95 Hipaa Compliance Jobs - Page 3

The ideal candidate will be responsible for providing care to patients while adhering to compliance standards. You should be able to recognize patient needs and prioritize them alongside the requirements outlined by physicians. You will be responsible for assuring quality care by adhering to the standards set by the physicians. Additionally, you will provide care education to patients either in person or over the phone, and ensure compliance with guidelines throughout the processes, including OSHA, FDA, and HIPAA. As a candidate for this position, you must be a Registered Professional Nurse with current licensure. It is essential to possess CPR, ACLS, and BCLS certification, as well as have ...

A Medical Records Clerk is responsible for maintaining and managing patient medical records in a healthcare setting. Your duties include organizing, filing, retrieving, and ensuring the accuracy and confidentiality of patient information. You will also assist with data entry, processing admissions and discharges, and responding to requests for medical records. Your key responsibilities will include the following: Record Management: You will be responsible for maintaining and organizing patient files, both physical and electronic, ensuring they are accurate, complete, and readily accessible. Data Entry: You will accurately enter patient information into the system, including demographic detai...

As a Team Lead in AR (Accounts Receivable) at Wave Online Infoway, you will play a crucial role in overseeing a team of 30+ AR associates and ensuring the smooth day-to-day operations of US Healthcare Revenue Cycle Management (RCM). With a minimum of 5 years of experience in US Healthcare RCM, including at least 2 years in managing teams/processes, you will lead by example and drive excellence in client-specific RCM processes and projects. Your responsibilities will include leading and managing the AR team to achieve high performance levels, distributing daily work volumes to meet client SLAs, and providing support for production and delivery. You will troubleshoot challenges, conduct qualit...

Our client, a leading healthcare services provider, is seeking a Salesforce Health Cloud Business Analyst to join their team. As a Salesforce Health Cloud Business Analyst, you will play a crucial role in the integration and enhancement of Salesforce Health Cloud within the organization. Your responsibilities will include leading requirements-gathering sessions with key stakeholders from clinical, administrative, and IT teams. You will analyze and document current and future business processes, develop detailed User Requirement Documents (URD), and process flow diagrams. Conducting gap analysis to identify areas for improvement and system enhancements will be a key part of your role. You wil...

The Credentialing Specialist role involves managing the credentialing and recredentialing process for healthcare providers. You will be responsible for ensuring timely submission of documentation, compliance with regulatory requirements, verification of qualifications, and coordination with insurance companies. Collaboration with the billing team is crucial to resolve issues, track credentials, and support providers in the credentialing process. Continuous improvement of procedures and staying updated on industry trends are key aspects of this role. This position requires familiarity with credentialing software and/or healthcare management systems. A strong understanding of HIPAA compliance ...

The job requires a candidate with any graduation and CPC Certification, along with good knowledge of medical coding and billing systems, medical terminologies, regulatory requirements, auditing concepts, and principles. As a Clinical Coder, you will be responsible for demonstrating a high level of quality in clinical coding work, validating HCC mapped diagnoses, and ensuring revenue generation. Adherence to official coding guidelines, client-specific coding guidelines, CMS regulations, and other compliance requirements is crucial. Your accuracy should be 95% or above with consistent productivity. Excellent written and verbal communication skills are necessary for coaching and interpersonal i...

As a Solution Architect, your primary responsibility will be to design and implement scalable data integration solutions using Oracle Data Integrator (ODI). You will utilize Python for advanced data transformation, automation, and orchestration tasks. It will be crucial for you to translate business requirements into comprehensive end-to-end data solutions, prioritizing performance, maintainability, and regulatory compliance. Collaboration with stakeholders from various teams such as data engineering, analytics, compliance, and business will be essential to define architecture standards and ensure alignment. In this role, you will lead technical design sessions, develop architecture document...

As an EBO Accounts Receivable professional at Guidehouse in India, you will be responsible for initiating calls to request the status of claims in the queue. It will be your duty to take appropriate actions on claims to ensure resolution, along with ensuring accurate and timely follow-up when necessary. Documenting the actions taken in the claims billing summary notes is also a crucial part of this role. Your tasks will include prioritizing pending claims for calling from the aging basket and making physical calls in accordance with international norms and applicable rules for confidentiality and HIPAA compliance. You will be accountable for working on Denials, Rejections, and LOA's to accou...

