- Mount Sinai Health System (New York, NY)
- **Job Description** **Accounting Clerk- Patient Financial Services ( Medicare & Medicaid Claims Follow-Up)-Corporate 150 East 42nd Street - Full-Time Days** Under the ... (oral and written) + The ability to work independently and on a team + Knowledgeable with the Patient Accounts System(s): Eagle, MEMS, Trac/On-Trac, Cirius, FSS,… more
- Adecco US, Inc. (Monroeville, PA)
- …and Thursday** . **Required Experience and Skills:** + 1 year **of medical billing experience** ( Medicare experience preferred). + Strong computer skills, ... and other billing regulations. + Audit processes and ensure documentation meets regulatory standards. + Foster a culture of...+ Set and support individual performance goals within the team . Benefit offerings include medical , dental, vision,… more
- BrightSpring Health Services (Arlington, TX)
- Our Company PharMerica Overview Join our PharMerica team ! PharMerica is aclosed-door pharmacywhere you can focus on fulfilling the pharmaceutical needs of our ... is service excellence and top-quality care come join our team and apply today! Responsibilities + Act as a...resource to the facilities in obtaining information completing necessary documentation or following up on outstanding claims + Individual… more
- Sutter Health (San Francisco, CA)
- …matters regarding physician practice patterns, over- and under-utilization of resources, medical necessity, documentation best practices, level of care ... meets with care management, UM staff and health care team members and medical directors of third-party...professional, HIM (Health Information Management ) ,and the hospital's medical staff to facilitate accurate and complete documentation… more
- AdventHealth (Altamonte Springs, FL)
- …valid clarifications that are easily understood by physicians and other members of the medical team . . Accurately reconciles all cases in CDI Software. . Assists ... of the patient. The CDS educates members of the patient care team regarding documentation guidelines, including physicians, allied health practitioners, nursing,… more
- Penn Medicine (Philadelphia, PA)
- …staff w regard to changes in coding practices and noted trends noted in team documentation requiring clarity and/or specification to reflect truth in diagnostic ... responsible for supporting an organization-wide system for improving clinical documentation in the medical record by prompting...audit clarity and full reflection of severity in care team documentation w consideration of CMS coding… more
- Northwell Health (Lake Success, NY)
- …risk of mortality, and complexity of care provided. Responsible for concurrent inpatient medical record reviews for Medicare , Medicaid and all commercial payers. ... or conflicting documentation . Job Responsibility 1.Facilitates clarification of clinical documentation ensuring accuracy and integrity in the medical record.… more
- Penn State Health (Lancaster, PA)
- …rules of Medicare , Medicaid, and commercial payers preferred. + Electronic medical record and chart review experience preferred. + CCS and/or CCDS preferred. ... Work with program leadership to plan, develop, and implement clinical documentation education programs for CDI specialists and providers. Educate members of… more
- Fresenius Medical Center (Baltimore, MD)
- …options: + Educates on the availability of alternative insurance options (ie, Medicare , Medicaid, Medicare Supplement, State Renal programs and COBRA). + ... + Discusses insurance options when insurance contracts are terminated. Responsibilities involving Medicare and Medicaid include but are not limited to: + Determining… more
- Humana (Salem, OR)
- …determinations, clinical reference materials, internal teaching conferences, and other reference sources. Medical Directors will learn Medicare and Medicare ... group practice management. + Utilization management experience in a medical management review organization, such as Medicare ...May also engage in grievance and appeals reviews. Some medical directors may join a centralized team … more
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