- Humana (Salem, OR)
- …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
- Nuvance Health (Pembroke Pines, FL)
- …NC, NH, NJ, NY, OH, PA, SC, TN, TX, and VA. *Job Title: Senior Professional Facility Auditor * *Company: Nuvance Health* *Department: Facility Charging and ... $53/hour* *About the Role* Nuvance Health is seeking a detail-oriented and experienced * Senior Professional Facility Auditor * to join our Facility Charging and… more
- Geisinger (Danville, PA)
- Job Summary The Compliance Auditor position is responsible for supporting the organization's Revenue Management Compliance department in developing, ... Determines the adequacy of medical record documentation, coding, and billing , using established compliance auditing and research...for compliance risk mitigation as directed by Compliance or Senior Leadership. + Work is… 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
- Emory Healthcare/Emory University (Atlanta, GA)
- …more! **Description** Reporting to the Director, Compliance Audit and Analysis, the Sr . Compliance Auditor will develop and execute audit, monitoring, ... billing and coding compliance . + Work with the compliance operations, billing team, senior leaders, and key department stakeholders to ensure… more
- Emory Healthcare/Emory University (Atlanta, GA)
- …hospital/clinical billing and coding compliance . + Works with the compliance operations, billing team, senior leaders, and key department ... ensure compliance with regulatory standards. Continuously evaluates inpatient hospital/clinical billing compliance activities to assess compliance with… more
- HCA Healthcare (Brentwood, TN)
- …Our services include scheduling, registration, insurance verification, hospital billing , revenue integrity, collections, payment compliance , credentialing, ... (tuition, student loan, certification support, dependent scholarships) + Colleague recognition program + Time Away From Work Program (paid...vary by location._** We are seeking a Profee Coding Auditor for our team to ensure that we continue… more
- Kaleida Health (Buffalo, NY)
- …codes, medical necessity of services, reimbursement overpayments and underpayments, and compliance with other documentation, coding and billing standards. Will ... **Coding Auditor ** **Location:** Larkin Bldg @ Exchange Street **Location...is a member of the Internal Audit and Corporate Compliance Department. Responsible for audits to determine organizational integrity… more
- State of Indiana (Indianapolis, IN)
- Field Auditor S3 Date Posted: Jul 17, 2025 Requisition ID: 462867 Location: Indianapolis, IN, US, 46204 Work for Indiana Begin a fulfilling career with the State of ... proposed policy/procedure changes in addition to identifying policy weaknesses, vendor non- compliance issues, etc. + Prepare audit assignments for staff auditors… 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
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