The ideal candidate will be responsible for providing care to patients while adhering to compliance standards. You should be able to recognize patient needs and prioritize those needs with the requirements outlined by physicians. Your responsibilities will include assuring quality care by following the standards set by the physicians, providing care education to patients in person or over the phone, and adhering to compliance guidelines throughout processes, such as OSHA, FDA, and HIPAA. To qualify for this role, you must be a Registered Professional Nurse with current licensure. Additionally, you should hold certifications in CPR, ACLS, and BCLS. It is essential to have knowledge of OSHA, F...

You will be joining BeeperMD as a Patient Calling Specialist in the US Healthcare Revenue Cycle Management team. Your primary responsibility will involve communicating with patients post-billing to address outstanding balances and resolve accounts receivable issues related to insurance coverage. Your key responsibilities will include investigating and resolving accounts delayed due to coverage issues such as coordination of benefits and eligibility denials. You will collaborate with internal teams including billing, coding, and AR follow-up to ensure accurate resolution of patient accounts. It is essential to document all interactions and follow-up actions in the patient management system wh...

As a member of the EBO Accounts Receivable team in India, you will be responsible for initiating calls to request the status of claims in the queue. Your main tasks will involve taking appropriate actions on claims to ensure timely resolution, accurate follow-up when necessary, and documenting all actions taken in the claims billing summary notes. Additionally, you will prioritize pending claims for calling from the aging basket and make physical calls following international norms and applicable rules for confidentiality and HIPAA compliance. You will also be tasked with working on denials, rejections, LOA's to accounts, and making necessary corrections to claims. To qualify for this role, ...

As a Healthcare Support Analyst at our US-based client, you will play a crucial role in providing exceptional support to healthcare clients by resolving product issues, creating custom reports using tools like Looker and Metabase, and identifying opportunities for upselling value-added solutions. Your responsibilities will involve being the primary point of contact for clients, translating complex data insights into actionable recommendations, collaborating with internal teams, and staying updated with product advancements and healthcare analytics trends. Taliun Solutions, a data-driven technology company headquartered in Silicon Valley, focuses on software innovation for the healthcare indu...

The ideal candidate will be responsible for providing care to patients while adhering to compliance standards. You should be able to recognize patient needs and prioritize those needs with the requirements outlined by physicians. You will be responsible for assuring quality care by adhering to the standards set by the physicians. Additionally, you will be required to provide care education to patients in person or over the phone while ensuring compliance with guidelines such as OSHA, FDA, and HIPAA throughout the processes. To qualify for this position, you must be a Registered Professional Nurse with current licensure. It is essential to have CPR, ACLS, and BCLS certifications along with a ...

As a Senior Manager - Technical Architect at We Core Solutions INC, you will bring your extensive 18+ years of experience in the software development industry to lead technical architecture initiatives with a focus on the Dot Net Tech Stack. Your primary responsibilities will include defining and enforcing technical architecture standards, reviewing and approving code changes, and leading architectural decision-making processes. You will play a crucial role in transitioning from custom implementations to standardized SaaS offerings by designing scalable, secure, and maintainable solutions within the Microsoft technology stack. Your expertise will be instrumental in establishing technical doc...

The System Support Associate role involves being responsible for implementing and modifying EDI file feeds using programming languages like C#, Java, Python, and SQL. This position requires hands-on experience in the US healthcare industry, familiarity with HIPAA compliance standards, and the ability to establish secure connections using SFTP. As a member of the technical team, you will play a crucial role in integrating data feeds into systems and ensuring adherence to industry standards and regulations. Key responsibilities include implementing and modifying EDI file feeds for healthcare/benefits data integration, developing solutions using C#, Java, Python, and SQL, configuring and mainta...

As the Country Head at Core Solutions, you will play a pivotal role in leading and expanding our operations in India. You will be tasked with positioning Core Solutions as a top technology employer in India, while simultaneously delivering exceptional product development and support services to our US-based behavioral healthcare clients. Your responsibilities will encompass overseeing various aspects of our India operations, including product management, solutions delivery, infrastructure, and technical support, ensuring seamless integration with our global operations. Your strategic leadership skills will be put to the test as you develop and execute a vision for Core Solutions India operat...

