Healthcare Compliance Auditor Jobs in Massachusetts

... we are passionate about enabling healthcare professionalsnto deliver high quality patient ... do so affordably. A leadingnglobal healthcare company, Siemens Healthineers continues to ... as managed services, consulting, and..

... Information Humana Medicaid Associate Director, Compliance Nursing in Boston Massachusetts Description ... Massachusetts Description The Associate Director, Compliance Nursing reviews utilization management activities ... and abuse. The Associate Director,..

Description The Medical Coding Auditor extracts clinical information from a variety of medical records and assigns appropriate procedural terminology and medical codes (e.g. CPT) to patient records. The Medical Coding Auditor ..

... looking for an experienced Senior Healthcare Investigator to join its industry ... a thorough investigation to maintain compliance with Humana and governmental requirements ... external partners (Law Enforcement, Legal,..

... for ensuring policy and procedure compliance in all related areas.The BOM ... Funds procedures and ensures strict compliance with all stateand federal regulations ... Complies with and monitors staff..

... and committee management. Clinical Research Auditor reports to the Data & ... of the DF/HCCu2019s clinical research compliance oversight and quality assurance activities. ... of high quality data and..

Description The Supervisor, Compliance Nursing reviews utilization management activities ... waste, and abuse. The Supervisor, Compliance Nursing works within thorough, prescribed ... analytical approach. Responsibilities The Supervisor, Compliance Nursing ensures..

Description The DRG Validation Auditor extracts clinical information from a ... patient records. The Medical Coding Auditor work assignments are varied and ... action. Responsibilities The DRG Validation Auditor confirms..

Job Information Humana HCS Compliance & Risk Management Quality Audit ... action. Responsibilities As a HCS Compliance & Risk Management Quality Audit ... be responsible for executing the Compliance Oversight..

Description The Senior Compliance Professional ensures compliance with governmental requirements. The Senior ... with governmental requirements. The Senior Compliance Professional work assignments involve moderately ... variable factors. Responsibilities Seeking Senior..

Job Information Humana Medical Coding Auditor - Outpatient & Surgical Specialty ... Massachusetts Description The Medical Coding Auditor reviews medical claims submitted against ... CPT, HCPCS). The Medical Coding Auditor..

... other related duties as requested. Compliance Responsibilities Complies with applicable legal ... limited to those within the Compliance Process, Standard/Code of Conduct, Federal ... concerns and suspected incidences of..

OverviewnInvestigators in the Division of Cancer Genetics and Prevention at the Dana-Farber Cancer Institute and Harvard Medical School seek a full-time Clinical Research Coordinator to assist in clinical and non-clinical studies ..

... best work. SM The Field Based-Compliance Auditor will work with our network ... of contracted providers to ensure compliance and adherence to all regulatory ... Audit, as the Field..

629 Centre Street, Brockton Information Systems Brockton MA Professional Full Time 40 Hours only Days 1st Shift 8:00a-4:30p Hours/Pay Period: 80 Req # 16209 The Coordinator - EHR Incentive Payment Programs ..

Job Information Humana Senior Risk Management Professional - Third Party Risk Management-Remote, US in Boston Massachusetts Description The Senior Risk Management Professional a critical member within Humana's Third Party Risk Management ..

... is looking for an experienced Healthcare Investigator to join its industry ... a thorough investigation to maintain compliance with Humana and governmental requirements ... external partners (Law Enforcement, Legal,..

Inpatient Hospital Coding Compliance Auditor The Inpatient Hospital Coding Compliance Auditor will provide expert auditing services ... audits. Primary Responsibilities: Perform coding compliance and quality audits in support ... audits..

Quality & Analytics Manager, Home & Community Based Services (HCBS) Waiver Unit','230000JQ','!*!MassHealth, the Commonwealth of Massachusetts’ Medicaid Program, through its Office of Long-Term Services and Supports (OLTSS), provides a robust system ..

Job Information Humana Bilingual Quality Auditor in Boston Massachusetts Description The ... Massachusetts Description The Bilingual Quality Auditor/ Professional 2 ensures that products ... ensure accuracy. Responsibilities Bilingual Quality Auditor/..

... related to fiscal and administrative compliance with institutional, Federal, private and ... performs final review for sponsor compliance prior to project termination. Responds ... Supplies data to ensure sponsor..

Description Responsibilities The Compliance Professional 2 has responsibilities for ... documentation for quality and clinical compliance with contract requirements as outlined ... ensure all providers are in compliance based on..

Description The Behavioral Health Parity Compliance Lead will play an integral ... of our Mental Health Parity Compliance Program. Responsibilities This role is ... Healthy Horizons Mental Health Parity Compliance..