- Stanford Health Care (Palo Alto, CA)
- …payment practices for Medicare and MediCal + Working knowledge of commercial payer reimbursement models + Knowledge of Medicare billing practices. + Proficient ... EXCEL, WORD, PowerPoint skills **Licenses and Certifications** + RN - Registered Nurse - State Licensure And/Or Compact State Licensure required . or + CCS - Certified Coding Specialist required . or + CPC and/or CCSP - Certified Professional Coder required .… more
- Corewell Health (Grosse Pointe, MI)
- …documentation, as applicable, in a timely manner consistent with health system, payer and regulatory requirements, if applicable. + Participate in activities related ... to improving operational and financial performance, quality and patient satisfaction as requested. + On-call responsibilities will last for 24 hours according to the on-call schedule. + On-call switches must be approved in advance by the medical staff office.… more
- Ankura (New York, NY)
- …and regulatory challenges. Role Overview The Senior Director will support the Healthcare Payer team within Ankura's Disputes & Economics practice - one of seven ... practices focused on client delivery services across the Firm. This role will use relevant expertise, regulatory knowledge, data analytics skills and project management capabilities to deliver valued client service and deliverables based upon their unique… more
- Queen's Health System (Honolulu, HI)
- …an acute care facility, demonstrating knowledge of Medicaid, Medicare, Third Party payer requirements, SNF/ICF, ICD-9 and DRG's. An associate's or bachelor's degree ... in business administration, finance, accounting or healthcare related field and/or completion of a healthcare administration billing and coding program may be substituted for one (1) year experience as a patient accounts representative. * Experience and/or… more
- Sanford Health (Fargo, ND)
- …practices, including reimbursement of services. Keep abreast of regulatory processes and payer systems such as Medicare, Medicaid, managed care, and private sources, ... as applicable. Demonstrate extensive advanced knowledge of medical principles, practices and techniques. **Qualifications** Master's or Baccalaureate degree (Associate's or Nursing Degree if training prior to 1994). Successful completion of a physician… more
- Johns Hopkins University (Baltimore, MD)
- …and analyze large administrative datasets (eg, Medicaid, Medicare, commercial, and all- payer claims). + Develop and document reproducible code for data management, ... descriptive statistics, and regression analyses. + Construct analytic variables, merge data files, and maintain data dictionaries and code repositories. + Assist with manuscript development, abstracts, and conference presentations, support revisions and… more
- Johns Hopkins University (Baltimore, MD)
- …analyze, and interpret large healthcare datasets, including Medicaid, Medicare, commercial, and all- payer claims. We are seeking a **_Sr. Data Analyst_** who will be ... responsible for developing, implementing, and managing a plan to translate data into insights. The Sr. Data Analyst will provide expertise in data analysis and illustrations to articulate and monitor programs, projects, and general business success. The Sr.… more
- Queen's Health System (Honolulu, HI)
- …experience in professional billing. * Knowledge of Medicaid, Medicare, Third Party payer requirements, SNF/ICF, ICD-10 and DRG's. * Knowledge of medical terminology. ... * Experience and/or background to demonstrate effective written and verbal communication skills in English. * Experience with Windows applications, such as Word, Excel, etc., demonstrated proficiency in using mouse and keyboard. * Experience with computer… more
- Access Dubuque (Dubuque, IA)
- …to ensure compliance with state regulations, conditions of participation and payer requirements. * Super-user of electronic health record. * Responsible for ... OASIS and/or HIS review and accuracy. 10% **Qualifications** QUALIFICATIONS: Education: Graduate of State Board approved program for Registered Nurses BSN Experience: Minimum of 2 years of home health or hospice case management License(s)/Certification(s):… more
- Queen's Health System (Honolulu, HI)
- …specific to government-funded health care program and third-party payer reimbursement. o Proficiency with computer-based hospital billing/records applications ... and Microsoft Office applications, ie Word and Excel. * Prior experience with Epic systems preferred. Equal Opportunity Employer/Disability/Vet more