- Tutor Perini (Menlo Park, CA)
- …PowerPoints and email templates. + Support all company social media channels and content management software. + Create graphics and templates using Adobe ... use. + Maintain consistency in style and branding. + Update website content and project pages through CMS platforms. + Edit and optimize photos for web use. +… more
- Humana (Sacramento, CA)
- …help us put health first** The Medical Director relies on fundamentals of CMS Medicare Guidance on following and reviewing home health, SNF, DME, dual ... by other healthcare professionals are in agreement with national guidelines, CMS requirements, Humana policies, clinical standards, and (in some cases) contracts.… more
- J&J Family of Companies (Santa Clara, CA)
- …Engineer participates in decisions related to scope of work, risk management , process improvements, material disposition, and the implementation of revised product ... opportunities, and communicate supplier risks and/or opportunities to the next management level + Plan, schedule, execute, report, and follow-up on supplier… more
- Sunnyside Nursing and Post-Acute Care (Torrance, CA)
- …+ The Health Information Manager (HIM) is responsible for the overall management of the Medical Records Department, including the development and implementation of ... of ethical coding as set forth by the American Health Information Management Association and adheres to official coding guidelines. When applicable, serves as… more
- Actalent (Sacramento, CA)
- …case management , or hospital discharge planning + Familiarity with CMS inpatient criteria, including the Two-Midnight Rule + Proficiency in Microsoft Office ... for Medicare inpatient admissions, continued stays, and discharges + Apply CMS regulations and evidence-based criteria (MCG, InterQual) to evaluate medical necessity… more
- Oracle (Sacramento, CA)
- …applications and dashboards that run in our clients EHR (Electronic Health Record) system to enable our clients' to track compliance with the requirements of the ... Centers for Medicare & Medicaid Services ( CMS ) and The Joint Commission (TJC). The compliance rate...you to work closely with multi-functional teams, including product management , submissions operations teams, and other software development teams… more
- Highmark Health (Sacramento, CA)
- …clinical terminology and anatomy/physiology, Centers for Medicare and Medicaid Services ( CMS ) coding guidelines, and Risk Adjustment Data Validation (RADV) Audits. ... Patient Monitoring (RPM) risk adjustment projects to comply with all CMS requirements by analyzing physician documentation and interpreting into ICD10 diagnoses… more
- Dignity Health (Rancho Cordova, CA)
- …in compliance with federal, state, and local regulations, including CMS guidelines. This role involves identifying necessary documentation for investigations, ... denial trends, recommends corrective actions, and provides regular reports to management and regulatory bodies, contributing to improved clinical quality and… more
- Providence (CA)
- …Coding Policies and associated edit configurations within the PHP claims editing system . In addition, the Coding Policy Analyst will be responsible for replying ... to provider and member appeals and providing appropriate CPT, CMS , specialty society, Coding Policy, and/or other official documented rationale for Coding Policy… more
- ZOLL Medical Corporation (San Diego, CA)
- …sudden cardiac death. + HFMS (https://cardiacdiagnostics.zoll.com/products/heart-failure-arrhythmia- management - system /) (Heart Failure Management system ... management team, this individual will be responsible for the direct management of ZOLL CMS Territory Managers (sales representatives) and Sales Associates… more
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