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Description Responsibilities The Compliance Professional 2 has responsibilities for performing clinical audits on medical record documentation for quality and clinical compliance with contract requirements as outlined in the Autism Care Demonstration ..
... procedures are in compliance with regulatory requirements. Coordinates compliance auditing and ... needed, for compliance with various regulatory guidelines. Collects data and updates ... Organizations to develop and implement..
... procedures are in compliance with regulatory requirements. Coordinates compliance and privacy ... needed, for compliance with various regulatory guidelines. Collects data and updates ... with a background in healthcare..
Description The Coding Compliance Specialist obtains appropriate reimbursement levels for professional services by reviewing and coding clinical diagnoses and procedures for physician visits and other services. Analyzes denial and reject reports ..
... deficiencies and/or areas for further investigation and provides recommendations. Develops and ... Administration Hotline Triage intake, classification, investigation, remediation and incident resolution. Leads ... team when applicable for case..
Description The Director, IT Compliance audits the most complex new and existing information systems applications to ensure that appropriate controls exist, that processing is efficient and accurate, and that information systems ..
Job Information Humana Manager, Compliance - Agent Investigation Unit in Bethesda Maryland Description The Manager, Compliance ensures compliance with governmental requirements. The Manager, Compliance works within specific guidelines and procedures; applies ..
(This will open in a new window from which you will be automatically redirected to an external site after 5 seconds) A little about us At Liberty Mutual, our purpose is ..
