- Northwell Health (Westbury, NY)
- …coding rules and regulations to the validation review process. + Reviews codes on Medicare /non- Medicare charts for compliance to rules and conventions. + ... the Medical Record. Job Responsibility + Audits and reviews Medicare /non- Medicare charts to ensure that proper standards...changes necessary to provide the most valid documentation in compliance with Federal and State regulations. + Reports to… more
- Northwell Health (Westbury, NY)
- …coding rules and regulations to the validation review process. 6.Reviews codes on Medicare /non- Medicare charts for compliance to rules and conventions. ... and principals; performs coding audits for optimization. 4.Audits and reviews Medicare /non- Medicare charts to ensure that proper standards are maintained… more
- TEKsystems (San Diego, CA)
- …resume) o Be able to multitask o Looking for a career o Understanding HIPPA compliance , Medicare o Multi-line phone experience o They will not consider if they ... year within the medical field Description Patient Service Reps helping with Medicare Redetermination and signing up people for their HealthPlan, answering questions… more
- Elara Caring (Ludington, MI)
- …staffing levels at branch locations to meet patient needs. + Ensures compliance of current Medicare , Medicaid, and third-party reimbursement regulations and ... all documentation is accurate, complete, timely and adheres to Medicare guidelines. + Assures compliance with the requirements of state licensure, Medicare … more
- Bon Secours Mercy Health (Oregon, OH)
- …and insurance information, screen for medical necessity to ensure Medicare compliance , document necessary precertification/authorization for service, verify ... scheduler is responsible from performing revenue cycle tasks necessary to ensure compliance , patient safety, and excellent customer service. The following tasks must… more
- CaroMont Health (Gastonia, NC)
- …work experience, knowledge of registration and/or customer service; knowledge of Medicare compliance , managed care requirements and collection techniques would ... and CaroMont Endoscopy Center. This encompasses registration, pre-registration, medical compliance , managed care requirements, and functions as a liaison between… more
- Beth Israel Lahey Health (Burlington, MA)
- …preparation and negotiation; works collaboratively with Research Finance to oversee Medicare compliance in research visit billing; monitors research budget ... and support to staff as needed.** **Oversees and ensures staff compliance with the research protocols of the department.** **Utilizes problem-solving skills… more
- Covenant Health Inc. (Knoxville, TN)
- …Review, approve/decline, and process refund requests. + Attends all payer meetings concerning Medicare and other payor compliance . + Performs other duties as ... rheumatology, sleep medicine and urology. Position Summary: Demonstrates knowledge of Medicare and payer billing guidelines and policies. Demonstrates ability to… more
- Ankura (New York, NY)
- …following types of activities: + Help clients manage proactive and reactive Medicare and Commercial Risk Adjustment compliance , audit, and investigation projects ... degree from an accredited college/university + 8+ years of experience in Medicare Risk Adjustment operations, internal audit, or compliance either within… more
- Atlantic Health System (Morristown, NJ)
- …and legal research on regulatory issues, including fraud and abuse issues, HIPAA compliance , EMTALA, Medicare and Medicaid compliance , licensure issues, ... agreements, and home health and hospice agreements, assuring legal and regulatory compliance . Serve as a primary resource for the interpretation of contractual… more