- BAYADA Home Health Care (Orlando, FL)
- …adherence to policies and procedures. As a member of the Medicare Case Management (MCM) office, individuals in this role are expected to maintain ongoing ... coding while using the Medicare PDGM billing model and CMS guidelines. + Review and communicate OASIS edit recommendations...a resource to Medicare Certified Offices with regards to CMS guidelines, Home Care Coding, PDGM guidelines and billing… more
- BAYADA Home Health Care (Orlando, FL)
- …OASIS and ICD 10 coding while using the Medicare PDGM billing model and CMS guidelines. + Review and communicate OASIS edit recommendations to each clinician to ... and act as a resource to Medicare Certified Offices with regards to CMS guidelines, Home Care Coding, PDGM guidelines and billing related issues. + Provide… more
- ASM Research, An Accenture Federal Services Company (Tallahassee, FL)
- …are handled according to contractual service standards and document all cases in the Case Management System ( CMS ). + Performs call follow-up and reporting as ... Cyber Awareness and PII to ensure access to the CMS system is maintained. **Minimum Qualifications** +...to type 50 wpm + Excellent organization and time management skills + Comply with all HIPAA regulations +… more
- Molina Healthcare (St. Petersburg, FL)
- …executes tasks and projects to ensure Centers for Medicare & Medicaid Services ( CMS ) and State regulatory requirements are met for Pre-pay Edits & Overpayment ... Action Items (SAIs) including assisting and executing projects and tasks to ensure CMS and State regulatory requirements are met for pre-pay edits, post payment… more
- Molina Healthcare (Miami, FL)
- …executes tasks and projects to ensure Centers for Medicare & Medicaid Services ( CMS ) and State regulatory requirements are met for Pre-pay Edits & Overpayment ... **Job Qualifications** **REQUIRED QUALIFICATIONS:** + Experience demonstrating knowledge of CMS Guidelines, MCG, InterQual or other medically appropriate clinical… more
- Molina Healthcare (St. Petersburg, FL)
- …average hold time are compliant with Centers for Medicare and Medicaid Services ( CMS ) regulations. + Ensures that adequate staffing coverage is present at all times ... for review. + Assures that activities and processes are compliant with CMS and National Committee of Quality Assurance (NCQA) guidelines and Molina policies… more
- TEKsystems (Orlando, FL)
- …, data configuration, and service integration * Experience working with complex content management or similar systems for building and maintaining websites ... of their time, "fingers on keyboard" working in the CMS (SDL Tridion), executing on tickets in Jira. The...design and technology teams to ensure the visual design, content strategy, copywriting and development align to the strategic… more
- CVS Health (Tallahassee, FL)
- …resolving Medicare complaints received via the Centers for Medicaid and Medicare Services ( CMS ). In this role, you will manage a queue of Medicare complaints. These ... in place that include, but not limited to quality and productivity. Time management is very important in order to maintain compliancy with Medicare. **Required… more
- Cordis (Miami Lakes, FL)
- …driving expanded adoption of the Cordis portfolio. + Represent Cordis at CMS and industry meetings ensuring appropriate representation and engagement that influence ... US coding systems (CPT, ICD-10, HCPCS), payment methodologies (DRG, APC, TPT), and CMS regulations and review cycles + Proven ability to engage with hospital… more
- VentureTech Solutions (Plantation, FL)
- …homebuyer education.) + Ability to operate MS Word and Excel and the assigned Client Management System CMS + Knowledge of local down payment assistance is ... counseling, foreclosure prevention, loss mitigation, rental counseling, and financial management /budgeting. HUD Certified Housing Counselor Duties: + Work closely… more