- CenterWell (Columbia, SC)
- …treats center patients in accordance with standards of care. + Follows level of medical care and quality for patients and monitors care using available data and ... limited to specialty referrals, hospital and SNF coordination, durable medical equipment and home health care. + Acts as...manner working with a quality- based coder to optimize coding specificity. + Follows policy and protocol defined byClinical… more
- Highmark Health (Erie, PA)
- …standards of practice. + Appropriate understanding and timely documentation to support medical coding and billing. + Provide instructions and guidance regarding ... improvement processes and patient engagement and satisfaction. + Maintain compliance with the medical staff office. +...and satisfaction. + Maintain compliance with the medical staff office. + Maintain professional practice consistent with… more
- Catholic Health Initiatives (Williston, ND)
- …a collaborative approach. + Documentation: Maintain accurate patient records and ensure compliance with coding and billing regulations. + Team Collaboration: ... of all ages - children to geriatrics - Emergency Room consults, triage and medical care - Round, admit and manage health needs of patients with a significant… more
- CenterWell (Coral Springs, FL)
- …and treats center patients in accordance with standards of care. Follows level of medical care and quality for patients and monitors care using available data and ... limited to specialty referrals, hospital and SNF coordination, durable medical equipment and home health care. Acts as an...manner working with a quality- based coder to optimize coding specificity. Follows policy and protocol defined by Clinical… more
- CenterWell (Las Vegas, NV)
- …treats center patients in accordance with standards of care. + Follows level of medical care and quality for patients and monitors care using available data and ... limited to specialty referrals, hospital and SNF coordination, durable medical equipment and home health care. + Acts as...manner working with a quality- based coder to optimize coding specificity. + Follows policy and protocol defined by… more
- University of Virginia (Charlottesville, VA)
- …Centers for Medicare and Medicaid Services (CMS) and the Virginia Department of Medical Assistance Services to assure CDM compliance . + Develop relationships ... with payors to resolve issues. + Maintain compliance standards for providing accurate information on all facility...accuracy of charge capture. + Conducts thorough review of medical records and utilizes coding expertise to… more
- Help at Home (Forest Hills, NY)
- …life **Responsibilities** What You'll Do: + Monitor patient care plans, ensuring compliance with medical regulations and home health standards. + Coordinate ... across the country. Our Benefits: + 115k salary + travel reimbursement + Comprehensive medical , dental, and vision coverage + 401(k) retirement plan + Paid time off… more
- Henry Ford Health System (Troy, MI)
- …ability to interpret eligibility and claims data accurately. + Familiarity with basic medical terminology and healthcare coding a plus. Additional Information + ... processes in a health plan environment. The COB Recovery Specialist ensures compliance with State law, Medicare Secondary Payer (MSP) rules, National Association of… more
- Grant Thornton (Columbia, SC)
- …improvement, cost reduction, fraud prevention, internal control, and compliance . + Perform engagement management responsibilities, including project scheduling, ... diverse life sciences companies or healthcare providers, including hospitals, academic medical centers, healthcare systems, and payers, with a strong understanding… more
- Ochsner Health (New Orleans, LA)
- …level of care setting and essential clinical documentation to support medical necessity of services ordered and works collaboratively with Case Management ... a strong attention to detail. + Proficiency in application of medical necessity criteria, standards of practice, and research regarding precertifcication guidelines.… more
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