- Stanford Health Care (Palo Alto, CA)
- …after a detailed review of medical records. Ensure compliance with Medicare , Medicaid , third-party guidelines, Local Coverage Determinations (LCD), National ... while identifying instances of overpayments and underpayments. Proficiency in healthcare claims analysis, including the ability to review, interpret, and evaluate … more
- General Dynamics Information Technology (Fairfax, VA)
- …or equivalency in healthcare field that includes 2-4 years' ACA and/or Medicaid - Medicare experience** **2 or more years' experience with conducting documentation ... quality assurance, including editing , reviewing, and writing.** **Frequent work with workgroups to...both written and oral** **Preferred Skills:** **Experience with FWA claims and investigations** **Experience with and/or understanding of ACA… more