- Healthfirst (Enfield, NY)
- …implementation throughout the year. + Assist with corporate initiatives related to Medicare quality or STAR ratings- ie HRAs/FPL/MSP. + Successfully pass audit ... (educational and marketing) exams. + Additional duties as assigned. **Work Location** **The Outside Sales Rep will work at locations they develop within their designated territory, or they may need to visit prospects homes.** **Minimum Qualifications &… more
- CenterLight Health System (NY)
- …care setting is strongly preferred. + Experience in claims appeals and/or claims audit within managed care setting (Medicaid and/or Medicare ). + Claims ... JOB PURPOSE: The Claim Appeals and Audit Specialist will play a pivotal role in...PPS is strongly preferred. + Knowledge of Medicaid and Medicare benefits, enrollment and billing, and provider contracting is… more
- BayCare Health System (Clearwater, FL)
- … Fiscal Intermediaries) Equal Opportunity Employer Veterans/Disabled **Position** Audit and Compliance Supervisor - Patient Financial Services **Location** ... 8:00AM -4:00PM + **Days:** Monday through Friday, occasional weekends This Audit and Compliance Supervisor opportunity is a full-time position. This position… more
- MedKoder (Mandeville, LA)
- …Description: Under the direction of the Director of Physician Coding, the Audit and Education Manager is responsible for leading and maintaining the Auditing ... and productivity reviews, and conducting performance evaluations. + Develop and maintain audit and education schedules, workflows, and trackers. + Meet with clients… more
- Wipfli LLP (Spokane, WA)
- …educational knowledge and experience to perform numerous accounting related responsibilities (in audit or financial accounting) such as: + Respond to client and firm ... + Proactively identify improvement opportunities in processes to enhance efficiency Healthcare Audit & Accounting Specific: + Perform audit , review, and… more
- Catholic Health (Buffalo, NY)
- …CHS Outpatient Coding and Private Client Medical Coding and Chart Audit Services. Responsibilities: SKILL AND EDUCATIONAL REQUIREMENTS (MINIMUM): The successful ... Clinic and CPT Assistant as resources + Requires extensive knowledge of Medicare and Commercial Payers coding and billing policies. They will ensure documentation… more
- Houston Methodist (Houston, TX)
- …is responsible for supporting accurate billing and coding compliance with Medicare and third-party payments and internal policies. Responsibilities for this position ... medical record. + Provides periodic status reports of risk-based audit outcomes. Provides education as appropriate regarding department specific practices.… more
- Sutter Health (Sacramento, CA)
- …+ Understanding of hospital-based outpatient charging and coding + Knowledge of Medicare APC and OPPS reimbursement structures + In-depth knowledge of medical and ... billing terminology, common procedure terminology, diagnosis codes, healthcare common procedure coding system, and revenue codes. + Knowledge of government and/or commercial payer requirements. + Knowledge of Federal, State, and Local regulatory publications… more
- Actalent (Sunrise, FL)
- …Quality improvement, data, audit , data abstraction, chart review, medical, quality audit , managed care, Medicare Work Environment: Remote Work Pay and ... Benefits The pay range for this position is $28.00 - $33.00/hr. Eligibility requirements apply to some benefits and may depend on your job classification and length of employment. Benefits are subject to change and may be subject to specific elections, plan,… more
- University of Colorado (Aurora, CO)
- …for reporting to leadership and the board. + Coordinates and submits annual Medicare and Medicaid cost reports, quarterly audit and reporting requirements, and ... Supports 340B Pharmacy compliance by providing fiscal analysis and participating in audit processes. + Attends FQHC finance-related meetings to ensure awareness of… more