- Banner Health (MI)
- …and regulations according to regulatory agencies for state Medicaid plans, Center for Medicare Services ( CMS ), Office of the Inspector General (OIG) and the ... (RHIT), in an active status with the American Health Information Management Association (AHIMA) or American Academy of Professional Coders (AAPC). Certification… more
- Molina Healthcare (Ann Arbor, MI)
- …and procedures to ensure accuracy, completeness, and compliance with Centers for Medicare and Medicaid Services ( CMS ) regulations and guidelines of risk ... CPC credential **Preferred Education** Bachelor's Degree in Business Administration, Health Care Management o To all current Molina employees: If you are interested… more
- Prime Healthcare (Port Huron, MI)
- …Healthgrades Patient Safety Excellence Award, rated four stars by the Centers for Medicare & Medicaid Services and earned The Joint Commission's Gold Seal of ... of Prime Healthcare, Lake Huron Medical Center is proud to be part of a system recognized as one of America's Greatest Workplaces for 2024 by Newsweek and Plant-A… more
- Molina Healthcare (MI)
- …inquiries. + Performs Plan Required Reporting. + Interpret and analyzes Medicare , Medicaid and MMP Required Reporting Technical Specifications. + Create and ... quarterly Key Performance Indicator (KPI) reports. + Support the management of the regulatory memo distribution process Ability to...notices of proposed rulemaking. + Manages user access to CMS . + Analyze data use critical thinking + Ability… more
- McLaren Health Care (Petoskey, MI)
- …with patients: Maintains AWV criteria and obtains updates from Center for Medicare and Medicaid Services ( CMS ). Provides reimbursable RN services. Conducts ... in-depth verbal interviews with elderly patients to obtain health sensitive information. Collects patient history. _Required_ + Graduate of an accredited school of nursing. + Current State of Michigan Registered Nurse license. + For clinics with the Rural… more
- Tenet Healthcare (Detroit, MI)
- …support post-acute needs , j) timely complete and concise documentation in Case Management system , k ) maintenance of accurate patient demographic and insurance ... policy · Completes timely, complete and accurate documentation in the Tenet Case Management system to communicating information to the care team and provide… more
- Banner Health (MI)
- …and regulations according to regulatory agencies for state Medicaid plans, Center for Medicare Services ( CMS ), Office of the Inspector General (OIG) and the ... certification in an active status with the American Health Information Management Association (AHIMA) or American Academy of Professional Coders (AAPC). Requires… more
- Henry Ford Health System (Detroit, MI)
- …computers, electronic health records (EHR), database systems, and utilization review/case management documentation systems. + Knowledge of CMS , commercial payer ... of clinical experience in [relevant specialty] + Strong organizational and time management skills + Excellent communication and interpersonal skills + Proficiency in… more
- Prime Therapeutics (Lansing, MI)
- …benefits consultants, key state leaders, industry trade associations, and Centers for Medicare and Medicaid Services ( CMS ); establish an effective communication ... teams, ensuring adequate representation for market-specific client needs; align account management activities across all lines of business and develop methodologies,… more