- UPMC (Pittsburgh, PA)
- …record documentation, to ensure the HCC diagnosis code(s) are supported within audit year, utilizing AHA Coding clinics, ICD-10-CM Coding Guidelines, and government ... with the on boarding, and training of new team members. Provides audit and coding related support to the internal Risk Adjustment Department. **Responsibilities:**… more
- Hartford HealthCare (Farmington, CT)
- …Summary:_* The Reimbursement Financial Analyst is responsible for preparation, filing and audit /settlement activity of the annual Medicare and Tricare cost ... for the preparation of supporting work papers and filing of the annual Medicare and Tricare Cost Reports; ensuring strict compliance with all regulations, policies,… more
- MedKoder (Mandeville, LA)
- …and management, diagnostics, surgeries, and procedures in compliance with applicable Medicare , Medicaid, and third-party payer guidelines to ensure receipt of ... on customized reports, including supporting documentation; + Prepare and present audit follow-up education to clients; + Prepare and present customized education… more
- CommonSpirit Health (Phoenix, AZ)
- …Analyst is responsible for providing cost report preparation cost report appeals audit preparation and other duties related to the regulatory reimbursement services ... of Dignity Health. The position maintains current knowledge of Medicare Medicaid and other State and Federal regulations. The Sr. Reimbursement Analyst interacts… more
- Intermountain Health (Juneau, AK)
- …HIM, PAS, and hospital finance staff as needed. + Prepares monthly Medicare and Medicaid settlement and policy reserve calculations using technically acceptable and ... reimbursement methodologies. + Prepares or reviews cost reports and surveys, reviews audit adjustments and settlements, and files appeals and exception requests to… more
- Houston Methodist (Houston, TX)
- …for identifying and compiling information for various governmental reports, including Medicare & Medicaid Cost Reports, Annual Tax Returns, Federal Emergency ... working environment **SERVICE ESSENTIAL FUNCTIONS** + Prepares and submits the annual Medicare cost report for each Houston Methodist (HM) hospital and assists in… more
- Trinity Health (Livonia, MI)
- …Health & Human Services (DHHS) - Office of Inspector General (OIG), Centers for Medicare & Medicaid Services (CMS), Department of Justice (DOJ) as well as input ... clinical documentation & coding reviews. Must possess working knowledge of Medicare & third-party payer regulations. Previous experience in health care compliance… more
- Trinity Health (Livonia, MI)
- …Health & Human Services (DHHS) - Office of Inspector General (OIG), Centers for Medicare & Medicaid Services (CMS), Department of Justice (DOJ) as well as input ... clinical documentation & coding reviews. Must possess working knowledge of Medicare & third-party payer regulations and demonstrated knowledge & understanding of… more
- PruittHealth (Blue Ridge, GA)
- …annual and significant change assessments as well as any required Medicare assessment. Responsibilities include maintaining accurate and timely assessments, meeting ... 23. Be highly involved in determining skilled level of care for Medicare residents and procuring required Medicare -specific documentation; be responsible for… more
- BJC HealthCare (St. Louis, MO)
- …accounting for all of BJC Health System 2. Includes coordination of the external audit of the System, as well as the critical access hospitals, retirement plans, ... captive insurance companies, and other audit services 3. Produce monthly internal financial statements for...12. Includes preparation of all applicable cost reports for Medicare , Medicaid and any other plans and appropriate recognition… more