- State of Georgia (Fulton County, GA)
- …the Georgia Medicaid Program; state and federal laws and policies governing Medicare and Medicaid. + Applies appropriate regulations, policies, and procedures to ... the State of Georgia Demonstrated experience in the analysis of Medicaid/ Medicare claims. Preferred Qualifications: In addition to meeting the minimum… more
- BAYADA Home Health Care (Honolulu, HI)
- …+ You'll also help maintain effective fiscal management by coordinating the billing and processing of services (entering OASIS documentation) and monitoring metrics ... (admissions, % Medicare , referrals rejected by reason, etc.) while partnering with...and recruiting experience a plus) + Some experience with Medicare , OASIS, and CHAP a plus + A demonstrated… 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 ... ICD-CM Official Coding Guidelines for Coding and Reporting, Centers for Medicare /Medicaid Services (CMS) ICD-PCS Official Guidelines for Coding and Reporting *… more
- UCLA Health (Los Angeles, CA)
- …planning and operations. In this role, you will: + Prepare and file annual Medicare and Medi-Cal cost reports; lead audit responses for intermediaries, PwC, and CMS. ... financial analysis, revenue cycle management, accounts receivable analysis, claims or billing analysis, decision support, or economics in a healthcare environment. +… more
- AdventHealth (Orlando, FL)
- …record, applying appropriate ICD-10-CM/PCS coding conventions and MS-DRG Medicare Prospective Payment System requirements. Actively participates in outstanding ... ICD-10-CM rules and conventions, coding policy and procedures, requirements of Medicare / payer specifications, and official coding guidelines as outlined by… more
- University of Utah (Salt Lake City, UT)
- …- Posting may close at any time)** **Job Summary** Ensures patient billing practices conform to government reimbursement guidelines by monitoring current practices, ... RHIA ); knowledge of medical auditing, Federal healthcare program policies and requirements (including Medicare Parts A and B), and ICD -10, CPT , HCPCS , DRG… more
- Rochester Regional Health (Rochester, NY)
- …patients, their families, and their aspirations without the hassles of billing , productivity pressures, or insurance intricacies. + Patient-Centric Approach: With a ... support, ElderOne caters to every facet of a patient's well-being. Innovative Medicare Model: Operate within a globally capitated system under Medicare /Medicaid,… more
- Covenant Health Inc. (Harriman, TN)
- …to the patient/family member, such as: consent for treatment, advance directives, Medicare forms. + Understands and follows the facility de-escalation process when ... to monitor and update the registration status for each patient. + Issues Medicare notices timely to patients (Inpatient Rights/MOON) as appropriate, based on Patient… more
- Amentum (Baltimore, MD)
- …by the federal government to identify anomalies that might be indicative of improper billing or other types of fraud. + Initiate contacts with federal, state, and ... local officials, and other organizations, including Medicare and Medicaid contractors, related to the subject of the investigation for the purpose of gathering… more
- Pine Acres Rehabilitation & Care Center (Nebraska City, NE)
- …facility. Complies with facility policies and procedures for appropriately documenting, billing and coding for residents receiving speech language pathology and ... as required by facility policy (RAI User's Manual) for Medicare Part A, Medicare Advantage residents upon admission. Ensures speech language pathology and… more