The responsibilities of this role include assuring quality care by adhering to standards set by physicians, providing care education to patients in person or over the phone, and following compliance guidelines such as OSHA, FDA, and HIPAA throughout processes. The ideal candidate will be responsible for recognizing patient needs and prioritizing them alongside physician's needs. Qualifications for this position include being a Registered Professional Nurse with current licensure, holding CPR, ACLS, and BCLS certifications, having knowledge of OSHA, FDA, and HIPAA compliance, and being able to lift and position patients on endoscopy stretchers and transport them.,

As the Assistant Medical Director at Student Health Services, you will play a crucial role in providing leadership and strategic direction to ensure the smooth functioning of operations. Your responsibilities will include supervising subordinates, implementing HR-related actions, formulating medical and administrative policies, and monitoring adherence to proper medical protocols. Moreover, you will develop an annual work plan in collaboration with senior leadership for achieving health service goals, ensuring fiscal soundness, and maintaining a comprehensive quality improvement program. Your duties will also involve developing cooperative relationships with various stakeholders, supervising...

The role of Data Scientist - Clinical Data Extraction & AI Integration in our healthcare technology team requires an experienced individual with 3-6 years of experience. As a Data Scientist in this role, you will be primarily focused on medical document processing and data extraction systems. You will have the opportunity to work with advanced AI technologies to create solutions that enhance the extraction of crucial information from clinical documents, thereby improving healthcare data workflows and patient care outcomes. Your key responsibilities will include designing and implementing statistical models for medical data quality assessment, developing predictive algorithms for encounter cl...

As a Senior Process Analyst in the Revenue Cycle Management (RCM) Operations department at Mohali, you will be responsible for reviewing and processing medical claims for submission to insurance companies. Your role will involve performing data entry of patient and insurance information into RCM software, verifying insurance eligibility and benefits, and following up with insurance providers on denied or unpaid claims. It is crucial to maintain accuracy and compliance with healthcare regulations, particularly HIPAA. Additionally, effective communication with clients, insurance companies, and team members will be essential. You will also be required to prepare and maintain reports and documen...

As a Healthcare Project Manager at our organization, you will be responsible for leading and managing healthcare projects throughout their lifecycle, ensuring timely delivery within budget and scope. Your role will involve collaborating with cross-functional teams, including clinical, IT, and administrative staff, to define project requirements and objectives. You will develop detailed project plans using Agile and Waterfall methodologies, monitoring progress against milestones and facilitating regular project meetings to provide updates to stakeholders and address any issues or risks that may arise. Compliance with healthcare regulations, particularly HIPAA, will be a key aspect of your res...

We are seeking a highly skilled and experienced Contract Security Auditor to join our team for a 1-year engagement. This critical role will be instrumental in enhancing our organization's security posture. The ideal candidate will be an unbiased expert, capable of meticulously assessing our current security controls against various global standards. If you thrive in an environment where you can make a significant impact and demonstrate exceptional performance, this contract offers a unique pathway to a permanent position within our core security team. Responsibilities: As our Contract Security Auditor, you will be responsible for: Comprehensive Security Assessments: Conducting in-depth secur...

You should have 6-8 years of experience in AI/ML development, with a strong emphasis on Generative AI and Prompt Engineering. Your proficiency in programming languages should include Python (primary), with knowledge of JavaScript, SQL, and NodeJS being beneficial. You should have a strong experience with AI/ML frameworks such as TensorFlow, PyTorch, Transformers, and an understanding of Generative AI models, including LLMs. Additionally, you should have expertise in designing and implementing efficient prompts for Generative AI, focusing on improving model performance, Guardrails, RAG, Prompting attacks evasion, and user interaction. Experience in integrating AI models with APIs and applicat...

You will be part of a team that is pioneering the development of the world's first agentic AI voice-to-voice mental health platform, offering personalized therapy globally. The platform aims to provide validated emotional support and mental health care on a large scale to address the global mental health crisis. Your role as Co-founder & CTO will require you to lead the technical vision and execution, overseeing core AI infrastructure, voice integration, and team management. As the CTO, you will be responsible for refining and implementing revolutionary AI architecture for both B2C and B2B platforms, developing cutting-edge voice technology for therapeutic effectiveness, and ensuring secure,...

Core Solutions (CORE), a leading provider of Electronic Health Record (EHR) solutions tailored for the behavioral healthcare industry, is seeking an experienced Director of Technical Architecture to spearhead the organization's technical transformation to a SaaS-first model. As we gear up for rapid growth and market expansion with our new version and AI solutions, this role will play a pivotal part in establishing and maintaining architectural standards, ensuring code quality, and driving platform scalability and security. Responsibilities: Technical Leadership & Architecture: - Define and enforce technical architecture standards and best practices - Review and approve all code changes to en...