- R1 RCM (Chicago, IL)
- …guidance regarding reimbursement, condition of payments and other material requirements; and healthcare compliance audit requirements. + Experience working ... the patient experience. As our Manager of Physician/Professional Coding Compliance Audit , you will manage coding ...CCS-P, or CPC required. CPC-A is not applicable. + Healthcare Coding Audit experience + Previous leadership… more
- Baylor Scott & White Health (Dallas, TX)
- …Knowledge of coding processes and coding compliance .7. Experience conducting healthcare compliance audit investigations and addressing non- compliance ... corrected. Provides key support and regular reporting to the Audit and Compliance Committee of the BSWH...administration, business, or related field preferred.2. 5+ years of healthcare compliance , provider coding, regulatory operations, or… more
- CGI Technologies and Solutions, Inc. (Fairfax, VA)
- …Time **Position Description:** The Outpatient Coding Auditor is a member of the CGI Healthcare Compliance Audit Team. The primary responsibility of this role ... and care settings. Ongoing training and education are provided specific to the audit processes, industry changes, and other topics as needed. In addition to coding… more
- Guidehouse (New York, NY)
- …understanding of concepts regarding healthcare and life sciences investigations, compliance , audit , risk, quality, and data analytics across Medicare, ... Will Do** **:** Guidehouse has an aggressive growth strategy for its Healthcare Fraud, Financial Crime, Compliance , and Investigative Services (FFI-Health) team.… more
- Molina Healthcare (Nicholasville, KY)
- …preferably in the healthcare Compliance industry. Or related Regulatory Compliance & Audit experience + **Technical Skills** : + Proficiency in system ... Analyst is responsible for the analysis, design, and implementation of IT Healthcare Compliance & regulatory systems to meet the business needs of the… more
- Robert Half (Dallas, TX)
- JOB REQUISITION Dallas Technology Audit and Advisory ( Healthcare ) Manager LOCATION DALLAS ADDITIONAL LOCATION(S) JOB DESCRIPTION Are You Ready to Live Protiviti? ... You: The Healthcare Practice is seeking a Healthcare Technology Audit & Advisory Manager to...to all audience levels and stakeholders including C-suite and Audit and Compliance Committee members. + A… more
- HonorHealth (Scottsdale, AZ)
- …or consulting, with at least five (5) of those years in a hospital internal audit / compliance audit department or with a public accounting/consulting firm in ... to learn more. Join us. Let's go beyond expectations and transform healthcare together. HonorHealth is one of Arizona's largest nonprofit healthcare … more
- Northwell Health (Lake Success, NY)
- …will manage, plan, organize and evaluate the staff and activities associated with Corporate Compliance Audit including, but not limited to identifying areas of ... Number** 136687 Job Description As one of Northwell's Corporate Compliance Director of Audit , you will be...(RHIT) + Certified Professional Coder (CPC) + Certified in Healthcare Compliance (CHC) a plus. + Current… more
- Martin's Point Health Care (Portland, ME)
- …Position Summary Martin's Point Healthcare seeks a dynamic Director of IT Compliance , Audit , and Risk (CAR) to establish and drive IT leadership alongside ... Key Outcomes: Leadership and Strategy: + Establishes and drive IT compliance , audit , and risk mitigation programs to ensure adherence to regulatory requirements… more
- LA Care Health Plan (Los Angeles, CA)
- Customer Solution Center Compliance Audit Specialist II Job Category: Customer Service Department: CSC Appeals & Grievances Location: Los Angeles, CA, US, 90017 ... to achieve that purpose. Job Summary The Customer Solution Center (CSC) Audit Readiness Specialist II is responsible for the execution, oversight, and monitoring… more
- Burrell Behavioral Health (Springfield, MO)
- Job Description: Job Title: Compliance Audit SpecialistLocation: Springfield, MODepartment: Compliance and IntegrityEmployment Type: Full-timeShift: Monday - ... Friday 8:00 AM - 5:00 PM Job Summary: The Compliance Audit Specialist supports the Compliance...Skills, and Abilities: + Knowledge of Federal and state healthcare reimbursement requirements + Proficient in ICD-10, CPT and… more
- The MITRE Corporation (Mclean, VA)
- …difference with us. MITRE's Government Compliance group is seeking a Senior Government Compliance and Audit Analyst to assist with all compliance related ... government create lasting impact in fields as diverse as cybersecurity, healthcare , aviation, defense, and enterprise transformation. We're making a difference every… more
- Wipfli LLP (Spokane, WA)
- …recommendations + Proactively identify improvement opportunities in processes to enhance efficiency Healthcare Audit & Accounting Specific: + Perform audit , ... and experience to perform numerous accounting related responsibilities (in audit or financial accounting) such as: + Respond to...and associates + Gain hands-on experience in tax and/or audit work, and related software applications + Work as… more
- Wipfli LLP (Tinley Park, IL)
- …you. We are seeking someone that is passionate about working in the Healthcare Industry, serving Hospitals, Senior Living, FQFC, and home health. This role provides ... to clients and Wipfli offices, as needed. Responsibilities: + Manage audit , review, compilation engagements, and multiple teams. Provide performance feedback to… more
- Wipfli LLP (Spokane, WA)
- …you. We are seeking someone that is passionate about working in the Healthcare Industry, serving Hospitals, Senior Living, FQFC, and home health. This role provides ... to clients and Wipfli offices, as needed. Responsibilities: + Manage audit , review, compilation engagements, and multiple teams. Provide performance feedback to… more
- Healthfirst (NY)
- …an accredited institution or equivalent work experience + Experience in the healthcare industry with knowledge of compliance and regulatory requirements ... a managed care health plan, pharmacy benefits management, delegated vendor, or healthcare regulatory compliance experience + Experience in supporting audits and… more
- Humana (Oklahoma City, OK)
- …a part of our caring community and help us put health first** The Compliance Audit Nurse is responsible for auditing care management activities and documentation ... to ensure adherence to policies, procedures, and regulations. The Compliance Audit Nurse work assignments are varied...3+ years clinical nursing experience + 1+ years Prior Compliance Auditing experience in healthcare + Proficient… more
- Fallon Health (Worcester, MA)
- …general direction from the Director of Quality, the Program Manager, Accreditation & Audit ensures that the health plan is compliant with the National Committee for ... preparing for accreditation reviews and ensures the health plan's compliance with all NCQA standards, including corporate policies and...+ Acts as the project manager for accreditation and audit activities + Ensures that the health plan is… more
- The Cigna Group (Bluffton, SC)
- …deficiencies identified; and*Provide meaningful and appropriate reporting to support compliance audit . **Qualifications:** Bachelor's degree or equivalent. **5+ ... Responsible for Part C audit activities for the Cigna Compliance ...vitality of those we serve. Through our divisions Cigna Healthcare and Evernorth Health Services, we are committed to… more
- Bowery Residents Committee (Manhattan, NY)
- Position Overview Reporting to the CFO, the Director of Audit Compliance performs various aspects of professional internal auditing work. Responsible for ... policies and procedures, and regulatory authorities. The Director of Audit Compliance will manage internal and external...+ Flexible spending accounts (FSAs) are available so employees can set aside pre-tax dollars for healthcare , transit and… more