- 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
- 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
- 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
- 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
- United Rentals (Stamford, CT)
- …equipment rental provider, **come build your future with United Rentals!** As 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… 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
- 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
- Insight Global (Phoenix, AZ)
- Job Description Insight Global is looking for a Senior Sales Operations Analyst-Contract Compliance who serves as the first line of defense in contractual ... compliance audits initiated by customers or third-party audit firms...Review customer contracts to interpret applicable commercial terms, including billing procedures, payment timelines, pricing schedules, rebates, markups, labor… more
- Adelphi University (Garden City, NY)
- Senior Accountant Job Department/School Finance Office FT/PT/Temp Full time Location Garden City, NY Senior Accountant Finance Office JOB SUMMARY: The Senior ... reconciling general ledger accounts, analyzing financial data, assisting with tuition billing analysis and assisting in month end closings and year-end audits.… more
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