- Humana (Phoenix, AZ)
- …relationships with business partners to uphold ethical standards and mitigate risks. The Senior Clinical Compliance Professional will support the Director of ... situations or data requires an in-depth evaluation of variable factors. As the Senior Clinical Compliance Professional, you will develop and/or evaluate … more
- Ochsner Health (New Orleans, LA)
- … billing regulations and medical necessity guidelines (which includes compliance with applicable laws and regulations), business risk, effective risk management ... This job assists with maintaining an effective auditing and compliance program. Independently completes assignments, manages projects, performs research, audits,… more
- BJC HealthCare (St. Louis, MO)
- …located in Town & Country, MO. **Preferred Qualifications** **Role Purpose** The Senior Compliance Coordinator conducts and coordinates reviews of BJCMG ... that ensures compliance with governmental regulations. Additionally, the Senior Compliance Coordinator collaborates with departments in providing appropriate… more
- SSM Health (MO)
- …**Worker Type:** Regular **Job Highlights:** Exciting opportunity for an Corporate Responsibility Auditor Senior role SSM Health! Preferred RN background is a ... are found to be unsubstantiated through review of the medical record and/or billing information. Tracks assigned cases and enters data of audit related information… more
- HCA Healthcare (Orange Park, FL)
- …Our services include scheduling, registration, insurance verification, hospital billing , revenue integrity, collections, payment compliance , credentialing, ... recognized. Submit your application for the opportunity below: Inpatient Coding Quality Auditor Parallon. **This is a fully work from home position.** **This… more
- Fresenius Medical Center (Kennesaw, GA)
- …support in compliance with company policies and procedures. The Internal Auditor I provides guidance and leadership to ensure performance is in alignment with ... to work from your home location _within the United States_ Must have Senior level Medical AR and Insurance Verification experience PURPOSE AND SCOPE: An Internal… more
- United Rentals (Scottsdale, AZ)
- …with United Rentals!** As a Senior Manager of Sales Operations, the Senior Sales Operations Analyst - Contract Compliance serves as United Rentals' first ... line of defense in contractual compliance audits initiated by customers or third-party audit firms for customer and national account pricing contracts. This role… more
- Dartmouth Health (Lebanon, NH)
- … billing , reimbursement, efficiency and effectiveness of operations and compliance with rules and regulations. Researches, analyzes and interprets laws and ... complex professional and facility (DRG or APC) coding and billing audits across all clinical specialties. Responsibilities * Plans...performs auditing and monitoring projects at the request of Senior Management and the Audit and Compliance … more
- University of Texas Rio Grande Valley (Mcallen, TX)
- …all applicable laws, policies, and procedures. + Collects information and prepares billing compliance reports, provides supporting evidence, and conclusions, and ... makes recommendations for corrective measures on identified billing compliance . + Analyzes data reports to...as well as preventative measures. + Communicates findings to senior management and makes recommendations for preventive measures. +… more
- UNC Health Care (Chapel Hill, NC)
- …or group feedback. Performs billing audits and ensures correct coding and billing compliance . Documents audit work and findings in accordance with department ... ability to navigate and link various sources of regulations and standards. Interpret billing compliance and other regulations and apply them to specific… more