- CenterWell (Phoenix, AZ)
- …+ Oversee daily operations of physician services. + Build strong relationship with specialist , hospitalist, SNF and other providers to form a narrow network of ... consumer experiences **Preferred Qualifications** + Active and unrestricted DEA license + Medicare Provider Number + Medicaid Provider Number + Minimum of three to… more
- Hartford HealthCare (Farmington, CT)
- …Exchange) and Premier system edits * Utilize Cobius Institutional Audit Manager (IAM) software to streamline audits, communicate findings, and simplify reports. ... adheres to official coding guidelines This position reports to Manager Hospital HIM Coding Quality and Education *Education:* Associates...* For Home Health Hospice: * Home Health Coding Specialist - Diagnosis (HCS-D) and/or Home Care Coding … more
- ChenMed (Tampa, FL)
- …the center referral staff (care coordinators) at the request of the Center Manager and provides feedback to Center Managers when needed. + Ensures Preferred Provider ... is used accurately and effectively. Collaborates with referral management to ensure specialist network is adequate for the geography and escalates accordingly when… more
- Ellis Medicine (Schenectady, NY)
- …the area. Documents discharge planning activities in the chart. Assists Case Manager with medication prior authorizations. Provides Medicare Important Message to ... to make post discharge arrangements for patients. Assists Case Manager or Social Worker by offering choice of providers....audit activities under the supervision of the Case Management Specialist and the Director of Case Management and Social… more
- University of Colorado (Aurora, CO)
- …Conducts quarterly enrollment audits and provides feedback to the ED, Operations Manager , and O/E team. + Reviews agreements and MOUs as assigned. **Financial ... reporting to leadership and the board. + Coordinates and submits annual Medicare and Medicaid cost reports, quarterly audit and reporting requirements, and… more
- Hackensack Meridian Health (Edison, NJ)
- …the general direction of the **Physician Billing (PB) Director of Coding and Manager of Education and Audit** , this position supervises the Coding Education and ... conducts audits for medical provider documentation while adhering to Centers for Medicare and Medicaid Services (CMS) and Office of Inspector General (OIG)… more
- Rush University Medical Center (Oak Park, IL)
- …depending on the circumstances of each case. **Summary:** The Admissions Registration Specialist Lead is responsible for reviewing patient registration for all types ... information is complete and current with each patient visit. The Admissions Registration Specialist Lead is proficient in working in a multitude of WQs outside their… more
- Marshfield Clinic (Eau Claire, WI)
- …provided by the American Heart Association. Registered Invasive Cardiovascular Specialist (RCIS) or Registered Cardiac Electrophysiology Specialist (RCES) ... Heart Association within three months of hire. Registered Invasive Cardiovascular Specialist (RCIS) or Registered Cardiac Electrophysiology Specialist (RCES)… more
- Hartford HealthCare (Farmington, CT)
- …and initiate action plans as indicated, report trends and concerns to CDI Manager **Other Management** . Contributes to the efficient operation of the CDI department ... and manages orientation activities for new CDS in collaboration with CDI Manager of Quality and Education. . Establishes and maintains performance expectations of… more
- University of Rochester (Rochester, NY)
- …to federal and state regulations bringing concerns to the attention of billing Manager and Supervisor. The Claim Resolution Rep III will represent the department and ... assigned tasks, following standard procedures as directed by the Supervisor or Manager . **Machines and Equipment Used** : Standard office equipment, including but… more