- 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
- Guthrie (Sayre, PA)
- Summary: A senior level compliance coding auditor conducting assessments in accordance with The Guthrie Clinic's policies and procedures and accepted ... payer guidelines and requirements. + Minimum 1-year experience in Physician coding and billing and/or compliance field required 5 year of clinical experience… more
- HCA Healthcare (Chattanooga, TN)
- …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
- 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
- UNC Health Care (Chapel Hill, NC)
- …or group feedback. Performs billing audits and ensures correct coding and billing compliance . Documents audit work and findings in accordance with department ... ability to navigate and link various sources of regulations and standards. Interpret billing compliance and other regulations and apply them to specific… 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
- V2X (Reston, VA)
- …responsibility, and professionalism. Responsibilities + What You'll Do: + The Senior Manager, Corporate Accounting oversees the financial reporting and accounting ... role involves managing a team of accounting professionals, ensuring compliance with regulatory requirements, preparing financial statements, analyzing financial… more
- University of Rochester (Rochester, NY)
- …financial research compliance functions. Directs the Office of Research Compliance for clinical research billing compliance , sponsored program ... preferred **KNOWLEDGE, SKILLS AND ABILITIES** + Knowledge of third-party financial compliance regulations for research and clinical trial billing required… more
- Commonwealth Care Alliance (Boston, MA)
- …at this time._** **Position Summary:** Working under the direction of the Sr . Director, TPA Management and Claims Compliance , Healthcare Medical Claims ... claims data sets to provide analysis and reports on existing provider billing patterns as compared to industry standard coding regulations, and make recommendations… more
- HCA Healthcare (Brownsville, TX)
- …Our services include scheduling, registration, insurance verification, hospital billing , revenue integrity, collections, payment compliance , credentialing, ... assistance (tuition, student loan, certification support, dependent scholarships) + Colleague recognition program + Time Away From Work Program (paid time off,… more
- HCA Healthcare (Nashville, TN)
- …Our services include scheduling, registration, insurance verification, hospital billing , revenue integrity, collections, payment compliance , credentialing, ... assistance (tuition, student loan, certification support, dependent scholarships) + Colleague recognition program + Time Away From Work Program (paid time off,… more
- HCA Healthcare (San Antonio, TX)
- …assistance (tuition, student loan, certification support, dependent scholarships) + Colleague recognition program + Time Away From Work Program (paid time off, ... discrepancy and complete incident reports as required. You will review RX Auditor report and generate investigation reports for nurse managers/directors to review.… more
- HCA Healthcare (San Antonio, TX)
- …assistance (tuition, student loan, certification support, dependent scholarships) + Colleague recognition program + Time Away From Work Program (paid time off, ... discrepancy and complete incident reports as required. You will review RX Auditor report and generate investigation reports for nurse managers/directors to review.… more
Related Job Searches:
Auditor,
Billing,
Billing Compliance,
Billing Compliance Auditor,
Compliance,
Compliance Auditor,
Sr