- Humana (Corpus Christi, TX)
- …community and help us put health first** The Home Health Quality Auditor ensures clinical documentation meets CMS regulations, OASIS accuracy, and Medicare ... accuracy, and completeness, helping reduce audit risk and billing delays. The auditor monitors QA metrics, identifies trends, and collaborates with leadership to… more
- UCLA Health (Los Angeles, CA)
- …Support compliance excellence at UCLA Health by joining our team as a Compliance Auditor , MAPD, focused on Medicare Advantage (Part C) and Prescription Drug (Part D) ... and findings. * Prepare detailed and professional audit reports for senior leadership and regulatory bodies. * Support organization-wide audit readiness and… more
- Dartmouth Health (Lebanon, NH)
- …audit and monitor completeness, accuracy and timeliness of documentation, coding , billing, reimbursement, efficiency and effectiveness of operations and compliance ... compliance objectives. Performs complex professional and facility (DRG or APC) coding and billing audits across all clinical specialties. Responsibilities * Plans… more
- Texas Health Resources (Arlington, TX)
- …Ability to provide clear and constructive feedback to coders, non-coders, and senior leadership, translating complex coding rules into actionable insights. ... Manager Compliance Coding _Are you looking for a rewarding career...establishing management correction plans when necessary. Additionally, the Compliance Auditor Manager effectively communicates audit findings through reports, presentations,… more
- BJC HealthCare (St. Louis, MO)
- …in Town & Country, MO. **Preferred Qualifications** **Role Purpose** The Senior Compliance Coordinator conducts and coordinates reviews of BJCMG specialty provider ... giving instruction on federal and state regulations, documentation guidelines, and coding training in a way that ensures compliance with governmental regulations.… more
- University of Southern California (Alhambra, CA)
- …conducts meetings to evaluate department charge processes to improve charge capture and coding compliance. The Senior RI Specialist also coordinates with Keck ... the billing system and CDM management tools . The Senior RI Specialist shall ensure that the Chargemaster (CDM)...ensure that the Chargemaster (CDM) is consistent with all coding and billing regulations and accurately represents services provided.… more
- Dana-Farber Cancer Institute (Brookline, MA)
- …adherence to government, payer, and institutional billing guidelines as well as national coding guidelines. The Senior Reviewer will assist in the development ... MA, RI, CT)** Reporting to the Director of Billing Compliance, the Senior Billing Compliance Reviewer ensures the integrity, accuracy, and regulatory compliance of… more
- Capital One (Riverwoods, IL)
- Senior Tech Audit Manager - Global Payment Network Capital One's Audit function is a dedicated group of professionals focused on delivering top-quality assurance ... opportunity. Capital One is seeking an energetic, self-motivated Technology Senior Manager with experience evaluating and analyzing technology and cybersecurity… more
- Coinbase (Atlanta, GA)
- …Attendance is expected and fully supported. Coinbase is looking for an Internal Audit Senior , IT to join the Internal Audit team focusing primarily on global IT and ... and will be reporting to an Internal Audit IT Senior Manager. The individual will be responsible for executing...an effective control environment, and the role of Internal Auditor . * Promote new ideas / innovative means of… more
- HCA Healthcare (Nashville, TN)
- …**Introduction** Do you have the career opportunities as a(an) Environmental Sustainability Senior Energy Analyst you want with your current employer? We have an ... Do you want to work as a(an) Environmental Sustainability Senior Energy Analyst where your passion for creating positive...data and other relevant emission source data + Perform coding reviews of utilities consumption and service cost fluctuations… more