Email Alert for
ⓘ There was an unexpected error processing your request.
Please refresh the page and try again.
If the problem persists, please contact us with your issue.
You can always manage your preferences and update your interests to ensure you receive the most relevant opportunities.
Get ready to discover your next great opportunity.
Kittitas
Washington, DC, United States
Responsible for monitoring participant compliance with all policies, procedures, and requirements set out in the Behavioral Health Court program. Must maintain courteous and cooperative working relationships with administrative and other County personnel, public agencies, and the general public, and work under the guidance of Local/State/Federal re
Job Source: KittitasEA Engineering, Science, and Technology, Inc.
, MD, United States
We have an exciting full-time opportunity for an Environmental Health, Safety, and Sustainability (EHSS) Compliance Specialist to support our rapidly growing Environmental, Health, Safety and Sustainability (EHSS) consulting practice in Hunt Valley, MD. What you will do: As a Compliance Specialist, you will collaborate with an experienced team to
Job Source: EA Engineering, Science, and Technology, Inc.Children's National Health System
Silver Spring, MD, United States
Under general supervision from a Compliance Director, the Compliance Specialist monitors CNHS's adherence to regulatory requirements and organizational policies and procedures. This position will interact with all levels of CNHS stakeholders, including staff, management, leadership, and Boards of Directors. Functional accountabilities include inter
Job Source: Children's National Health SystemJobot
Washington, DC, United States
Want to learn more about this role and Jobot? Click our Jobot logo and follow our LinkedIn page! Job details Digital Performance Marketing company seeking a Compliance Analyst for their firm! Remote/great pay and bonuses This Jobot Job is hosted by Alicia Blake Are you a fit? Easy Apply now by clicking the "Easy Apply" button and sending us you
Job Source: JobotMaxim Healthcare Services
Columbia, MD, United States
Maxim Healthcare Services Compliance Specialist Columbia , Maryland Apply Now The primary responsibility of the Compliance Specialist is to review clinical medical records and claims for accuracy of services related to home health care. The Compliance Specialist maintains a comprehensive understanding of ethical principles and indepen
Job Source: Maxim Healthcare ServicesLewis Contractors
Owings Mills, MD, United States
Are you a detail-oriented professional with a passion for ensuring compliance with construction regulations and industry standards? Do you thrive on navigating the complexities of legal requirements and guiding teams towards regulatory excellence? If you're seeking a rewarding role that allows you to be at the forefront of construction compliance,
Job Source: Lewis ContractorsService Coordination, Inc.
Washington, DC, United States
Job Description Job Description SCI Summary: SCI supports people with disabilities, behavioral challenges, medically complex needs, transitioning youth, the elderly, and other populations using Maryland Department of Health's Targeted Case Management and Supports Planning work models as well as a concierge level geriatric care management and ca
Job Source: Service Coordination, Inc.Lewis Contractors
Owings Mills, MD, United States
Are you a detail-oriented professional with a passion for ensuring compliance with construction regulations and industry standards? Do you thrive on navigating the complexities of legal requirements and guiding teams towards regulatory excellence? If you're seeking a rewarding role that allows you to be at the forefront of construction compliance,
Job Source: Lewis ContractorsColumbia, MD, United States
The primary responsibility of the Compliance Specialist is to review clinical medical records and claims for accuracy of services related to home health care. The Compliance Specialist maintains a comprehensive understanding of ethical principles and independence in their work, professional conduct, duty, and responsibilities. The Compliance Specialist is obligated to articulate principles, have a working knowledge of the rules and regulations as they pertain to all aspects of home healthcare, and observe/ensure the highest level of professional standards, quality care, and legal aspects.
Essential Duties and Responsibilities:
* Reviews clinical medical records and claims for accuracy of services related to clinical standards of practice and care, levels of care, quality indicators, medical necessity, length(s) of stay, billing, and denials* Makes proposals related to compliance and continuous quality improvement* Conducts exit conferences and provides timely written feedback* Works collaboratively with Regional Operations and Site Managers* Participates in provider educational programs* Serves as a resource, providing information generated from a sound basis* Ensures confidentiality of medical information related to HIPAA regulations* Displays dedication to corporate objectives* Performs audits as scheduled by the Compliance Leadership team* Completes work product in an accurate and timely fashion as required by the Compliance Leadership team* Ensures business travel is consistent with the business objectives of the Compliance Department, and submits all expense reimbursement requests within 30 days of site visit* Assists with clinical review for claims testing activities* Assists with clinical review for issues investigation and resolution* Performs other duties as assigned/necessary
Minimum Requirements:
* Active RN license required* BSN or other commensurate healthcare degree preferred* Experience in utilization review, risk management, quality management, documentation specialization, nurse management, compliance, billing, coding, or CFE, LNC, or CPUR certification preferred* At least five years of clinical experience required, preferably in Home Health* Demonstrated knowledge of clinical compliance, medical record review and legal aspects of documentation preferred* Demonstrated knowledge of CPT, ICD 10 codes, DRGs, and APC coding preferred* Understanding of payer rules and regulations, including Medicare and Medicaid preferred* Computer proficiency, including programs such as MS Office, Word, Excel, email, and internet research, required* Travel 50% - 75% of the work time may be required* Ability to effectively elicit/provide information to and from appropriate individuals (including, but not limited to, supervisors, co-workers, clients) via strong communication skills preferred* Proficiency in the English language is required
About Maxim Healthcare Services
Maxim Healthcare Services has been making a difference in the lives of our patients, caregivers, employees and communities for more than 30 years. We offer private duty nursing, skilled nursing, physical rehabilitation, companion care, respite care and behavioral care for individuals with chronic and acute illnesses and disabilities. Our commitment to quality customer service, compassionate patient care, and filling critical healthcare needs makes us a trusted partner wherever care is needed.
Maxim Healthcare Services is an equal opportunity/affirmative action employer. All qualified applicants will receive consideration for employment without regard to sex, gender identity, sexual orientation, race, color, religion, national origin, disability, protected Veteran status, age, or any other characteristic protected by law.
#J-18808-Ljbffr
Email Alert for Compliance Specialist jobs in Columbia, MD, United States
ⓘ There was an unexpected error processing your request.
Please refresh the page and try again.
If the problem persists, please contact us with your issue.
You can always manage your preferences and update your interests to ensure you receive the most relevant opportunities.
Get ready to discover your next great opportunity.