Crossover Health

Compliance

• Support the development of Crossover Health’s Medicare Advantage Program.
• Monitor effectiveness of Crossover Health’s Medicare Advantage Compliance Program.
• Manage Crossover’s compliance with Medicare Part C requirements, including risk adjustment and encounter data reporting.
• Monitor and implement applicable CMS updates and Medicare Advantage regulations affecting Crossover Health’s operations.
• Participate in quality improvement programs to ensure the practice is performing efficiently and in accordance with Crossover’s policies.
• Assist with ongoing development and maintaining compliance policies.
• Support protocols for documentation, coding, billing, and patient communication that meet CMS standards.
• Conduct regular compliance training for physicians, clinical staff, administrative personnel and governing board.
• Educate staff on fraud, waste, and abuse (FWA) prevention and reporting.
• Perform internal audits of clinical documentation, coding, and billing practices.

Medicare Compliance RN

• Support the development of Crossover Health’s Medicare Advantage Program.
• Monitor effectiveness of Crossover Health’s Medicare Advantage Compliance Program.
• Manage Crossover’s compliance with Medicare Part C requirements, including risk adjustment and encounter data reporting.
• Monitor and implement applicable CMS updates and Medicare Advantage regulations affecting Crossover Health’s operations.
• Participate in quality improvement programs to ensure the practice is performing efficiently and in accordance with Crossover’s policies.
• Assist with ongoing development and maintaining compliance policies.
• Support protocols for documentation, coding, billing, and patient communication that meet CMS standards.
• Conduct regular compliance training for physicians, clinical staff, administrative personnel and governing board.
• Perform internal audits of clinical documentation, coding, and billing practices.
• Identify compliance risks related to Medicare Advantage participation and implement mitigation strategies.

Medicare Compliance RN

Medicare Compliance Population Health, RN