- Molina Healthcare (Covington, KY)
- …and over utilization by providers and recipients. The position will review claims data, medical records, and billing data from all types of healthcare providers ... and Medicare programs as well as Marketplace + Understanding of claim billing codes, medical terminology, anatomy, and health care delivery systems +… more
- Humana (Corpus Christi, TX)
- …Auditor ensures clinical documentation meets CMS regulations, OASIS accuracy, and Medicare Conditions of Participation. This role audits Start of Care, ... for compliance, accuracy, and completeness, helping reduce audit risk and billing delays. The auditor monitors QA metrics, identifies trends, and collaborates… more
- Hart Medical Equipment (Bowling Green, OH)
- Hart Medical Equipment provides a full range of home care products and support services based on individual needs. We strive to conduct our patient care operation ... the highest standards. We are a nationally accredited, premier provider of home medical equipment and supplies. Status: Full Time Location: Bowling Green, OH Hart … more
- Hart Medical Equipment (Port Huron, MI)
- Hart Medical Equipment provides a full range of home care products and support services based on individual needs. We strive to conduct our patient care operation ... We are a nationally accredited, premier provider of home medical equipment and supplies. Status: Full Time, M -...proper documentation when needed. + Maintain current knowledge on Medicare , Medicaid and third-party payor sources for equipment. +… more
- Hart Medical Equipment (Grand Blanc, MI)
- Hart Medical Equipment provides a full range of home care products and support services based on individual needs. We strive to conduct our patient care operation ... We are a nationally accredited, premier provider of home medical equipment and supplies. Status: Full Time Location: Grand...CMNs and documentation + Work with Hart's QA, CMN, Billing , and Revenue Compliance teams to coordinate areas of… more
- Sharp HealthCare (San Diego, CA)
- …Corporate Compliance in accordance to the CMS and local MAC ( Medicare Administrative Contractor) requirements. **Required Qualifications** + 3 Years experience ... auditing coding and medical record documentation in an ambulatory care setting. +...the documentation meets the standards set by CMS, local Medicare Administrative Contractor (MAC) and other third party payers.Performs… more
- Penn Medicine (Philadelphia, PA)
- …to policy guidelines. + Responsible for maintaining the highest level of billing standards following current guidelines from Medicare , Medicaid, and other ... leaders in the field of medicine. Working for this leading academic medical center means collaboration with top clinical, technical and business professionals across… more
- Prime Healthcare (Sherman Oaks, CA)
- …provides 24/7 emergency care in addition to a full range of specialized medical , surgical, and diagnostic services to improve and save lives. Sherman Oaks Hospital ... is not limited to: + Paid time off + 401K retirement plan + Outstanding Medical + Dental + Vision coverage + Tuition reimbursement + Many more voluntary benefit… more
- Banner Health (Casper, WY)
- …in billing Arizona, Colorado, Nevada, and other state Medicaid plans, Medicare billing , experience with all insurance types, hospital admitting experience, ... 8:00pm** (on call rotation and shift flexibility depending on business needs) Banner Wyoming Medical Center is located in the heart of Casper Wyoming. As the state's… more
- HCA Healthcare (Nashville, TN)
- …aged accounts first, and reports to leadership + Works with team members in billing , revenue integrity and/or the Medicare Service Center to resolve alerts/edits ... and retirement of our colleagues. The available plans and programs include: + Comprehensive medical coverage that covers many common services at no cost or for a low… more