work in Healthcare by Becker's Healthcare several years in a row for our commitment to our team members. Our… more
- UnityPoint Health (Iowa City, IA)
- …work site compliance requirements for federally funded healthcare programs (eg Medicare and Medicaid) regarding fraud , waste and abuse. Brings any questions ... ID: 169291 Overview AbbeHealth Services - is a regional healthcare organization dedicated to providing mental health and aging...recognized as a Top 150 Place to Work in Healthcare by Becker's Healthcare several years in… more
- UnityPoint Health (Sioux City, IA)
- …and department compliance requirements for federally funded healthcare programs (eg Medicare and Medicaid) regarding fraud , waste and abuse. Brings any ... We're proud to be recognized as a Top 150 Place to Work in Healthcare by Becker's Healthcare several years in a row for our commitment to our team members. Our… more