- AdventHealth (Orlando, FL)
- …data reported is supported by provider clinical documentation to accurately reflect reimbursement and quality reporting. Maintains knowledge of and keeps up with ... regulatory and healthcare changes pertaining to Medicare /Medicaid, payer guidelines, ICD-10, CPT coding, and documentation guidelines. Works closely with CDI… 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 ... internal and external statistical reporting, research, regulatory compliance and reimbursement . Codes high dollar and all types of multifaceted accounts which… more
- Grifols Shared Services North America, Inc (Albany, NY)
- …to fulfill customer needs and impact pull-through (eg, MSL, IG Nurse Educator, reimbursement specialist ) *Gather and provide customer insights to Marketing teams ... the business territory including major accounts and large players (ie, Commercial, Medicare , and Medicaid) *Understanding of Hospital formulary with guidance of RSD… more
- Hackensack Meridian Health (Edison, NJ)
- …Hackensack Meridian Health! We offer EXCELLENT benefits, Scheduling Flexibility, Tuition Reimbursement , Employee Discounts and much more The Patient Access Analyst ... Access data elements, such as real time eligibility (RTE), Medicare Payer Secondary Questionnaire (MSPQ), Insurance plan codes, proper...is not available or not entered by Patient Access Specialist at time of registration to again mitigate loss… more
- Diversicare Healthcare Services & Diversicare Ther (Oak Ridge, TN)
- …alongside the care coordination team. + Serve as a skilled care documentation specialist , ensuring accurate and timely completion of Medicare and Managed Care ... package, including medical/dental/vision coverage, an excellent 401k plan, tuition reimbursement , vacation, holiday, and sick time, long and short-term disability,… more
- Diversicare Healthcare Services & Diversicare Ther (Ripley, MS)
- …members of care coordination team 13. Serves as a skilled care documentation specialist ensuring that Medicare and Managed care regulatory guidelines are ... Time Benefits include:** + **Medical/Dental/Vision** + **Excellent 401k plan** + **Tuition Reimbursement ** + **Vacation, Holiday, and Sick Time** + **Long and Short… more
- AbbVie (Columbus, OH)
- …and bill" Medicare part B/Medical benefit environment and understanding of reimbursement challenges and opportunities + A Valid Driver's License and ability to ... hospitals/health systems. + Identify/uncover customer needs (training, clinical, operational, reimbursement ) and address with appropriate AbbVie resources. + Expert… more
- Highmark Health (Helena, MT)
- …topics for education, training, process changes, risk reduction, optimization of reimbursement with new and current coders in accordance with coding principles ... system entities in response to external coding audits conducted by the Medicare Administrative Contractor, the RAC, MIC, ZPIC, etc. Determine appeal action, prepare… more
- Highmark Health (Pittsburgh, PA)
- …with all applicable guidelines, regulations and laws established by the Centers for Medicare and Medicaid Services (CMS), the Department of Health and Human Services ... may have budgetary responsibility and authority. + Quality Improvement Specialist (QIS) Program:Vision and direction for leading embedded coder/ clinicians… more
- Trinity Health (Livonia, MI)
- …modifiers. Utilizes coding guidelines established by: + The Centers for Medicare /Medicaid Services (CMS) ICD-CM Official Coding Guidelines for Coding and Reporting, ... needed, to help resolve billing, claims, denials and appeals issues affecting reimbursement . Exhibits awareness of health record documentation or other coding ethics… more