- 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
- R1 RCM (Detroit, MI)
- …review and correct billing edits, internal and external reporting, research, and regulatory compliance ). Under the direction of the Coding Leadership Team, the ... intelligent automation, and workflow orchestration. Our **Multispecialty QA Education Coding Associate** will be responsible for reviewing clinical documentation and… more
- R1 RCM (Detroit, MI)
- …of revenue cycle management industry and processes, including patient access, billing, coding , collections, and compliance . **Here's what you will experience ... radiology, surgical, primary care, and/or others. + Strong knowledge of RCM processes, including billing, coding , claims management, and reimbursement.… more
- Growth Ortho (Nashville, TN)
- …standardization of workflows, and deployment of best practices across all RCM functions, including scheduling, billing, coding , collections, and denial ... IT, Finance, Coding , and Operations to ensure seamless integration of RCM systems and workflows. Technology Enablement Serve as a key stakeholder in the… more
- Affordable Care (Morrisville, NC)
- …all dental procedures and services. + ** Compliance & Reporting** + Monitor compliance with dental coding (CDT), payer policies, HIPAA regulations and other ... **Overview** We are seeking an experienced and results-driven Senior Manager to lead and optimize our revenue cycle operations across multiple specialty dental… more
- Waystar (Louisville, KY)
- …and work closely with User Experience team and Technology teams. The Sr . Product Manager will coordinate with key stakeholders in sales, marketing, design, ... healthcare industry standards and staying up-to-date on industry changes and compliance issues + Gathering inspiration and ideas by visiting customers regularly… more
- RWJBarnabas Health (Oceanport, NJ)
- …the organization are working collaboratively to support accurate and timely revenue recognition , an enhanced patient experience and ensure compliance with ... usage. + Function as a liaison between medical group leadership, revenue cycle teams, compliance , coding , and IT to ensure alignment of goals and expectations. +… more
- Cardinal Health (San Juan, PR)
- …of the adequacy and accuracy of documentation in support of services billed; compliance with other documentation and coding and billing standards; communication ... coding and billing policies and procedures. + Conducts compliance orientation training for new providers as well as...potentially sensitive issues to all levels of management including senior leadership, physicians, coding staff and others.… more
- CIBC (Chicago, IL)
- …Operational Process Controls (OPCs), Financial Process Controls (FPCs) and Regulatory Compliance Management ( RCM ) controls. Develop & present Executive Reporting ... Management and 2nd and 3rd lines of defense (Risk, Compliance , and Internal Audit) to develop and implement well...not exceed the risk tolerance of the organization. Asa Senior Consultant, Operational Risk, you will be responsible for… more
- CIBC (Chicago, IL)
- …Operational Process Controls (OPCs), Financial Process Controls (FPCs) and Regulatory Compliance Management ( RCM ) controls. Develop & present Executive Reporting ... complex initiatives, to identify risk and control issues. Lead all Internal Audits, Compliance Exams, AML/ CEEP, and GORM Reviews for the LOB regarding audit scope… more
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