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... The Associate Director, Patient Assistance Compliance and Quality Assurance will be ... will be responsible for overseeing Compliance for Patient Services, covering all ... creative solutions to Patient Support..
... Information Humana Medicaid Associate Director, Compliance Nursing in Jersey City New ... Jersey 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 ..
... 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..
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 ..
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..
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 Responsibilities The Associate Director for ACD Audit , at the director of the Director of Payment Integrity, will create and implement process improvement plans focused on the beneficiary and provider ..
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 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..
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 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 Jersey City New Jersey ... Jersey Description The Bilingual Quality Auditor/ Professional 2 ensures that products ... ensure accuracy. Responsibilities Bilingual Quality Auditor/..
Hospital Coding Auditor (IP/OP) - Remote Location : ... and Advisory Services. The Coding Auditor ensures that coding compliance initiatives are met for our ... and other factors. The Coding..
Job Information Humana Medical Coding Auditor - Outpatient & Surgical Specialty ... Jersey Description The Medical Coding Auditor reviews medical claims submitted against ... CPT, HCPCS). The Medical Coding Auditor..
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..
... 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..
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 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..
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 ..
