391 compliance analyst jobs found

Hello, Thank you for your interest in career opportunities with the University of Mississippi Medical Center. Please review the following instructions prior to submitting your job application: Provide all of your employment history, education, and licenses/certifications/registrations. You will be unable to modify your application after you have submitted it. You must meet all of the job requirements at the time of submitting the application. You can only apply one time to a job requisition. Once you start the application process you cannot save your work. Please ensure you have all required attachment(s) available to complete your application before you begin the process. Applications must be submitted prior to the close of the recruitment. Once recruitment has closed, applications will no longer be accepted. After you apply, we will review your qualifications and contact you if your application is among the most highly qualified. Due to the large volume of...

Job Descriptions: Part-time associates receive paid time off, paid holidays, are eligible for medical, dental, and vision insurance, and can participate in our 401(k) plan. Summary: The Lending Compliance Auditor/Analyst is responsible for performing regulatory compliance duties under the direct supervision of the SVP Corporate Affairs/Compliance Manager, to assist in the development and maintenance of a strong professional Lending Compliance Program, assist in the implementation and maintenance of the Lending Compliance Program to meet the ongoing objectives of the Bank and to ensure that all banking rules, regulations, and statutory requirements are met. Essential Duties and Responsibilities This individual will be responsible for assisting in the development, maintenance, and oversight of the lending related compliance functions throughout the bank. This will include monitoring the ongoing lending regulatory requirements, lending compliance review processes, policies and...

Job Description Job Description Are you the missing piece in protecting America’s safety net? We don’t just hire talent—we build purpose-driven teams. At ERN Enterprises, we stand in the gap for emergency safety net providers and the patients they serve. We hold health plans accountable. We speak up for those who can’t, and we’re looking for more than just a resume—we’re looking for you. ERN in the news: https://youtu.be/mw1TQhVFBKk The Mission Our Healthcare Claims Compliance Auditors are warriors for justice in Revenue Cycle Management. You’ll analyze unfair trends, initiate corrective actions, support prelitigation strategy, and make sure regulatory timelines are honored—not ignored. You’ll change lives and challenge systems. Do You Belong Here? We’re looking for people with: Competency – Do you have the skills or the hunger to learn them? Character – Are you ethical, reliable, and honest—even when no one’s watching? Chemistry – Can you collaborate, communicate,...

Job Summary: Position Summary: Under the direction of the Compliance Officer the main duties for this position include: analysis of professional coding and billing data, review of applicable regulations or guidelines and professional coding and billing audits. Duties/Responsibilities: Analysis of coding and billing data, identification of trends and aberrations. Performance of routine and investigatory audits evaluating compliance with applicable laws, regulations, coding, and billing guidelines. Interpretation of coding, billing, and regulatory standards. Preparation and completion of audit reports including recommendations, education and corrective action. Knowledge, Skills and Abilities: Strong computer skills specifically Microsoft word and Microsoft excel applications. Strong analytical, problem-solving and time management skills. Expertise in report writing and oral communications. Ability to interpret regulations, payment and reimbursement systems, billing and coding...

General Summary of Position Assists the MedStar Family Choice (MFC) compliance and privacy programs. Conducts both internal and external audits to ensure compliance with regulatory requirements. We recruit, retain, and advance associates with diverse backgrounds, skills, and talents equitably at all levels. Key Responsibilities Contributes to the achievement of established department goals and objectives and adheres to department policies, procedures, quality standards, and safety standards. Complies with governmental and accreditation regulations. Analyzes existing clinical policies and makes recommendations to improve program integrity and organization processes. Assists in investigating potential compliance/privacy violations. Assists with and tracks responses to external government inquiries, investigations, data requests, subpoenas, and fair hearings. Responds to government requests for claims data/information. Assists with internal and...

Job Description Bienvivir All-Inclusive Senior Health ("Bienvivir") is a community-based, patient-centered, comprehensive health care delivery system that advocates and promotes quality of life, optimum independence, dignity, and choices in a nurturing environment for frail seniors. Since 1987, Bienvivir has served the frail seniors of El Paso, Texas through the provision of the Program of All-Inclusive Care for the Elderly ("PACE"). PACE is a unique managed care benefit for frail seniors (referred to as participants) age 55 and older who are certified by the state as needing nursing home level care and who reside in a PACE service area. PACE programs coordinate and provide comprehensive medical and support services so that participants can remain independent and stay in their homes for as long as safely possible. BENEFITS for Full and Part-time employees who work 30 or more hours per week: We pay 100% of the MEDICAL monthly premiums for Employee Only coverage. We pay 100%...

