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Healthcare Fraud Investigator (AHFI), Health Care Anti-Fraud Associate (HCAFA), Certified Insurance Fraud Investigator (CIFI), Certified Financial Crimes Investigator (CFCI), Certified Fraud Examiner (CFE), Certified in Healthcare Compliance (CHC), or similar certifications in medical auditing or clinical coding such as CPC, CEMA, or CPMA preferred.
$106,200 - $242,000 a yearFull-timeExpandApply NowActive JobUpdated Today - UpvoteDownvoteShare Job
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Certified Professional Coder (CPC) and/or Certified in Healthcare Compliance (CHC) and/or other healthcare industry related credential preferred. The Compliance Senior Manager also has experience in general healthcare compliance matters, particularly as they relate to federal Medicare, Medicaid, Fraud, Waste and Abuse laws, including but not limited to OIG, Stark, and Anti-Kickback Statutes and all other applicable regulations, including the development of general compliance policies and procedures, training, and auditing.
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License/Certification: Possess one or more of the following certifications: CPC, COC, CPMA, CHC, CPCO, CCS-P, CCS, RHIA, RHIT or CIC. Knowledge of physician and hospital billing practices, CMS regulations, CPT coding guidelines from the American Medical Association, DRG methodology, as well as knowledge of the AHA Coding Clinic, commercial payer guidelines, state and federal healthcare regulatory guidance and the ability to research and analyze this information within the structure of a healthcare audit.
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Education: A bachelors' degree in Healthcare Administration, HIM or a related business field is required. Epic, or other healthcare EHR experience is preferred. Experience: Five or more years' progressive healthcare compliance audit and/or coding experience.
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Certification in Healthcare Compliance (CHC) and Healthcare Privacy Compliance (CHPC) required within 12 months of hire. Other related Certifications can be considered in place of the CHC certification (CPHRM.
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Community Health Connections (CHC) is a multi-site, non-profit health care center offering urgent care, primary family medical and pediatric care, preventative and restorative dental care, oral surgery, behavioral health services for children and adults, and substance use disorder treatment, and specialty services including optometry eye care, optical shop, acupuncture, nutrition consultations and podiatry.
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Bachelor's degree in healthcare administration, law, ethics, finance, or associated certifications (e.g., RHIA, CHC, CHPS, CHPC); JD preferred. Bachelor's degree in healthcare administration, law, ethics, finance, or associated certifications (e.g., RHIA, CHC, CHPS, CHPC); JD preferred.
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In addition to the three Portland sites, OHSU Simulation also oversees the Collaborative Health Center (CHC) in Klamath Falls and partners closely with the School of Nursing (SoN) Simulation and Clinical Learning Centers (SCLCs) located at each of its four regional campuses across Oregon.
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Sanofi Consumer Healthcare US (formerly Chattem) is a leading marketer and manufacturer of a broad portfolio of branded over-the-counter (OTC) healthcare products, in such categories as allergy, upper and lower gastrointestinal, skin care, topical pain care, oral care and other OTC toiletry products.
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US Regulatory Operations Lead, CHC page is loaded. US Regulatory Operations Lead, CHC. years regulated CHC industry experience across multiple regulatory classes (NDA, Monograph, Device, Cosmetic, Food, Dietary Supplement.
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Sanofi Group US Regulatory Operations Lead, CHC Bridgewater , New Jersey Apply Now US Regulatory Compliance & Operations Lead, CHC. 5+ years regulated CHC industry experience across multiple regulatory classes (NDA, Monograph, Device, Cosmetic, Food, Dietary Supplement.
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Possess relevant health care industry-specific certifications, such as Certified Healthcare Auditor (CHA), Certified Healthcare Compliance (CHC), Certified Public Accountant (CPA), and Certified Internal Auditor (CIA) or other relevant certifications preferred.
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Certified Internal Auditor (CIA) Certified Fraud Examiner (CFE) Certified in Healthcare Compliance (CHC) or Certified in Healthcare Research Compliance (CHRC). experience in a healthcare, research or academic environment; coordinating, organizing and implementing programs.
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Industry certifications such as Professional Engineer (PE), CHC, CHFM, CHE, CHM or other professional health care engineering is preferred. Washington Regional Medical System (the System) is our regions only locally governed, community-owned, not-for-profit healthcare system.
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Proactively help to drive the CHC vision of self care by understanding the changing healthcare ecosystem and its impact on the product portfolio. He/She will be accountable for the regulatory leadership of OTC brands for NA and share leadership responsibility within the entire CHC Regulatory team which may involve working across categories.
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