- Memorial Sloan-Kettering Cancer Center (New York, NY)
- …around the globe. Exciting Opportunity at MSK: ** Senior Healthcare Coding & Billing Compliance Specialist ( Auditor )** At Memorial Sloan Kettering (MSK), ... across our institution. As a ** Senior Healthcare Coding & Billing Compliance Specialist ( Auditor )** , you'll help safeguard MSK by conducting… more
- UNC Health (Morrisville, 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
- 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 typically… more
- Mount Sinai Health System (New York, NY)
- …risk of compliance violations, audits, and potential penalties related to billing errors. + Streamline charge capture processes to improve efficiency and reduce ... **Job Description** **Clinical Revenue Auditor -CDM Patient Financial Services-Corporate-Full-Time-Days- Hybrid.** The Clinical Revenue...a key role in ensuring the financial health and compliance of the organization and bridges the gap between… more
- Avera (Sioux Falls, SD)
- …you and our patients. Work where you matter.** **A Brief Overview** The Senior Coding Auditor is responsible for auditing technical and professional services. ... on education and/or improvement plans. Emergent reviews may be performed based on compliance and clinical need. This individual will be required to understand and… more
- Guthrie (Sayre, PA)
- Option to be Hybrid/Remote. Summary: A senior level compliance coding auditor conducting assessments in accordance with The Guthrie Clinic's policies and ... 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 (Miami, 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
- HCA Healthcare (Nashville, TN)
- …Our services include scheduling, registration, insurance verification, hospital billing , revenue integrity, collections, payment compliance , credentialing, ... and integrity. We care like family! Jump-start your career as a DRG Validation Auditor today with Parallon. **This position is a fully work from home position.**… more
- Sodexo (North Bethesda, MD)
- **Role Overview** Sodexo, Inc.: Group Internal Auditor - Bethesda, MD Multiple Positions **What You'll Do** + Perform internal operational and financial audits in ... (verbal and written) on the Group's Internal Controls including: o Compliance with Group Policies, procedures, legal, contractual requirements, and approved codes… 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
- University of Texas Rio Grande Valley (Mcallen, TX)
- …all applicable laws, policies, and procedures. + Collects information and prepares billing compliance reports, provides supporting evidence, and conclusions, and ... makes recommendations for corrective measures on identified billing compliance . + Analyzes data reports to...as well as preventative measures. + Communicates findings to senior management and makes recommendations for preventive measures. +… more
- Texas Health Resources (Arlington, TX)
- …and establishing management correction plans when necessary. Additionally, the Compliance Auditor Manager effectively communicates audit findings through ... Compliance Manager oversees and manages auditing and monitoring activities related to billing and coding compliance . This role is responsible for developing… more
- New York State Civil Service (Albany, NY)
- …Section 70.1: Permanent competitive service as a Senior Accountant, Management Specialist 1, Senior Auditor , Accountant Aide, Auditor Trainee 1 & 2. For ... system, performing professional accounting supporting federal grant fiscal reporting and billing , and monitoring compliance with applicable laws, rules,… 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
- 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
- Saint Francis Health System (Tulsa, OK)
- …**to login and apply.** Full Time Job Summary: The Senior Internal Audit Analyst plays a critical role in evaluating ... control gaps, and providing actionable recommendations to enhance efficiency and compliance . Minimum Education: Bachelor's Degree in Accounting or related field.… more
- Covenant Health Inc. (Knoxville, TN)
- Overview Insurance Appeals Senior , Revenue Integrity and Utilization Full Time, 80 Hours Per Pay Period, Day Shift Covenant Health Overview: Covenant Health is the ... Analyzes all correspondence regarding insurance denials for the revenue integrity auditor to take appropriate action. Prepares necessary documentation for insurance… more
- Option Care Health (Bannockburn, IL)
- …to summarize and communicate complex findings effectively. Reporting to the Senior Manager, Compliance Auditing, Monitoring and Analytics, this individual ... techniques to analyze large datasets, such as related to healthcare operations, billing , claims, and patient information to support Compliance activities and… more
- Emory Healthcare/Emory University (Atlanta, GA)
- …weekly, monthly, and annual compliance & ethics reporting. + Work with Senior Compliance and Privacy Office leadership as well as other key clinical ... to relevant laws, regulations, and industry standards, focusing on compliance risk areas and billing practices, while...auditor , and/or coding educator. + Certified in Healthcare Compliance (CHC or CPCO) preferred. If no certification, must… 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
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