All the benefits and perks you need for you and your family: · Benefits from Day One · Career Development · Whole Person Wellbeing Resources · Mental Health Resources and Support Our promise to you: Joining AdventHealth is about being part of something bigger. It’s about belonging to a community that believes in the wholeness of each person, and serves to uplift others in body, mind and spirit. AdventHealth is a place where you can thrive professionally, and grow spiritually, by Extending the Healing Ministry of Christ. Where you will be valued for who you are and the unique experiences you bring to our purpose-minded team. All while understanding that together we are even better. Shift : Monday-Friday Job Location : Remote The role you will contribute: The Coder Analyst IV is a Health Information Professional with a high level of coding and clinical proficiency necessary for the oversight of coding integrity, and ability to function as a liaison to the Quality and Clinical...

All the benefits and perks you need for you and your family: ·     Benefits from Day One ·     Career Development ·     Whole Person Wellbeing Resources ·     Mental Health Resources and Support Our promise to you: Joining AdventHealth is about being part of something bigger. It’s about belonging to a community that believes in the wholeness of each person, and serves to uplift others in body, mind and spirit. AdventHealth is a place where you can thrive professionally, and grow spiritually, by Extending the Healing Ministry of Christ. Where you will be valued for who you are and the unique experiences you bring to our purpose-minded team. All while understanding that together we are even better. Shift :   Monday-Friday Job Location : Remote The role you will contribute: The Coder Analyst IV is a Health Information Professional with a high level of coding and clinical proficiency necessary for the oversight of coding integrity, and ability to function as a liaison to...

Marshall Health Network's Health Information Management department is seeking a PRN Coder Analyst IV. System Specific Duties and Responsibilities: Assign accurate diagnosis and procedure codes using ICD-10-CM/PCS, CPT, and/or HCPCS for reimbursement, compliance, and reporting purposes. Utilizes coding guidelines set up by government agencies dealing with the coding of health information. Demonstrates, promotes, and monitors for high standards of quality and productivity; focuses on quality results first. Maintains a standard of productivity that consistently meets or exceeds 98% of productivity. Maintains a standard or quality that consistently meets or exceeds 95% accuracy rate. Proficient to Expert level knowledge of ICD-10-CM, ICD-10-PCS, CPT, and HCPCS code sets. Proficient to Expert level knowledge of MS-DRG and APR-DRG groupers and Medicare's inpatient prospective payment system (IPPS) and outpatient prospective payment system (OPPS). Mentors' new hires and/or...

Job Description Under general supervision, coordinates the processing, review and application of ICD-10 coding rule sets, CPT and HCPCS codes to medical records based on documentation provided by the providers and adheres to coding compliance for a specified clinical area. Adheres to strict federal coding rules in selecting codes that appropriately and accurately reflect the condition that the patient had and the medical service that was provided. Will communicate heavily with Coding/Compliance Department and coding peers to abstract clinical and statistical data for outcome measure and monitoring. Provides coding education including but not limited to: Patient Representatives, Billing/Collection Specialists, and/or clinical providers in an effort to ensure compliance and capture appropriate revenues. Assures timely data entry for billing or auditing purposes and performs quality checks of billing information in the applicable computer system(s). Providence caregivers are not...

Join to apply for the Facility Coding Inpatient Senior Coder role at Banner Health 13 hours ago Be among the first 25 applicants Join to apply for the Facility Coding Inpatient Senior Coder role at Banner Health Get AI-powered advice on this job and more exclusive features. Estimated Pay Range: $26.40 - $44.00 / hour, based on location, education, & experience. Department Name: Work Shift: Day Job Category: Revenue Cycle Estimated Pay Range: $26.40 - $44.00 / hour, based on location, education, & experience. In accordance with State Pay Transparency Rules. A rewarding career that fits your life. As an employer of the future, we are proud to offer our team members many career and lifestyle choices including remote work options. If youre looking to leverage your abilities you belong at Banner Health. Looking for a motivated, experienced Senior Complex Inpatient Facility | Acute Care | HIMS Coder -Remote | Medical Coder to join our talented...

