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... Information Humana Medicaid Associate Director, Compliance Nursing in Albany New York ... York 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 ..
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..
Job Information Humana Medical Coding Auditor - Outpatient & Surgical Specialty ... York Description The Medical Coding Auditor reviews medical claims submitted against ... CPT, HCPCS). The Medical Coding Auditor..
Job Summary: The Credentialing Specialist is responsible for providing administrative support for the process of privileging and credentialing the medical staff at Westchester Medical Center. Performing primary source verification and ensuring ..
... business and financial relationships; monitoring compliance with conflict of interest management ... activities, related contractual matters, regulatory compliance, and the annual/research disclosures processes. ... interest (FCOI) forms. 3. Monitor..
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..
... our clients through today's ever-changing healthcare landscape. Your day-to-day role as ... New York State and their compliance with the Home and Community ... Duties: Evaluate the case for..
Description The Compliance Nurse 2 reviews utilization management ... fraud, waste, and abuse. The Compliance Nurse 2 work assignments are ... appropriate courses of action. The Compliance Nurse 2 will..
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 Bilingual Quality Auditor in New York New York ... York Description The Bilingual Quality Auditor/ Professional 2 ensures that products ... ensure accuracy. Responsibilities Bilingual Quality Auditor/..
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..
Description Senior Compliance Professional ensures compliance with governmental requirements as they ... Medicaid State reporting. The Senior Compliance Professional work assignments involve moderately ... variable factors. Responsibilities The Senior Compliance..
Job Information Humana Bilingual Quality Auditor in Albany New York Description ... York Description The Bilingual Quality Auditor/ Professional 2 ensures that products ... ensure accuracy. Responsibilities Bilingual Quality Auditor/..
... our clients through today's ever-changing healthcare landscape. Your day-to-day role as ... New York State and their compliance with the Home and Community ... Duties Evaluate the case for..
Job Information Humana Compliance Professional - SeniorBridge Home Care ... Description SeniorBridge is seeking a Compliance Professional to help ensure delivery ... highest quality care by meeting compliance with company..
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..
A New York City health services organization is currently seeking a newu00a0Manager of Clinical Audit Training for a promising opportunity with their growing staff. In this role, the Manager of Clinical ..
... validate coding assignment is in compliance with the official coding guidelines ... and education to coders. Escalates compliance, risk-related issues to expedite mitigation. ... Clinical Pertinence, H & P..
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..
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..
