- Hartford HealthCare (Farmington, CT)
- …determine the appropriate assignment of alpha numeric diagnosis/procedure codes and Medicare Severity Diagnosis Related Groups (MS-DRG). Data is classified for ... internal and external statistical reporting, research, regulatory compliance and reimbursement. Codes high dollar and more complex accounts including but not limited… more
- ConvaTec (Oklahoma City, OK)
- …Billing & Invoicing work is focused on designing and ensuring compliance with billing and invoicing processes including: *Information verification (eg, ensure ... accuracy of billing information, negotiated terms and compliance with current legislation) *Monitoring customer accounts (eg, ensure payments made on time, report on… more
- Elara Caring (Rockford, IL)
- …exercise program providing requests for modification and clarification. + Promotes compliance with all fiscal intermediary and/or other third-party payers, through ... problems to the appropriate Supervisor. + Maintains current knowledge of, and ensures compliance with all federal, state, and local regulations along with current … more
- WellSpan Health (Lewisburg, PA)
- …to treatment. + For HBO: Evaluates the patient outcome and meets with the manager and the hyperbaric physician to discuss patient treatment and adjust treatment as ... duties as identified. + WellSpan Health has adopted and implemented a compliance program to support WellSpan's values and standards for professionalism, integrity,… more
- University of Rochester (Rochester, NY)
- …the hospital and ensure the accuracy of account reconciliation. + Monitors compliance with timely filing requirements and takes corrective action if guidelines are ... all current third-party coverage, federal and state billing, and reimbursement and compliance regulations and procedures. + Serves as a contact to answer questions,… more
- Waystar (Atlanta, GA)
- …accounts, and service accounts. + Perform user access reviews required to meet compliance (SecurEnds). + Other duties as required **WHAT YOU'LL NEED** * Have a ... minimum of 10 years' experience as a security analyst/incident manager * Have a minimum of 20 years' experience in technology * Have a minimum of 5 years' experience… more
- DATAMAXIS (Springfield, IL)
- …I/O, Spool, Storage). * Maintain workload management using TASM and Workload Manager partitions. * Administer access rights, role rights, priority scheduling, and ... Lead database-related meetings and deliverables with minimal supervision. Reporting & Compliance * Generate and maintain capacity and performance reports. * Support… more
- HonorHealth (AZ)
- …indicated, advises case management to render letter of non-coverage in compliance with regulatory requirements. + Case Management Support: Supports case management ... issuance of a hospital notice of non-coverage/Important Message from Medicare . Discusses the case with the attending physician and...Care Management in a data-driven approach. Notifies the care manager of any conflict of interest in reviewing a… more
- CVS Health (CT)
- …jurisdictions. The analyst collaborates closely with investigative teams, legal, compliance , and operational departments to maintain transparency and accountability ... best practices. The analyst will also provide **leadership support** to the Manager by assisting with team coordination, reporting, and strategic planning efforts.… more
- HCA Healthcare (Dallas, TX)
- …and facility processes. . Prepares documentation for Notification of Non-covered Medicare Services or Advance Beneficiary notices to patients and follows practice ... education. . Refers conflicts and procedural questions to Practice Manager or designee as they arise. . Attends required...adheres to HCA Code of Conduct, related Ethics and Compliance policies, and HIPAA requirements. . Supports and adheres… more