Overview Coder Analyst Specialist, Clinical Document Integrity Full Time, 80 Hours Per Pay Period, Day Shift Covenant Medical Group is Covenant Health's employed and managed medical practice organization, with more than 300 top Physicians and providers spanning the continuum of care in 20 cities throughout East Tennessee. Specialties include cardiology, cardiothoracic surgery, cardiovascular surgery, endocrinology, gastroenterology, general surgery, infectious disease, neurology, neurosurgery, obstetrics and gynecology, occupational medicine, orthopedic surgery, physical medicine and rehabilitation, primary care, pulmonology, reproductive medicine, rheumatology, sleep medicine and urology. Position Summary: Analyzes documentation in the medical record to obtain information necessary for the appropriate sequencing and assignment of ICD-10-CM and CPT-4 codes. Abstracts and codes procedures in conjunction with the provider to code services rendered with correct coding...

Overview: This position is responsible for timely and accurate quality review of both internal and vendor coding team members to assure compliance with coding guidelines and standards in addition to their foundation coding responsibilities. The position performs quality checks on coding and provides feedback to coders to assure the timely and accurate coding of medical charts for billing. This will be heavier during onboarding and fulfillment of quality goals for new coding team members. In collaboration with HIM coding management, the coder/quality review analyst will assist with selection of coders and encounters to be reviewed, as well as education to be presented to the coder based on review outcomes. The coder/quality review analyst will also bring forward any issues related to documentation or systems as they are discovered during the review process. Much of the time the coder will work as a production coder to prevent backlogs and assure timeliness of coding. When all...

Berkshire Hathaway Homestate Companies, Workers Compensation Division, has an immediate opening for a Medical Bill Analyst to join its Medical Management team. This individual is responsible for processing medical billing in accordance with jurisdictional regulatory requirements, while applying appropriate fee schedule and PPO reductions. ESSENTIAL RESPONSIBILITIES Masters appropriate application of procedural (CPT) codes, diagnostic ICD-9 codes, diagnostic ICD-9-CM codes, Diagnosis Related Group (DRG) codes, Ambulatory Payment Classification (APC) codes, and modifiers. Exhibits continuous improvement under the guidance of the Medical Bill Review Supervisor, and demonstrates mastery of fundamental bill review knowledge and skills. Efficiently reviews medical bills and data reports for data accuracy and completeness. Examines bills for legibility and takes appropriate action to ensure accuracy of documentation. Accurately identifies data from claim information....

Description The Coder applies appropriate ICD10-CM/PCS and CPT 4 code sets to discharged inpatient and outpatient electronic health record documentation for the purpose of indexing, reimbursement, research, and compliance with federal regulations. Providence caregivers are not simply valued - they're invaluable. Join our team at Providence Tarzana Medical Center and thrive in our culture of patient-focused, whole-person care built on understanding, commitment, and mutual respect. Your voice matters here, because we know that to inspire and retain the best people, we must empower them. Required Qualifications: Coursework/Training - AHIMA approved coding certificate program is required for those who do not have the RHIA, RHIT certification. National Certification from American Academy of Professional Coders upon hire or, National Certified Coding Associate - American Health Information Management...

Screen reader users may encounter difficulty with this site. For assistance with applying, please contact hr-accessibleapplication@osu.edu. If you have questions while submitting an application, please review these frequently asked questions. Current Employees and Students: If you are currently employed or enrolled as a student at The Ohio State University, please log in to Workday to use the internal application process. Welcome to The Ohio State University's career site. We invite you to apply to positions of interest. In order to ensure your application is complete, you must complete the following: Ensure you have all necessary documents available when starting the application process. You can review the additional job description section on postings for documents that may be required. Prior to submitting your application, please review and update (if necessary) the information in your candidate profile as it will transfer to your application. Job Title: Charge...

