- Cognizant (Columbus, OH)
- …CPT, HCPCS, ICD-9 + Experience with UB/institutional ( CMS -1450) and/or professional ( CMS 1500) claims + Knowledge of Medicare billing & payment and ... Responsible for reviewing the data in the claim processing system (Facets) and comparing it with the corresponding UB,...Assigned special projects or other duties as determined by management . + Will work closely with other departments **Desired… more
- Cognizant (Columbus, OH)
- …ICD-10 * Experience making payments with UB/institutional ( CMS -1450) and/or professional ( CMS 1500) claims * Knowledge of Medicare / Medicaid payment and ... Responsible for reviewing the data in the claim processing system and comparing with corresponding UB or HCFA paper...Assigning special projects or other duties as determined by management . **What you need to have to be considered:**… more
- OhioHealth (Columbus, OH)
- …Recommends process improvements and long-term strategies at the care site and system level. PROGRAM ADMINISTRATION (20%) Creates content for website, ... **We are more than a health system . We are a belief system .**...for GME reimbursement as mandated by the Center for Medicare and Medicaid Services ( CMS ). PROGRAM DEVELOPMENT… more
- Veterans Affairs, Veterans Health Administration (Columbus, OH)
- …health record documentation. Knowledge of The Joint Commission requirements, Centers for Medicare and Medicaid Services ( CMS ), and/or health record documentation ... Summary This position is in the Health Information Management (HIM) section of Patient Business Services (PBS)...but are not limited to: Utilize the facility computer system and software applications to code, abstract, record, and… more
- CenterWell (West Chester, OH)
- …development. + Complies with all Drug Enforcement Administration (DEA), Centers for Medicare & Medicaid Services ( CMS ), federal, state, and company regulations, ... of variable factors to solve basic problems, and collaborates with management and top professionals/specialists in selection of methods, techniques, and analytical… more
- Molina Healthcare (Cincinnati, OH)
- …Officer on denial decisions. + Resolves escalated complaints regarding Utilization Management and Long-Term Services & Supports issues. + Identifies and reports ... be required. + Serves as a clinical resource for Utilization Management , Chief Medical Officer, Physicians, and Member/Provider Inquiries/Appeals. + Provides… more
- Select Medical (Cincinnati, OH)
- …hemodialysis technician and: + CCHT required upon hire + Center for Medicaid/ Medicare Services ( CMS ) approved state and/or national certification. + Applicable ... and interview; documents observations. + Observes dialysis machines and RO water system for correct functioning, responds to visual and audible alarms, and makes… more
- Select Medical (Cincinnati, OH)
- …hemodialysis technician and: + CCHT required upon hire + Center for Medicaid/ Medicare Services ( CMS ) approved state and/or national certification. + Applicable ... and interview; documents observations. + Observes dialysis machines and RO water system for correct functioning, responds to visual and audible alarms, and makes… more
- Humana (Columbus, OH)
- …inventory monitoring and assignment of escalated inventory + Research on guidelines - CMS , AMA, etc. + Training new coders/auditors + Responsible for updating and ... efforts are leading to a better quality of life for people with Medicare , Medicaid, families, individuals, military service personnel, and communities at large. … more
- Cognizant (Columbus, OH)
- …+ Experience making payments with UB/institutional ( CMS -1450) and/or professional ( CMS 1500) claims. + Knowledge of Medicare /Medicaid payment and coverage ... and other teams. **Primary Responsibilities** : + Review claim system data and verify against UB or HCFA paper...and external SLAs. + Other duties as assigned by management . **Qualifications:** + A minimum of 2 years' claims… more