- HCA Healthcare (Nashville, TN)
- …clinicians regarding deficiencies or OASIS corrections (with feedback from Quality Review Specialist ) to ensure the medical records reflect compliance with ... and delivery of quality interdisciplinary home health care services. Will ensure compliance to federal/state standards and clinical best practices. What you will do… more
- CenterWell (Phoenix, AZ)
- …+ Oversee daily operations of physician services. + Build strong relationship with specialist , hospitalist, SNF and other providers to form a narrow network of ... the organization in community and marketing events. + Develop and maintain compliance with the departmental and physician budgets. + Assess, develop and recommend… more
- CenterWell (North Las Vegas, NV)
- …advanced practice professionals, Pharm D, Care Coach Nurse, MA, Behavioral health specialist , Quality based Coder, Referral Coordinator and more. Our approach allows ... care "on-call" program of CenterWell Senior Primary Care. + Assures personal compliance with licensing, certification, and accrediting bodies. **Use your skills to… more
- Carle Health (Peoria, IL)
- …and answering incoming calls from the nursing facilities Responsible for maintaining Medicare regulatory compliance with the delivery of the "Important Message" ... The Case Assistant works under the direction of the Clinical Transition Specialist (RN Case Manager) and/or Social Worker to establish appropriate discharge plans… more
- CenterWell (Sun City, AZ)
- …advanced practice professionals, Pharm D, Care Coach Nurse, MA, Behavioral health specialist , Quality based Coder, Referral Coordinator and more. Our approach allows ... program of CenterWell Senior Primary Care. + Assures personal compliance with licensing, certification, and accrediting bodies. **Required Qualifications:** +… more
- University of Michigan (Ann Arbor, MI)
- …and accurately assigns ICD-10-CM, ICD-10 PCS, as well as assignment of the Medicare Severity Diagnosis Related Group, (MS-DRG) / All Patient Refined - Diagnosis ... on payor classification and abstracts specific data elements for each case in compliance with federal regulations. This position codes all types of inpatient records… more
- Banner Health (Phoenix, AZ)
- …preparing and delivering reports and presentations, analyzing, developing, and/or submitting Medicare Advantage and Prescription Drug plan bid pricing tools and/or ... direct the preparation of rate filings to Centers for Medicare and Medicaid Services (CMS), Health and Human Services...are followed, necessary controls are effective and efficient, and compliance with current laws and regulations is achieved. 4.… more
- McLaren Health Care (Grand Blanc, MI)
- …ACMA or ACDIS memberships * Certified Medical Coder, Certified in Healthcare Compliance , Certified Coding Specialist , or Certified Clinical Documentation ... customer service, software management, and tracking responses to the Centers for Medicare and Medicaid Services (CMS) Recovery Audit Contractor (RAC), Medicare … more
- Banner Health (AR)
- …knowledge of clinical documentation and its impact on reimbursement under Medicare Severity Adjusted System (MS-DRG),All Payer Group (APR-DRG) and Ambulatory Payment ... ensure that clinical coding is accurate for proper reimbursement and that coding compliance is complete. Provides feedback on coding work and trends, and offers… more
- Mount Sinai Health System (New York, NY)
- …payment. This position plays a key role in ensuring the financial health and compliance of the organization and bridges the gap between clinical care and medical ... requires a unique blend of clinical expertise and financial acumen to ensure compliance with healthcare regulations and collaborate with staff to resolve issues and… more