Healthcare Compliance Specialist
1 week ago
We are seeking a skilled Healthcare Compliance Specialist to join our team at ChristianaCare, one of the top 100 hospitals in the nation.
About the RoleThe Compliance Coding Auditor supports the department through assigned auditing activities to ensure effective documentation, accurate coding, and billing compliance. This role requires strong analytical and communication skills, as well as experience with medical claims' billing/payment systems, provider billing guidelines, payer reimbursement policies, medical necessity criteria, and coding terminology.
Responsibilities- Assist with reviewing internal and external inquiries regarding professional and hospital/clinical billing compliance matters
- Provide support for provider, hospital/clinical billing and coding audits and focused reviews
- Maintain regular and consistent governance-level reporting and metrics for the Compliance department
- Review documentation to ensure appropriate assignment of DRG, ICD-9 codes, CPT codes, and modifiers
- Participate in planning and scheduling of compliance projects
- Associate or bachelor's Degree is required
- Equivalent of 5+ years' experience in provider auditing, claims auditing, compliance auditing, quality assurance, and/or recovery auditing
- Coding Certification (at least one of the following: CPMA, CPC, CCS, CIC)
- In-depth knowledge of ICD CM, ICD PCS, and CPT/HCPCS coding systems
- Full Medical, Dental, Vision and other insurance benefits
- 403(b) with an employer match
- Diverse and Inclusive culture
- Generous paid time off with annual roll-over and opportunities to cash out
- 12 week paid parental leave
ChristianaCare offers a unique blend of urban and suburban living, with easy access to Washington, DC, Philadelphia, and New York City.
This position offers a competitive salary range of $80,000 - $110,000 per year, depending on experience.
-
Aveanna Healthcare Registered Nurse
7 days ago
Wilmington, Delaware, United States Aveanna Healthcare Full timeAveanna Healthcare Registered Nurse OpportunityAre you a compassionate and skilled Registered Nurse looking for a rewarding career in home care? Look no further than Aveanna Healthcare!About the RoleWe are seeking a highly motivated and dedicated Registered Nurse to join our team as a Home Care Specialist. As a Registered Nurse with Aveanna Healthcare, you...
-
Regulatory Compliance Specialist
4 weeks ago
Wilmington, Delaware, United States M&T Bank Full timeJob Summary:The Regulatory Compliance Specialist will support business control functions of GCM business and specifically manage existing Policies & Procedures annual reviews with change management and identify new areas of Procedures to be drafted and implemented as and when required.Key Responsibilities:Spearhead the enhancement of GCM's procedure...
-
Document Control Specialist
1 week ago
Wilmington, Delaware, United States Viva USA Inc. Full timeJob Title:Document Control Specialist - Compliance ExpertAbout the Role:Viva USA Inc. is seeking a highly skilled Document Control Specialist to join our team. As a key member of our organization, you will be responsible for ensuring that all documents are properly managed, organized, and maintained.Key Responsibilities:Document Management: Manage the...
-
Pediatric Home Healthcare Nurse Specialist
3 days ago
Wilmington, Delaware, United States Maxim Healthcare Services Full timeRole OverviewWe are seeking a dedicated Pediatric Home Healthcare Nurse Specialist to join our team at Maxim Healthcare Services.
-
Compliance and Governance Specialist
1 week ago
Wilmington, Delaware, United States ChristianaCare Full timeOverview">We are seeking a skilled Compliance Auditor to support our Office of Compliance & Privacy in ensuring effective documentation and adherence to assigned audit schedules.Estimated Salary Range:$ 93,200 - $123,400 per year based on location and experienceAbout the Role:">The successful candidate will be responsible for reviewing internal and external...
-
Healthcare Support Specialist
1 week ago
Wilmington, Delaware, United States beBee Professionals Full time $30,000 - $45,000We are seeking a highly skilled Healthcare Support Specialist to join our team at beBee Professionals in Wilmington. This role offers an attractive salary of $45,000 - $55,000 per annum.Job Summary:To provide essential support in healthcare settings by assisting with patient care and administrative tasks.Key Responsibilities:
-
Healthcare IT Optimization Specialist
7 days ago
Wilmington, Delaware, United States ChristianaCare Full timeChristianaCare is a top-ranked healthcare system with a passion for delivering exceptional care and improving patient outcomes.About the Opportunity:We are seeking a highly skilled Healthcare IT Optimization Specialist to join our team. As a key member of our clinical informatics team, you will play a critical role in designing, implementing, and optimizing...
-
Healthcare Professional
7 days ago
Wilmington, Delaware, United States Maxim Healthcare Services Full timeAt Maxim Healthcare Services, we are seeking a skilled Patient Care Specialist to join our team. As a key member of our healthcare team, you will be responsible for providing high-quality patient care and support to individuals with chronic and acute illnesses and disabilities.The ideal candidate will have a strong background in nursing, with at least one...