Alignment Health is breaking the mold in conventional health care, committed to serving seniors and those who need it most: the chronically ill and frail. It takes an entire team of passionate and caring people, united in our mission to put the senior first. We have built a team of talented and experienced individuals who are passionate about transforming the lives of the seniors we serve. In this fast-growing company, you will find ample room for growth and innovation alongside the Alignment Health community. Working at Alignment Health provides an opportunity to do work that really matters, not only changing lives but saving them. Together. Role: MRA Coding Auditor The MRA Coding Auditor supports departmental Quality Assessment audits of the internal Coding Analyst team and vendors to ensure accurate and complete data is submitted to CMS. Assists in Risk Adjustment related data audits (RAF, prevalence, clinical documentation improvement, P360, process) to identify areas for...

Job Type: Officer of Administration Regular/Temporary: Regular Hours Per Week: 35 Standard Work Schedule: Salary Range: $70,000.00 - $95,000.00 The salary of the finalist selected for this role will be set based on a variety of factors, including but not limited to departmental budgets, qualifications, experience, education, licenses, specialty, and training. The above hiring range represents the University's good faith and reasonable estimate of the range of possible compensation at the time of posting. Position Summary Reporting to the Assistant Director, Revenue Cycle Education, the Trainer - Certified Coder is responsible for conducting specialized training on coding workflows, compliance standards, and revenue cycle software applications for internal clients within the Clinical Revenue Office and external clients within the Medical Center. This role requires certification in medical coding (e.g., CPC, CCS) and focuses on maintaining coding accuracy and...

Job Description Job Description UNM Medical Group, Inc. is hiring for a Medical Coding Auditor to join our Compliance Team. This opportunity is a REMOTE, full-time, day shift opening located in Albuquerque, New Mexico. *This is a work from home position that requires the selected candidate to have a permanent address and live in New Mexico or be willing to relocate to New Mexico* *$2,000 Sign-on Bonus* Minimum $54,537 - Midpoint $68,172* *Salary is determined based on years of total relevant experience. *Salary is based on 1.0 FTE (full time equivalent) or 40 hours per week. Less than 40 hours/week will be prorated and adjusted to the appropriate FTE. Summary: Under indirect supervision, audits medical charts and records for compliance with federal coding regulations and guidelines. Uses knowledge of UNM Medical group billing systems procedures to provide a review of evaluation and management codes, medical diagnoses and clinical procedures ensuring that accurate...

Join to apply for the Facility Coding Inpatient Senior Coder role at Banner Health 15 hours ago Be among the first 25 applicants Join to apply for the Facility Coding Inpatient Senior Coder role at Banner Health Estimated Pay Range: $26.40 - $44.00 / hour, based on location, education, & experience. Department Name: Work Shift: Day Job Category: Revenue Cycle Estimated Pay Range: $26.40 - $44.00 / hour, based on location, education, & experience. In accordance with State Pay Transparency Rules. A rewarding career that fits your life. As an employer of the future, we are proud to offer our team members many career and lifestyle choices including remote work options. If youre looking to leverage your abilities you belong at Banner Health. Looking for a motivated, experienced Senior Complex Inpatient Facility | Acute Care | HIMS Coder -Remote | Medical Coder to join our talented Acute Care HIMS Coding Team. Ideally a minimum 5 years of...

Support and provide coding and compliance training to clinical personnel, billing, and/or other client staff. Establish effective communication with clinical staff, and/or hospital staff to address documentation, coding, and reimbursement issues. Use Coder, Analyst, Healthcare, Remote, Insurance

NYU Langone Health is a world-class, patient-centered, integrated academic medical center, known for its excellence in clinical care, research, and education. It comprises more than 200 locations throughout the New York area, including five inpatient locations, a children's hospital, three emergency rooms and a level 1 trauma center. Also part of NYU Langone Health is the Laura and Isaac Perlmutter Cancer Center, a National Cancer Institute designated comprehensive cancer center, and NYU Grossman School of Medicine, which since 1841 has trained thousands of physicians and scientists who have helped to shape the course of medical history. At NYU Langone Health, equity, diversity, and inclusion are fundamental values. We strive to be a place where our exceptionally talented faculty, staff, and students of all identities can thrive. We embrace diversity, inclusion, and individual skills, ideas, and knowledge. For more information, go to nyulangone.org , a nd interact with us on...