- Humana (Providence, RI)
- …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
- Cardinal Health (Providence, RI)
- …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
- Highmark Health (Providence, RI)
- …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