- HCA Healthcare (Dallas, TX)
- …programs while driving growth, standardization, and innovation across the system in collaboration with the current facility-based transplant administrators. The ... a financial infrastructure that ensures efficiency, optimizes cost capture for Medicare Cost Reports, and improves reimbursement strategies. + Work with Corporate… more
- Baylor Scott & White Health (Dallas, TX)
- …audits and assessments to ensure compliance with BSWH policies and CMS and Texas Medicaid regulations, providing reports, recommendations, and corrective action ... a timely way. . Responds to inquiries utilizing applicable Medicare and Medicaid guidance. Serves as a compliance resource...of Experience - Billing/Healthcare experience As a health care system committed to improving the health of those we… more
- Banner Health (TX)
- …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
- Houston Methodist (Baytown, TX)
- …knowledge of regulatory and accreditation requirements (such as Centers for Medicare /Medicaid Services/ CMS , The Joint Commission, DNVGL NIAHO/ISO 9001 and/or ... improvement of compliance with standard requirements, including ISO 9001 Quality Management . + Conducts ongoing monitoring, measurement and analysis of survey data… more
- Centene Corporation (Austin, TX)
- …Continental United States. **Position Purpose:** Provides strategic leadership and management of department overseeing compliance with regulations and laws related ... to Risk Adjustment across our Marketplace, Medicaid and Medicare lines of business, which includes implementation of elements...health care programs. + Participates in mock and actual CMS and other regulatory audits and coordinates with Internal… more
- Prime Therapeutics (Austin, TX)
- …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
- CommonSpirit Health (Houston, TX)
- …and quality care management . + Understand the intricacies of the Medicare Inpatient Prospective Payment System (IPPS) to make medical determinations on ... licensed in the state of Texas. As the Utilization Management Physician Advisor (PA), the PA conducts clinical case...respect of medical staff physicians. + In-depth knowledge of CMS regulations, including understanding of the 2-midnight rule. +… more
- Fresenius Medical Center (Olmito, TX)
- …Preparedness Plan; ensure maintenance of equipment + Ensure proper medical records management and HIPAA compliance + Oversees the continuous and data driven Quality ... and policies, and then developing and implementing an associated center specific management plan. + Ensure adverse events are reported, documented and necessary… more