- Sharp HealthCare (San Diego, CA)
- …Procedural Coding System (HCPCS) codes to assure appropriate assignment for outpatient Medicare reimbursement .Reviews and verifies charges to assure an accurate ... HealthCare coding rules and guidelines.Refuses to fraudulently maximize reimbursement by assigning codes that do not conform to...by the American Medical Association (AMA), the Center for Medicare and Medicaid (CMS), and AHIMA for assignment of… more
- Prime Healthcare (Ontario, CA)
- Overview Prime Healthcare is an award-winning health system headquartered in Ontario, California. Prime Healthcare operates 51 hospitals and has more than 360 ... nearly 57,000 employees and physicians. Eighteen of the Prime Healthcare hospitals are members of the Prime Healthcare...effective compliance programs + Knowledge of laws relating to Medicare , Medicaid, EMTALA, HIPAA, the Stark Law, the False… more
- Grant Thornton (Newport Beach, CA)
- …4 years of direct experience with diverse life sciences companies or healthcare providers, including hospitals, academic medical centers, healthcare systems, and ... including patient access, revenue integrity, coding, claims processing, billing, and reimbursement , with a focus on enhancing financial performance and operational… more
- Prime Healthcare (Ontario, CA)
- Overview Prime Healthcare is an award-winning health system headquartered in Ontario, California. Prime Healthcare operates 51 hospitals and has more than 360 ... health systems with nearly 57,000 employees and physicians. Eighteen of the Prime Healthcare hospitals are members of the Prime Healthcare Foundation, a… more
- Baylor Scott & White Health (Sacramento, CA)
- JOB SUMMARY The Healthcare Billing Compliance Consultant Sr performs ongoing activities related to the development, implementation, maintenance of, and adherence to ... a timely way. . Responds to inquiries and guidance requests utilizing applicable Medicare and Medicaid rules and regulations. Serves as a compliance resource to BSWH… more
- Cardinal Health (Sacramento, CA)
- …swiftly **_Qualifications_** * Ideally targeting individuals with a background in healthcare (such as medical assistant, working in medical claims/billing, pharmacy ... a lot of different hats, without getting overwhelmed), required * Clear knowledge of Medicare (A, B, C, D), Medicaid & Commercial payers' policies and guidelines for… more
- Sharp HealthCare (San Diego, CA)
- …initiatives that support pharmaceutical contracting, procurement, distribution, utilization and reimbursement in the hospital and ambulatory care settings resulting ... **Preferred Qualifications** + 3 Years experience with managed care, PBM and/or Medicare Part D, Medicaid, Commercial Health Insurance. + Experience with Oncology… more
- Sacramento Behavioral Healthcare Hospital (Santa Rosa, CA)
- …this hospital consists of 144 acute psychiatric inpatient beds. Santa Rosa Behavioral Healthcare Hospital (SRBHH) is regarded as an integral part of the greater ... units, physicians and their staff, insurance companies, attorneys and Center for Medicare and Medicaid Services. The Financial Counselor is responsible for admission… more
- Sharp HealthCare (La Mesa, CA)
- …range as defined by the collective bargaining agreement between Sharp HealthCare and Sharp Professional Nurses Network, United Nurses Associations of ... + Organizational relationshipsThe RN CM will work closely with the healthcare team in reaching unit, facility, and system/network organization goals including… more
- Sharp HealthCare (San Diego, CA)
- …range as defined by the collective bargaining agreement between Sharp HealthCare and Sharp Professional Nurses Network, United Nurses Associations of ... care nursing experience, case management experience or equivalent experience in the healthcare setting. + California Registered Nurse (RN) - CA Board of Registered… more