- Sanford Health (SD)
- …This will be for the specialty of Cardiology. Understands and supports the Medicare and Commercial Carrier workflows related to daily coding and denial review and ... skills. **Qualifications** Associate degree in Health Information Technology or Certification in Coding required. Specific knowledge of diagnostic and procedural… more
- Sutter Health (Sacramento, CA)
- …administration, health information management or other related field ** CERTIFICATION & LICENSURE:** CPC-Certified Professional Coder OR CCSP-Certified Coding ... Specialist -Professional OR CCS-Certified Coding Specialist **TYPICAL EXPERIENCE:**...requirements, knowledge of Quality Coding requirements such as the Medicare Advantage Coding Program/Hierarchical Condition Category + (HCC), as… more
- Fairfax County Sheriff's Office (Fairfax, VA)
- …for one or more Department of Health licensure candidates. + License/ Certification Reimbursement - Reimbursement for job related licenses and/or certifications once ... Licensed Substance Abuse Treatment Practitioner or + Clinical Nurse Specialist . + CPR/First Aid (Required within 3 months) +...Licensed providers may not "opt out" of being a Medicare provider. PREFERRED QUALIFICATIONS: + At least one year… more
- Texas Tech University Health Sciences Center - El Paso (El Paso, TX)
- …ensuring compliance with any relevant rules or regulations (including HIPAA,Medicaid, Medicare , and specific 3rd Party Payors) + Collaborate with appropriate teams ... in physician or facility medical coding, auditing, or compliance roles Licensure/ certification + Current CPC (CertifiedProfessional Coder), CCS (Certified Coding … more
- Catholic Health Services (West Islip, NY)
- …will coordinate the PDPM process with all clinical disciplines. The MDS / PDPM Specialist will be responsible for timely submission of the MDS, accurate care plans, ... This role will also function as the Matrix EMR Specialist as well and all training and upgrades to...care and acute care. Familiar with the MDS and Medicare /PPS knowledge; familiarity with RUGS scores and PRI scores.… more
- Saratoga Hospital (Saratoga Springs, NY)
- …of Science degree in Dietetics or Foods & Nutrition (required) + Board Certified Specialist in Oncology (CSO) or Certified Diabetes Care and Education Specialist ... requirements: Registration with The Commission on Dietetic Registration (RD); Certification as a Dietitian-Nutritionist (CDN) with New York State Department… more
- University of Rochester (Rochester, NY)
- …and all audits + Coordinate responses and resolution to Medicaid and Medicare credit balances. + Request insurance adjustments or retractions. + Review and ... years of hospital/professional Patient Accounting, Consumer Collections experience, or Certification obtained from a nationally accredited billing program (ie,… more
- Molina Healthcare (Augusta, GA)
- …in Healthcare Quality (CPHQ), or other health care or management certification . + Leadership experience. + Medicaid/ Medicare population experience. + ... (LPN), Advanced Practice Social Worker (APSW), Certified Health Education Specialist (CHES), Licensed Professional Counselor (LPC), Licensed Professional Clinical… more
- Beth Israel Lahey Health (Burlington, MA)
- …department.** **Acquires detailed knowledge of studies so to serve as a specialist ; Grasps the scope and objectives of projects.** **Triages calls from physicians, ... preparation and negotiation; works collaboratively with Research Finance to oversee Medicare compliance in research visit billing; monitors research budget and… more
- Mohawk Valley Health System (Utica, NY)
- …and advisory services to physicians, case managers and clinical documentation specialist regarding correct level of care and reimbursement. Apply knowledge of ... clinical variability throughout the medical staff. + Assist case managers with Medicare and Medicaid appeals and Administrative Law Judge (ALJ) testimonies. Act as… more