DMC Billing & Compliance QA Specialist
NATIONAL COUNCIL ON ALCOHOLISM
The NATIONAL COUNCIL ON ALCOHOLISM seeks a Quality Assurance Specialist to support the integrity, accuracy, and timely billing of Drug Medi-Cal (DMC) services in the NCADD-SFV program. This role serves as a key QA function between clinical service delivery, documentation, billing, and operations, ensuring medical necessity and proper staff credentials for services billed. You will conduct pre-billing reviews, support timely claims submission, and perform ongoing chart reviews, audits, and #J-18808-Ljbffr NATIONAL COUNCIL ON ALCOHOLISM
- ...Program Innovation, the Quality Assurance Specialist is responsible for supporting the integrity, accuracy, compliance, and timely billing of Drug Medi-Cal (DMC) substance use disorder services... ...regulatory compliance. Assist in developing QA tools, audit instruments, checklists,...SuggestedWork at officeImmediate start
- Euronet is seeking a Compliance Controls & Quality Assurance Officer to join its Compliance team in Athens. You will enhance monitoring, quality assurance, governance, and risk assessment across an international payments environment, ensuring high standards of compliance...Suggested
- Panhandle Products in Dumas, Texas seeks a QA Regulatory & Compliance Officer to lead regulatory documentation, export paperwork, and audit readiness across its dairy operations. The role collaborates with internal teams and external regulators to ensure compliance with...Suggested
- ...professional to develop and maintain quality systems, ensuring compliance with contractual and regulatory requirements. You will plan improvements... ...process enhancement initiatives. Qualified candidates have deep QA experience in aerospace, proficient in reading drawings, and...Suggested
- ## QA Coding SpecialistApplylocations: United Statestime type:... ...**Summary:**The RCM QA Coding Specialist is responsible for performing... ...coders, to ensure accuracy and compliance with federal, state, and payer... ...trends and standards.* Conduct pre-bill, performance improvement, and...SuggestedWork at officeLocal areaRemote work
- Brave Health is seeking a part-time Quality Assurance Specialist to review treatment plans, progress notes, and other documentation submitted... .... You will verify accuracy, completeness, and regulatory compliance while supporting continuous improvement. This remote role...Remote jobPart time
- ...required repairs; and ensuring all documentation, repair codes, and billing estimates are accurate and compliant with U.S. and Canadian... ...to ensure completeness, accuracy, and regulatory compliance. Identifies repairs and assigns responsibility based on company...Work at office
- ...and reliability in electrical installations. The role emphasizes independence, strong organization, and clear communication to uphold QA standards and customer satisfaction. Responsibilities include maintaining quality management systems, conducting inspections and...
- MDpanel in the United States is seeking a Quality Assurance Specialist to ensure medical-legal reports are complete, accurate, and compliant... ...teams to support timely, high-quality reports for billing. Ideal candidates have California medical-legal reporting experience...
$47.12k - $70.68k
...for an accommodation or an alternative application process. Compliance Specialist Full Time University, Des Moines, IA, US 6 days ago Requisition... ...negotiating any new 340B contracts; managing relationships, billing services, and compliance with contracted 340B pharmacies;...Full timeContract workWork experience placementWork at officeFlexible hours- ...backend processing, report submissions, and billing. At the heart of MDpanel, our team is... ...Position Summary: The Quality Assurance Specialist will collaborate closely with physician evaluators... ...the Triage and Transcription teams, the QA specialist will ensure reports are...Permanent employmentTemporary work
- ...to detail to resolve issues and improve efficiency. The position involves weighing materials, recording data, and ensuring proper billing while enforcing environmental regulations. Strong Microsoft Office skills and safety awareness are essential for success in this on...Work at office
$93.5k - $114.4k
...sustainability for customers worldwide. Description of Job: The Trade Compliance Specialist is responsible for supporting and maintaining the... ...Logistics, and external service providers to resolve customs, billing, and compliance discrepancies. Assist in mapping and...Full timeWork at officeImmediate startWorldwideFlexible hours$16.49 - $26.39 per hour
Overview The Payer Compliance Specialist I - RCM plays a key role within USAP as it is responsible for analyzing allowed amounts received on USAP... .... Basic knowledge of managed care programs and healthcare billing requirements necessary. Analytical abilities to identify...Remote jobHourly payContract workWork at office- ...is seeking a Quality Assurance professional to support the Quality Assurance department with on-site visits and HCBS Final Rule compliance. The role requires coordinating with DDS, producing reports, corrective actions and self-assessments, and providing technical assistance...
