vendors, oversee benefits compliance, maintain benefits systems, and assist with leave of absence administration. In addition... to contracts Subject matter expert in benefits compliance. Ensure compliance with ERISA, COBRA, ACA, and other regulatory...
environment. This position ensures compliance with applicable WC state laws, NDCP policies and procedures related to on-the...-job injuries and collaborates with the Company’s Leave Administrator to support compliance with WC, FMLA, and ADA integration...
compliance and accuracy of the MS-DRG, APR DRG and other reimbursement impacting elements. The Coding Validator III works closely... is also responsible for coding functions to support timely coding and billing. The Coding Validator III is also responsible for exceeding...
Group Compliance, Internal Audit, Physician Compensation, Clinical Informatics/Clinical Informatics Educators, Quality... Specialist clinician low risk review meetings, Risk Adjustment/HCC meetings, and/or Medical Group Compliance reviews/meetings...
compliance and accuracy of the MS-DRG, APR DRG and other reimbursement impacting elements. The Coding Validator III works closely... is also responsible for coding functions to support timely coding and billing. The Coding Validator III is also responsible for exceeding...
and syndications. Ensures the required internal control standards, including adherence to audit, regulatory and compliance policies... to ensure client history is accurate and complete. Ensures accurate billing to clients. Operates at a group/enterprise-wide...
to coding. Assist in the management of the coding and billing auditing and monitoring program to address high risk compliance...Perform periodic and ongoing audits of claims to ensure accuracy of coding and billing, and sufficiency of supporting...
and sponsoring agency policies and procedures. Cooperates with compliance and monitoring efforts related to sponsored program... administration and respond to any audit findings and implement approved recommendations. Coordinates and facilitates monitoring...
. This Credentialing Program Manager identifies and assesses areas of compliance according to TJC, ODH, CMS and other accreditation... management, compliance, medical staff and hospital leadership, and other professionals as necessary to ensure the integrity...
, and compassion - must guide what we do, as individuals and professionals, every day. The Laboratory Medicine Call Center Specialist... as it relates to billing requirements and non-covered balances. Gathers and redirects pertinent information to the...
control standards, including adherence to audit, regulatory and compliance policies. Facilitates growth initiatives for the... control standards, including adherence to audit, regulatory and compliance policies. Leads and executes business development...
what we do, as individuals and professionals, every day. The Laboratory Medicine Call Center Specialist responds to a wide range of calls... identifying the resolution of issues. 2. Can inform patients of their financial responsibility as it relates to billing...
website, Medicare Manuals, etc. to resolve billing issues and promote regulatory compliance. Maintains and provides... billing issues, and federal and state billing compliance issues for hospitals; knowledge of CPT-4 codes and ICD-9-CM codes...
coding guidelines, procedures and protocols. Detects, reports and acts as a resource to assist in resolving billing... compliance issues. Serves as liaison between business office, medical records, patient care and/or coding department by providing...
regular reviews of clinical documentation to ensure accuracy, completeness, and compliance with coding and billing regulations... Director will be responsible for ensuring the accuracy, integrity, and compliance of clinical data, driving initiatives...
, and reconciliation of accounts. The role plays a key part in maintaining compliance with financial and audit requirements... with vendors professionally to address billing discrepancies or inquiries. Reconcile monthly vendor statements and resolve...
, proper documentation, and reconciliation of accounts. The role plays a key part in maintaining compliance with financial... and audit requirements while supporting cross-functional departments and external vendors. The ideal candidate...