administration and oversight of an effective compliance program. The Government Program Compliance Medi-Cal Specialist, Senior... and maintains Medi-Cal Compliance department activities e.g. development & maintenance of the department audit calendar, CMS, DMHC...
. Responsibilities Medical Coding Compliance Specialist I Optimizes/reviews documentation for the application of risk adjustment... other duties as assigned. Medical Coding Compliance Specialist II Optimizes/reviews documentation for the application of risk...
Job Description: The Facility Compliance / Life Safety Specialist consults with the leadership responsible... and standards. The Specialist also makes recommendations to change procedures or practices that are out of compliance with stated...
Job Description The Facility Compliance / Life Safety Specialist consults with the leadership responsible... and standards. The Specialist also makes recommendations to change procedures or practices that are out of compliance with stated...
Compliance Specialist PRN Roxboro, North Carolina Req ID 7460-9481 Post Date Nov. 26, 2024 CategoryProfessional - Non... knowledge of regulatory compliance including Joint Commission, CMS, and State Regulatory Compliance. Statistical data...
: We have an exciting opportunity to join our team as a Senior Compliance Specialist (Hospital). In this role, the successful Senior... Compliance Specialist will support the Manager of Hospital Billing Compliance and the Director of Billing Compliance in the...
Validation (RADV) audits required by CMS for ACA and MA Risk Plans. Assists in preparation and implementation of necessary... internal controls for related entities consistent with CMS and State requirements. Attends continuing education classes...
by not limited to those mapped to an HCC at the encounter level. Collaborate with providers, peers and Compliance leadership... recommendations where warranted. Keep current with medical compliance and reimbursement policies, such as medical necessity issues...
Compliance with CMS Section 111 Reporting Requirements: Oversee accurate and timely Section 111 reporting for Medicare, including... & Medicaid Services (CMS), minimizing potential penalties and compliance risks. Monitor and Improve Reporting Processes: Develop...
, with the majority or all hours being remote. This role is within the Integrity and Compliance department of IAS in the... professional services Center of Excellence, providing support for the seven elements of an effective compliance program. This role...
and supporting the department in the reporting of findings. This position audits medical records to ensure compliance with the... organizations coding procedures and standards according to the CMS coding guidelines and official ICD9 / ICD10 coding guidelines...
RANGE: 78,582.40 - 128,440.00YEARLY General Summary: This position is responsible in participating in and assisting the Corporate Compliance team with the day...-to-day functions in the department in achieving high levels of compliance with all applicable laws and regulations...
and supporting the department in the reporting of findings. This position audits medical records to ensure compliance with the... organizations coding procedures and standards according to the CMS coding guidelines and official ICD9 / ICD10 coding guidelines...
Specialist familiar with CMS MA regulations and best practices Review client current state and identify gaps in existing...CMS Consultant Detroit, MI Strength in CMS regulatory Excellent interpersonal skills, strong communicator - able...
encouraging compliance with treatment, discussing relapse prevention strategies, stress management, etc. Works to resolve... critical or situations. Will link to emergency services as needed. 9. Maintains chart documentation that is in compliance...
opportunities for professional growth that you’ll enjoy as a member of our team. UMMS is currently seeking a Compliance Auditor... at our corporate office in Linthicum, MD. General Summary Under general supervision, ensures that compliance initiatives...
Fee The Senior Consultant of Compliance Programs assists with effective implementation and monitoring of Parkland... s Ethics and Compliance Program ( Program ) across the health system. The Consultant's general duties and responsibilities...
Consultant of Compliance Programs assists with effective implementation and monitoring of Parkland s Ethics and Compliance..., implementing and monitoring the Program s requirements to ensure compliance with federal healthcare program requirements, Parkland...
opportunities for professional growth that you'll enjoy as a member of our team. UMMS is currently seeking a Compliance Auditor... at our corporate office in Linthicum, MD. General Summary Under general supervision, ensures that compliance initiatives...
Banking/Fair Lending Programs and oversees the effectiveness of the Bank’s Compliance Management Systems (CMS). The Chief... Bank has an effective Compliance Management System (CMS) and satisfies the Bank’s compliance risk management obligations...