- CVS Health (Albany, NY)
- …codes that are submitted to the Centers for Medicare and Medicaid Services ( CMS ) for the purpose of risk adjustment processes are appropriate, accurate, and ... compliance with internal policies and procedures as well as regulatory guidance from CMS , OIG or other Regulatory body. **Required Qualifications** + Minimum of 1… more
- St. Mary's Healthcare (Amsterdam, NY)
- …times to meet established KPIs. + Ensure effective workflows for coding, query management , and charge capture. + Collaborate with IS and HIM to optimize the ... computer-assisted coding, EMR integration, and auditing tools. + Maintain compliance with CMS , OIG, and other regulatory guidelines + Oversee routine internal and… more
- Fresenius Medical Center (Cornwall, NY)
- …machine alarm testing including Pressure Holding (PHT). + Initiate Solution Delivery System (SDS) system . **RECORD KEEPING:** + Complete and document ongoing ... HighSchooldiplomaorG.E.D. required. + Must meet Center for Medicaid/Medicare Services ( CMS )-approved state and/or national certification requirements within the required… more
- Fresenius Medical Center (Rochester, NY)
- …dialysis machine alarm testing including Pressure Holding (PHT). + Initiate Solution Delivery System (SDS) system . + Ensure that all blood spills are immediately ... slips/invoices + Inventory for Patients + Assists patient with supply management and contacting customer service **PHYSICAL DEMANDS AND WORKING CONDITIONS:** The… more
- Molina Healthcare (NY)
- …Assurance (NCQA) guidelines, and Centers for Medicare and Medicaid Services ( CMS ) standards. * Provides coordination and processing of pharmacy prior authorization ... and/or appeals. * Explains point-of-sale claims adjudication, state, NCQA and CMS policies/guidelines, and any other necessary information to providers, members and… more
- Rochester Regional Health (Rochester, NY)
- …to facilitate standard updates on key quality and safety initiatives from the system . + Lead quality improvement teams using improvement science and provide guidance ... aligned areas quality and safety matters to regional and system quality meetings as appropriate. + Partner closely with...externally reported quality programs for the business area (Leapfrog, CMS Stars, CMS P4P, Excellus HPIP, QAPSPI… more
- Humana (Albany, NY)
- …but not limited to: + Reviewing pricing software vendor specifications. + Identifying system changes needed to accommodate CMS logic. + Assisting with ... Analyst will be an integral part of the Pricer Business and System Support team responsible for administering complex Medicare provider reimbursement methodologies.… more
- Fresenius Medical Center (Fayetteville, NY)
- …dialysis machine alarm testing including Pressure Holding (PHT). + Initiate Solution Delivery System (SDS) system . + Ensure that all blood spills are immediately ... slips/invoices + Inventory for Patients + Assists patient with supply management and contacting customer service **PHYSICAL DEMANDS AND WORKING CONDITIONS:** The… more
- Highmark Health (Albany, NY)
- …contribute to highest levels of performance. **ESSENTIAL RESPONSIBILITIES** + Perform management responsibilities including, but limited to: involved in hiring and ... termination decisions, coaching and development, rewards and recognition, performance management and staff productivity.Plan, organize, staff, direct, and control… more
- Trinity Health (Syracuse, NY)
- …to regulatory compliance. Leverages clinical information technology, process design, change management and evidence to ensure ongoing survey readiness and compliance ... Consultants who lead or facilitate quality improvement activities, provide project management , data analysis and measurement of outcomes, document and report the… more
Recent Jobs
-
Pipeline Integrity In-Line Inspection (ILI) Manager
- Kinder Morgan (Houston, TX)