- Elevance Health (Atlanta, GA)
- …Medicare and Medicaid Services to transform federal health programs._ The ** Audit and Reimbursement Senior** will support our Medicare Administrative Contract ... + Requires a BA/BS and a minimum of 8 years of audit /reimbursement or related Medicare experience; or any combination of education and experience which would… more
- Elevance Health (Atlanta, GA)
- … Medicare and Medicaid Services to transform federal health programs. The ** Audit and Reimbursement III** will support our Medicare Administrative Contract ... a BA/BS degree and a minimum of 5 years of audit /reimbursement or related Medicare experience; or any combination of education and experience, which would… more
- Elevance Health (Columbus, GA)
- …Requirements:** + Requires a BA/BS degree and a minimum of 5 years of audit /reimbursement or related Medicare experience; or any combination of education and ... ** Audit & Reimbursement III** **Location** : This role...Health's family of brands. We administer government contracts for Medicare and partner with the Centers for Medicare… more
- PruittHealth (Greenville, GA)
- …and enrollments. 6. Ability to learn and carry out Centers for Medicare & Medicaid Services rules and regulations. 7. Meet with potential members/responsible ... with the member are compliant with CMS regulations 11. Conduct monthly facility audit in accordance with monthly checklist provided. 12. The Enrollment Agent will be… more
- Elevance Health (Columbus, GA)
- … Medicare and Medicaid Services to transform federal health programs. The ** Audit and Reimbursement II** will support our Medicare Administrative Contract ... ** Audit & Reimbursement II** **Location:** This role enables...(MAC) with the federal government (The Centers for Medicare and Medicaid Services (CMS) division of the Department… more
- Molina Healthcare (GA)
- …with the standards and requirements established by the Centers for Medicare and Medicaid **Knowledge/Skills/Abilities** * Leads, organizes, and directs the ... to members or authorized representatives in accordance with Centers for Medicare and Medicaid standards/requirements. * Provides direct oversight, monitoring and… more
- Intermountain Health (Atlanta, GA)
- …HIM, PAS, and hospital finance staff as needed. + Prepares monthly Medicare and Medicaid settlement and policy reserve calculations using technically acceptable and ... reimbursement methodologies. + Prepares or reviews cost reports and surveys, reviews audit adjustments and settlements, and files appeals and exception requests to… more
- PruittHealth (Blue Ridge, GA)
- …annual and significant change assessments as well as any required Medicare assessment. Responsibilities include maintaining accurate and timely assessments, meeting ... 23. Be highly involved in determining skilled level of care for Medicare residents and procuring required Medicare -specific documentation; be responsible for… more
- Highmark Health (Atlanta, GA)
- …OVERVIEW:** Performs all related internal, concurrent, prospective and retrospective coding audit activities. Reviews medical records to determine data quality and ... identified in the audits compliant with regulatory requirements. Provides written audit guidance. Participates with management in the assessment of external … more
- CenterWell (Atlanta, GA)
- …at the division and market level; Partners with Clinical Documentation Improvement, Audit , and Education to develop programs to improve clinical documentation. + ... development and compliance with coding standards. + Partner with analytics and audit to identify coder errors and develop plans to address deficiencies/specific… more
Recent Jobs
-
Unified Communications (UC) Engineer, Senior
- Amentum (Warrenton, VA)
-
Senior Substation Protection and Control Engineer
- Leidos (Portland, OR)
-
Sr Field Marketing Manager, Amazon Business
- Amazon (Seattle, WA)