- 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
- Grant Thornton (Cleveland, OH)
- …bodies such as the Office of Inspector General (OIG) and the Centers for Medicare and Medicaid Services ( CMS ). + Experience with Sarbanes-Oxley Section 404 ... include: + Review operational, financial, and technology processes to provide management with a comprehensive assessment of business risks, internal controls, and… more
- Molina Healthcare (OH)
- …contracted provider network. They are responsible for network management including provider education, communication, satisfaction, issue intake, access/availability ... staff to determine; for example, non-compliance with Molina policies/procedures or CMS guidelines/regulations, or to assess the non-clinical quality of customer… more
- Prime Therapeutics (Columbus, OH)
- …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
- Cleveland Clinic (Cleveland, OH)
- …years of clinical experience + Previous experience in working with Joint Commission, HFAP, CMS (Centers for Medicare and Medicaid + In-depth knowledge of patient ... and evaluating clinical and support department staff regarding quality management regulations and standards of care. + Support medical...In some locations, ability to travel throughout the hospital system . + In some locations the ability to move… more
- Cleveland Clinic (Garfield Heights, OH)
- …years of clinical experience + Previous experience in working with Joint Commission, HFAP, CMS (Centers for Medicare and Medicaid + In-depth knowledge of patient ... and evaluating clinical and support department staff regarding quality management regulations and standards of care. + Support medical...In some locations, ability to travel throughout the hospital system . + In some locations the ability to move… more
- Cleveland Clinic (Dover, OH)
- …healthcare experience + Previous experience in working with Joint Commission, HFAP, CMS (Centers for Medicare and Medicaid: Government agency that provides ... in educating and evaluating clinical and support department staff regarding quality management regulations and standards of care. + Support medical staff quality… more
- ProMedica Health System (Toledo, OH)
- …applicable regulatory agency rules and regulations to include but not limited to CMS 's Conditions of Participation, all Medicare and Medicaid rules and ... ability to effectively lead large groups of staff within a health system . Excellent time/project management skills and demonstrated ability to coordinate… 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
- Banner Health (OH)
- …and regulations according to regulatory agencies for state Medicaid plans, Center for Medicare Services ( CMS ), Office of the Inspector General (OIG) and the ... (RHIT), in an active status with the American Health Information Management Association (AHIMA) or American Academy of Professional Coders (AAPC). Certification… more