- Houston Methodist (Houston, TX)
- … CMS , and Medicaid to ensure proper department financial management , compliance with all governmental reporting requirements, and proper quality outcomes ... and transplant teams, and recipient candidate and family to ensure proper management of the organ recovery and transplant events. **PEOPLE ESSENTIAL FUNCTIONS** +… more
- Fresenius Medical Center (Granbury, TX)
- …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
- Baylor Scott & White Health (Dallas, TX)
- …Health. Responsible for the accuracy and integrity of the credentialing database system . Functions as a Coordinator Credentialing to assure optimum performance of ... of Healthcare Organizations (TJC) and Center for Medicare and Medicaid Services ( CMS ) and other regulatory agencies as they pertain to medical staff and… more
- Humana (Austin, TX)
- …by diverse resources which may include national clinical guidelines, CMS policies and determinations, clinical reference materials, internal teaching conferences, ... of decisions to internal associates, and possible participation in care management . The clinical scenarios predominantly arise from inpatient or post-acute care… more
- Texas Health Resources (Arlington, TX)
- …AACN for Cardiac Telemetry and CVICU. We are also 5 star rated through CMS . Texas Health Heart & Vascular Hospital is a separately licensed hospital located on ... AACN for Cardiac Telemetry and CVICU. We are also 5 star rated through CMS . We specialize in CABG and Valve surgeries, TAVR, Impella, IABP, and Lung procedures.… more
- Texas Tech University Health Sciences Center - El Paso (El Paso, TX)
- …coding and documentation based on audit findings and as required by current CMS regulations. Work directly with the Medical Coding Auditor Manager to implement best ... + Ensure compliance with federal, state, and payer-specific regulations, including CMS guidelines + Identify and address coding discrepancies and recommend… more
- Molina Healthcare (Austin, TX)
- …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 , National Committee of Quality Assurance (NCQA) guidelines, and Molina policies and… more
- CVS Health (Austin, TX)
- …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
- Fresenius Medical Center (Houston, TX)
- …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
- Houston Methodist (Houston, TX)
- …and CMS regulations, DNV requirements, and guidelines on case management , utilization review, and clinical documentation. + Provide ongoing education to ... position is responsible for teaching, consulting, and advising the case management department, clinical documentation specialists, medical staff and the hospital on… more