- Rochester Regional Health (Rochester, NY)
- …Provides ongoing support for the tracking and trending of the Reimbursement Specialist charge recovery activities. + Assists with special projects including but not ... tools highly desired. + May need previously experience in CMS, Medicaid/ Medicare billing, and other regulatory processes. EDUCATION: LICENSES / CERTIFICATIONS:… more
- Louisiana Department of State Civil Service (Jackson, LA)
- …training required. NOTE: Positions at facilities receiving certain Medicaid or Medicare funds require that applicants possess a current Certified Nursing Assistant ... further information about this vacancy, contact: Adrainne Bergeron / Human Resource Specialist Louisiana Veterans Home Human Resource 4739 Hwy 10 Jackson la. 70748… more
- Highmark Health (Nashville, TN)
- …system entities in response to external coding audits conducted by the Medicare Administrative Contractor, the RAC, MIC, ZPIC, etc. Determine appeal action, prepare ... and assistance from management, designs and implements coder education program , continuing education programs and Medical Staff education programs. Establishes… more
- Centene Corporation (Austin, TX)
- …Reside in the State of Texas** **Call Center Experience a Plus** **Medicaid/ Medicare experience a plus** **Position Purpose:** Assists in developing, assessing, and ... ongoing long-term care plans/service plans and works to identify providers, specialist , and/or community resources needed for long-term care + Coordinates as… more
- Magellan Health Services (Albuquerque, NM)
- …educational materials to community and provider organizations. Presents the program and offerings in group settings. Consistently achieves member engagement ... engagement experience with 1 year working with government-sponsored population, particularly Medicare and Medicaid. Self-starter with the ability to work with… more
- AdventHealth (Altamonte Springs, FL)
- …and experiences you'll need to succeed:** + Completion of a coding certificate program or associate degree in HIM field Required + 5 years experience Required ... pathophysiology and drug utilization + Expert level knowledge of Medicare Severity Diagnosis-Related Groups (MS-DRG), and All Patient Refined Diagnosis-Related… more
- Banner Health (Sun City, AZ)
- …that aren't available at other agencies - a field preceptor, an IT specialist , a dedicated scheduler, a nurse preceptor during orientation (available every day to ... than the national and Arizona average in almost all Medicare Quality Compare patient satisfaction results. POSITION SUMMARY This...This is a requirement of the Whole Family Counseling Program held at this specific facility. Employees working in… more
- 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 ... in an acute hospital. *Licensure, Certification, Registration* . Certified Coding Specialist (CCS) required and maintained thereafter. *Language Skills* . Strong… more
- CenterWell (Daytona Beach, FL)
- …indicators (KPIs), such patient experience via Net Promoter Score (NPS) and Medicare clinical quality via HEDIS, meeting local and organizational goals *Personally ... primary care including health promotion & prevention, disease management, effective specialist & hospital co-management, and complex care management *Spend 20-30% of… more
- Montrose Memorial Hospital (Montrose, CO)
- …(American Association of Hospital Administrative Management) CRCS (Certified Revenue Cycle Specialist ) preferred. + 2 years hospital PFS department experience with a ... broad knowledge of hospital billing, collections and payment application for Medicare , Medicaid and Commercial insurances + Ability to effectively communicate,… more