-
Mobile Healthcare Specialist
1 week ago
Wilmington, Delaware, United States beBee Professionals Full time $60,000 - $80,000We are seeking a highly skilled Mobile Healthcare Specialist to provide exceptional care across various healthcare facilities in Wilmington, United States.About the Role:This position offers flexibility and opportunities to travel and work in different hospitals while delivering excellent patient care.Responsibilities:Deliver Direct Patient Care: Monitor and...
-
Healthcare Specialist
1 week ago
Wilmington, Delaware, United States Computer Aid Full timeJob Description:We are seeking a skilled Nurse Case Manager to provide exceptional care coordination and management services for our clients in Delaware. This full-time, hybrid role requires a motivated individual with experience in coordinating, implementing, and evaluating effective treatment plans.Key Responsibilities:* Conduct face-to-face needs...
-
Healthcare Discharge Planning Specialist
7 days ago
Wilmington, Delaware, United States ChristianaCare Full timeJob OverviewWe are seeking a skilled Healthcare Discharge Planning Specialist to join our team at ChristianaCare in Newark, DE.About the RoleThis is an exciting opportunity to work in a dynamic healthcare organization, centered on improving health outcomes and making high-quality care more accessible. As a Healthcare Discharge Planning Specialist, you will...
-
Travel Healthcare Specialist
1 week ago
Wilmington, Delaware, United States Planet Healthcare Full timeWe are seeking a skilled Travel Nurse RN Oncology Med Surg to join our team in Wilmington, North Carolina. This 13-week contract will involve working 36 hours per week on 12-hour night shifts.About the RoleAs a travel nurse with Planet Healthcare, you will be part of a global leader in clinical staffing that takes a candidate-first approach. We pride...
-
Healthcare Support Specialist
4 days ago
Wilmington, Delaware, United States Community Interactions Inc Full timeJob DetailsLocation: Wilmington, DEType: Full-time EmploymentAbout the RoleWe are seeking a skilled Licensed Practical Nurse to provide exceptional healthcare services to individuals with developmental, intellectual, and physical disabilities. As a key member of our Healthcare Department, you will contribute to maintaining accurate and comprehensive medical...
-
Wilmington, Delaware, United States CAI Full timeCAI is a leading healthcare provider seeking an experienced Care Coordination Specialist to join our team in Delaware.About the Role:We are looking for a skilled and compassionate professional to provide community-based care coordination services to our clients. As a Care Coordination Specialist, you will work closely with healthcare teams and community...
-
Clinical Care Specialist
1 week ago
Wilmington, Delaware, United States ChristianaCare Full timeAbout the RoleChristianaCare is seeking a skilled Clinical Care Specialist to join our Home Healthcare team. This is an exciting opportunity to work in a dynamic and patient-centered environment.Job SummaryWe are looking for a highly motivated and compassionate individual to provide high-quality care to patients in their homes. The ideal candidate will have...
-
Wilmington, Delaware, United States TEKsystems Full timeAbout the Role">We are seeking a skilled Technical Support Specialist to join our team as part of a large-scale healthcare merger. As a Technical Support Specialist, you will play a critical role in ensuring the smooth transition of 1500 physicians and nurses onto our network.">Job Summary">This is a 100% remote position, with shifts from 7am to 3:30pm or...
-
Wilmington, Delaware, United States Aequor Allied Full timeWe are seeking a skilled Physiotherapy Specialist to join our team as a travel healthcare professional. This is a 13-week contract with an estimated salary range of $120,000 - $150,000 per year, depending on the location and experience.Job SummaryAequor Allied is a leading provider of travel healthcare services, and we are currently looking for a dedicated...
-
Travel Healthcare Registered Nurse
3 days ago
Wilmington, Delaware, United States TotalMed Full timeWe are seeking a highly skilled Registered Nurse-Labor and Delivery professional to join our team at TotalMed for a travel assignment in the beautiful city of Philadelphia, Pennsylvania.About the OpportunityThis is an exciting opportunity to work as a Travel Healthcare Registered Nurse - Labor and Delivery Specialist with TotalMed. As a seasoned Registered...
-
Travel Healthcare Specialist RN
4 days ago
Wilmington, Delaware, United States ALOIS Healthcare Full timeCompany OverviewALOIS Healthcare is a leading healthcare staffing supplier recognized globally for its commitment to excellence and customer satisfaction.SalaryWe offer competitive pay packages based on 12-hour shifts and 36 hours per week, with tax-free stipend amounts determined on a case-by-case basis. Our estimate for this position is approximately...
-
Home Healthcare RN
3 days ago
Wilmington, Delaware, United States ChristianaCare Full timeAbout the RoleWe are seeking a skilled and compassionate Registered Nurse to join our Home Healthcare team as a Geriatric Care Specialist. This full-time position offers a competitive salary of $73,000 per year, plus a $5,000 sign-on bonus.Job SummaryThe Geriatric Care Specialist will provide exceptional medical care to geriatric patients in the community,...