- RXinsider LTD. in Houston, TX is seeking a Quality Assurance & GMP Compliance professional to support GMP compliance, document control, and regulatory requirements. You will lead investigations, manage quality systems data, participate in audits, and oversee calibration...
- ...nPOSITION SUMMARY The Quality Assurance Specialist is responsible for assisting in the development... ...Agency's Quality Assurance, Regulatory Compliance, Risk Management, and Continuous Quality... ...(PONS), PrecisionCare documentation, billing documentation, clinical records, and...Work at officeImmediate startFlexible hoursWeekend workAfternoon shift
$31 - $37 per hour
...site data management functions while ensuring compliance with company standards and procedures. The Site Data Compliance Specialist II serves as a resource for customer account... ...in resolving complex customer, site, billing, and hierarchy discrepancies across multiple...Hourly payContract workFor contractorsWork at officeFlexible hours- Alera Group is seeking an Enhanced Services Specialist to support dependent verification, billing reconciliation, and Tier 1 client inquiries. The role emphasizes accuracy, regulatory compliance, and cross-functional collaboration within a remote, national framework. The...Remote job
- Falcon Steel in Springfield, MO is seeking a Billing & Compliance Coordinator to support credit, accounts receivable, construction pay applications, lien and bond rights, insurance certificates, and sales/use tax compliance across all projects. Reporting to the Accounting...
- ...regulators for suspected fraud, waste, or abuse. The auditor will work with audit teams across Medicaid and other lines of business, identify aberrant billing patterns, and help develop strategies to prevent FWA while ensuring state and #J-18808-Ljbffr LeadingAge Virginia
- ...Compliance Coordinator – Help Us Raise the Bar in Care At Legacy Home Health Agency, we believe... .... Conduct internal reviews of charts and billing to spot trends and mitigate risks before... ...: Experience in healthcare compliance, QA, or auditing(PAS/PHC experience is a major...Work at office
$80k - $100k
...alternative application process. Export Compliance Officer Full Time Thermal, CA, US 8 days... ...brokers Identify options for reducing Customs billing costs Review customs, duties, and... ...Commerce or equivalent Certified Customs Specialist (CCS) Min 3 years experience in Logistics...Full time$40k - $48k
...Description "Urgently Hiring!! Looking to fill as soon as possible!!” Job Summary The Compliance Specialist is responsible for reviewing and auditing of all service and billing documentation, to ensure compliance with OPWDD regulations and procedures. This essential...Full timeWork experience placementLocal areaImmediate startFlexible hours$93.8k - $106k
Reporting to the Manager of Billing Compliance, the Billing Compliance Curriculum Development Specialist is responsible for designing, implementing, and maintaining a comprehensive billing compliance education and awareness program that supports adherence to federal and...Work at officeRemote work$115k - $145k
Location: Remote (US-based) We are seeking a Healthcare Compliance Officer to design and lead a comprehensive compliance program across... ...CPT, and HCPCS coding sufficient to review documentation and billing accuracy Experience managing regulatory investigations and external...Hourly payFull timeRemote workMonday to Friday- ...Credentialing Specialist A leading medical center in Brooklyn is looking for a detail-oriented... ...credentialed so the organization can bill insurances without disruption. This is a... ...to maintain billing eligibility Compliance & Accountability Monitor credentialing...
$30.52 per hour
...Baylor Scott & White Health (BSWH) is committed to an effective compliance program. The Provider Coding Compliance Consultant reports to... ...of CPT, ICD-10-CM, HCPCS, CMS regulations, and payer-specific billing and documentation requirements. Experience auditing E/M...Work experience placementWork at officeLocal area$70k - $95k
We are seeking an experienced Regulatory Compliance Professional to join our Compliance Team!! The Senior Regulatory Compliance Analyst is... ...guidance for business and operational teams. Track proposed bills and enforcement trends impacting underwriting, rating, policy forms...Full timeTemporary workWork experience placementWork at officeFlexible hoursShift work- ...application due to a disability, contact this employer to ask for an accommodation or an alternative application process. QA REGULATORY & COMPLIANCE OFFICER Dumas, TX, US Quality Assurance Regulatory and Compliance Officer August 2026 Supervisor's Title: Quality...Work at officeMonday to Friday
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