- National Health Care Associates (Wethersfield, CT)
- …may affect reimbursement + Ensure the highest level of revenue integrity and compliance to all state and federal regulations for MDS completion and coding ... Direct care in a long-term care setting, MDS Coordinator, Clinical Reimbursement Specialist or Nurse Assessment Coordinator experience preferred + Knowledge of state… more
- Marshfield Clinic (Marshfield, WI)
- …as an Athletic Trainer by applicable State. + Certified Therapeutic Recreation Specialist (CTRS) as awarded by the National Council for Therapeutic Recreation ... been or be excluded from participation in any federally funded program, including Medicare and Medicaid. This is a condition of employment. Employee must immediately… more
- Community Health Systems (Las Cruces, NM)
- …between medical staff, administration, and hospital departments to ensure compliance with accrediting bodies, regulatory requirements, and hospital bylaws. The ... health professionals in accordance with The Joint Commission (TJC), Centers for Medicare and Medicaid Services (CMS), and state regulations. + Reviews applications… more
- Magellan Health Services (Albuquerque, NM)
- …member, community, and organizational trainings. Completes face-to-face outreach. Ensures compliance with all state and federal marketing requirements. + Drives ... engagement experience with 1 year working with government-sponsored population, particularly Medicare and Medicaid. Self-starter with the ability to work with… more
- Actalent (Tempe, AZ)
- Job Title: Pharmacist Job Description The Clinical Specialist manages the accessibility, quality, and cost-effectiveness of drug and medical therapy for members and ... formulary review. + Coordinate and assist in the preparation of utilization and compliance reporting for client plans. + Ensure timely preparation and review of plan… more
- CVS Health (Oklahoma City, OK)
- …Health's internal inpatient platform. + Adhere to CMS, state specific and NCQA compliance criteria as related to Transitions of Care. + Evaluate patient status ... to identify post-discharge needs, including but not limited to: medications, specialist appointments, home health, DME, caregiver support, social determinants of… more
- Trinity Health (Livonia, MI)
- …secondary diagnoses, principal procedure, and secondary procedures. Assigns appropriate Medicare Severity Diagnosis Related Groups (MS-DRG), All Patient Refined DRGs ... coding and reimbursement Federal, State and local laws and regulations, the Compliance Accountability Program, Code of Ethics, as well as other policies and… more
- Hackensack Meridian Health (Hackensack, NJ)
- …Common Procedure Coding System (HCPCS) Guidelines for Coding and Centers for Medicare and Medicaid Services (CMS) directives across the Hackensack Meridian Health ... maintain appropriate coding quality and productivity as established by HMH Compliance Education, Knowledge, Skills and Abilities Preferred: + Prior working… more
- Whidbey General Hospital (Oak Harbor, WA)
- …to documentation and billing practices to ensure all work is in compliance with established guidelines. PRINCIPLE FUNCTIONS includes the following, other duties may ... pertinent information in notes. + Obtains patient signatures on messages from Medicare and Tricare. + Maintains insurance notebook on different payer requirements. +… more
- Marshfield Clinic (Beaver Dam, WI)
- …Laboratory Technology or equivalent (ie, Military trained - Medical Lab Specialist certificate of training obtained prior to April 24, 1995). **Preferred/Optional:** ... been or be excluded from participation in any federally funded program, including Medicare and Medicaid. This is a condition of employment. Employee must immediately… more