- Centene Corporation (Jefferson City, MO)
- …on workplace flexibility. **Position Purpose:** Responsible for leading clinical coding compliance nurses and non-clinical team members through medical claim review. ... Ensure compliance with coding practices through a comprehensive review and...by the American Medical Association and the Centers for Medicare and Medicaid Services. + Ensures Payment Integrity DRG… more
- PruittHealth (Norcross, GA)
- …O In-depth knowledge of healthcare billing regulations, HIPAA, and payer compliance standards. **Preferred Qualifications** * Experience with Medicare , Medicaid, ... The supervisor oversees a team of billing professionals, maintains compliance with healthcare regulations, and drives continuous improvement in revenue… more
- Hartford HealthCare (Farmington, CT)
- …determine the appropriate assignment of alpha numeric diagnosis/procedure codes and Medicare Severity Diagnosis Related Groups (MS-DRG). Data is classified for ... internal and external statistical reporting, research, regulatory compliance and reimbursement. Codes high dollar and more complex accounts including but not limited… more
- CenterWell (Texarkana, AR)
- …+ Complete End of Period claim workflow as part of Billing Specialist responsibilities. This includes confirming all orders are signed appropriately and coordinating ... in Agency's mandatory HIPAA / Privacy Program and Employee Compliance Program. + Read and adhere to all Agency...to problem solve effectively. + Must possess knowledge of Medicare guidelines governing home health and hospice agencies. +… more
- Hannaford (Gray, ME)
- …(PIC) or Supervising Pharmacist (SP) as required. Responsible for ensuring regulatory compliance with Federal and state pharmacy laws and regulations. * Responsible ... productivity, controlling inventory, payroll and expenses. * Understanding of and compliance with Pharmacy Standard Practice Manual. Communicate standards to other… more
- Hartford HealthCare (Farmington, CT)
- …determine the appropriate assignment of alpha numeric diagnosis/procedure codes and Medicare Severity Diagnosis Related Groups (MS-DRG). Data is classified for ... internal and external statistical reporting, research, regulatory compliance and reimbursement. Codes high dollar and all types of multifaceted accounts which… more
- St Croix Hospice (Eau Claire, WI)
- …referral sources to support program growth. Additional Responsibilities + Ensures compliance with Medicare , Medicaid, and state/federal hospice regulations. + ... medical care and symptom management for terminally ill patients in compliance with state regulations and physician supervision. + Conducts comprehensive history… more
- UnityPoint Health (Cedar Rapids, IA)
- …department compliance requirements for federally funded healthcare programs (eg. Medicare and Medicaid) regarding fraud, waste and abuse. Brings any questions or ... for Community Mental Health is seeking a Peer Support Specialist . Peer Support Specialists use their experiences in recovery...concerns regarding compliance to the immediate attention of department or administrative… more
- OhioHealth (Worthington, OH)
- …patient's diagnosis. Completes physician orders as needed. 10% Knowledgeable of Medicare , Medicaid and insurance guidelines. Verifies payer eligibility when the ... absence of the Intake Specialist . Refers any questionable referral to the Intake...5% Completion of duties as assigned that pertain to compliance , quality, culture, and excellence of the organization **Minimum… more
- Beth Israel Lahey Health (Burlington, MA)
- …preparation and negotiation; works collaboratively with Research Finance to oversee Medicare compliance in research visit billing; monitors research budget ... support to staff as needed.** **Oversees and ensures staff compliance with the research protocols of the department.** **Utilizes...detailed knowledge of studies so to serve as a specialist ; Grasps the scope and objectives of projects.** **Triages… more