- Humana (Springfield, IL)
- …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 (Chicago, IL)
- …margin results for modular coding organization. + Lead and manage the coding department, ensuring compliance with all regulatory requirements and coding ... and industry trends. + Prepare and present reports on coding operations to senior management. **Required Skills...+ Experience and strong knowledge of inpatient and outpatient coding , compliance and audit + Experience with… more
- R1 RCM (Chicago, IL)
- …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
- Cardinal Health (Springfield, IL)
- …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)
- …for Operational Process Controls (OPCs), Financial Process Controls (FPCs) and Regulatory Compliance Management ( RCM ) controls. **Who You Are** + **You must ... defense team which supports the departments referenced above. The Senior Risk Consultant will work closely with US TI&I...Management and 2nd and 3rd lines of defense (Risk, Compliance , and Internal Audit) to develop and implement well… 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
- Highmark Health (Springfield, IL)
- …across operations + Stay updated on industry trends and emerging technologies in RCM . ** Compliance and Regulatory Oversight** : + Ensure strict adherence to ... in a senior leadership role **Preferred** + Experience in managing RCM teams in a global, multi-site environment. **SKILLS** + Strong understanding of end-to-end… more
- Ascension Health (Batavia, IL)
- …collections-executed primarily through a contracted third-party revenue cycle management ( RCM ) vendor. This role ensures accountability for vendor performance, ... The AVP partners closely with system leadership, hospital CFOs, and the third-party RCM vendor to ensure strong controls, optimal net revenue realization, and a… more
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