- Trinity Health (Livonia, MI)
- …code(s) by utilizing coding guidelines established by: + The Centers for Medicare / Medicaid Services (CMS) ICD-CM Official Coding Guidelines for Coding and ... codes, modifiers, internal edits and claim edits that could impact hospital reimbursement . Interprets bundling and unbundling guidelines (NCCI edits) as well as… more
- Jackson County Medical Care Facility (Jackson, MI)
- …of the complexities of reimbursement mechanisms involving various payers like Medicare , Medicaid , and private insurance companies, and their specific rules ... and data management, and knowledge and understanding of billing and reimbursement processes for residents at Jackson Country Medical Care Facility. Responsibilities… more
- McLaren Health Care (Grand Blanc, MI)
- …Prepares and or reviews the schedules required to support the submission of Medicare , Medicaid and Blue Cross cost report, complying with regulations. Analyzes ... **Position Summary:** Responsible for compiling complex reimbursement data to support management decision making and internal and external reporting for assigned… more
- Henry Ford Health System (Troy, MI)
- …skills applicable to both departmental staff and multi-disciplinary teams. + Knowledge of Medicare , Medicaid , Blue Cross and other third-party payers billing and ... teams, ensuring optimal and compliant Mid-Revenue Cycle processes within value-based reimbursement models and initiatives. Reporting to the Director, Risk Adjustment… more
- Cardinal Health (Lansing, MI)
- …verbal format + Be familiar with long- and short-range changes in the reimbursement environment including Medicare , Medicaid , Managed Care, and Commercial ... Communication + Data Entry Skills + Product Knowledge - Insurance, reimbursement , specialty pharmaceutical + Objectivity + Dependability + Multi-tasking + Maintain… more
- Gentiva (Greenville, MI)
- …a patient may be appropriate for home health or hospice care; Medicare / Medicaid regulations; and interdisciplinary process; value based and/or accountable ... with acceptable standards in order to support sound medical practice and reimbursement for services provided. + Knowledgeable of Palliative Medicine Quality Measures… more
- Henry Ford Health System (Troy, MI)
- …remittance) to comply with third party regulations. This includes knowledge of Medicare / Medicaid regulations as well as understanding of managed care contracts. ... improving operational efficiencies. 5. Collaborates with EPIC Application teams, Reimbursement , Compliance, and SMEs to maintain/update/test the CDM and appropriate… more
- Trinity Health (Livonia, MI)
- …of Medical Necessity review guidelines (LMRP/LCD and SI/IS criteria) for commercial, Medicare and Medicaid insurance products. Uses knowledge of insurance ... and serves as a subject matter expert regarding documentation, coding, billing, reimbursement and compliance management as it relates to coding. Assists with denials… more
- Munson Healthcare (Traverse City, MI)
- …Nationally-recognized care - our dialysis centers has been recognized by the Centers for Medicare and Medicaid Services (CMS) for providing some of the highest ... thousands of educational offerings, leadership development, simulation education and tuition reimbursement What's Required : + An active Registered Nurse license in… more
- Marshfield Clinic (Iron Mountain, MI)
- …have been or be excluded from participation in any federally funded program, including Medicare and Medicaid . This is a condition of employment. Employee must ... work under acutely varying and changing workloads. Knowledge of third-party reimbursement , charge, and billing process. Ability to supervise, coordinate and… more