- State of Connecticut, Department of Administrative Services (Hartford, CT)
- …across state agencies; + Represent the state in responding to federal and state audit inquiries related to cost allocation and recovery ; + Supervise staff in ... mentoring staff and producing work that meets the highest audit standards. + You want to do work that...expenditure data and program structures to ensure accurate cost recovery rates for institutional care; + Manage the preparation… more
- Bon Secours Mercy Health (Cincinnati, OH)
- …protocols which align with Bon Secours Mercy Health's overall compliance audit and compliance responsibilities relative to hospital revenue cycle services performed ... procedures for the development of compliance internal monitors and audit protocols and the prevention of fraud, waste and...hospital revenue cycle risk areas highlighted by the OIG, Medicare , State Medicaid, State Insurance Fraud; Managed Care or… more
- Excellus BlueCross BlueShield (Dewitt, NY)
- …solutions. + Identifies, measures and established processes assisting in provider retraction recovery . + Assists LBS, Medicare , Safety Net team in implementation ... receivable process. This includes the cash/payment reconciliation of the organizations audit groups, overseeing the day-to-day activity of the Accounts Receivable… more
- Medical Mutual of Ohio (OH)
- …fully insured and self-funded group coverage, including stop loss, as well as Medicare Advantage, Medicare Supplement, and individual plans. Medical Mutual' s ... Data Center security and access procedures. + Performs basic restart/ recovery operations of abended jobs using JCL and ...testing. Strictly adheres to ISO process, record tracking and audit support. + Executes the Change Management requests from… more
- NHS Management, LLC (Georgiana, AL)
- …offers you the unique opportunity to walk alongside patients on their road to recovery from many different conditions. As you care for and help patients achieve ... with internal controls and state and federal regulations. + Ability to audit resident accounts, assess accuracy and collectability of accounts receivable balances,… more
- Chesapeake Regional Healthcare (Chesapeake, VA)
- …personnel with patient questions about itemized charges . Maintain reporting system of audit activities and identifies pattern and trending of results . Act as ... diagnoses and procedures by following the ICD-10-CM, Uniform Hospital Data Set, Medicare , Medicaid, and other fiscal intermediary guidelines . Report trends and… more
- Bassett Healthcare (Stamford, NY)
- …sent via mail, phone, or MyBassett to meet patient satisfactions. Takes a lead in service recovery and acts as a service liaison in the moment. Acts as a trainer for ... is entered or scanned into the system accurately as monitored by system audit Accurate confirmation of attending PCP and Billing PCP, when appropriate. Assures… more
- Texas Health Resources (Dallas, TX)
- …with legal requirements and THPG standards. Coordinate external audits such as recovery audit contractors for governmental agencies and/or commercial payer ... of and comply with federal and state laws and regulations including Medicare /Medicaid program requirements. Lead and/or work with appropriate resources to ensure… more
- Chesapeake Regional Healthcare (Chesapeake, VA)
- …documentation on all Observation accounts for carve-out observation hours, extended recovery , and event management, spot checking accounts with random audits. ... to charge code injection and infusion charges, and review of various charge audit . + Ensure accuracy and integrity of charge data prior to billing interface… more
- Molina Healthcare (NM)
- …for supporting the prevention, detection, investigation, reporting, and when appropriate, recovery of money related to health care fraud, waste, and abuse. ... order to maintain coding accuracy and excellence. The position also entails producing audit reports for internal and external review. The position may also work with… more