- AdventHealth (Orlando, FL)
- …record, applying appropriate ICD-10-CM/PCS coding conventions and MS-DRG Medicare Prospective Payment System requirements. Actively participates in outstanding ... responsibility for maintaining relationships that are equally respectful to all. The Senior Coder demonstrates experience and expertise, so coding quality review is… more
- SSM Health (Fond Du Lac, WI)
- …implementation of an integrated regulatory compliance and accreditation program . **Job Responsibilities and Requirements:** PRIMARY RESPONSIBILITIES + Possesses ... knowledge of all The Joint Commission (TJC), Centers for Medicare & Medicaid Services (CMS) Conditions of Participation and...to address those risks, and monitors to ensure the program is following best practices and standards. + Serves… more
- Centene Corporation (New York, NY)
- …5+ years of provider reimbursement and analysis experience. Experience with Medicare and Medicaid reimbursement methodology. Managed care experience and provider ... may also include additional forms of incentives. Benefits may be subject to program eligibility. Centene is an equal opportunity employer that is committed to… more
- New York State Civil Service (Thiells, NY)
- … program of care. Medical Specialists 2 serve as senior practicing specialists, within a recognized discipline of medicine.Other responsibilities include:* ... Yes Agency People With Developmental Disabilities, Office for Title Medical Specialist 2 Occupational Category Health Care, Human/Social Services Salary Grade 38… more
- New York State Civil Service (NY)
- …Agency People With Developmental Disabilities, Office for Title Contract Management Specialist 1 Occupational Category Other Professional Careers Salary Grade 18 ... the Regional Field Office 1 organizational structure. The Contract Management Specialist 1, specific duties will include professional, administrative, and technical… more
- Hartford HealthCare (Torrington, CT)
- …become part of Connecticut's most comprehensive healthcare network as a Pre-Billing Specialist . The Pre-Billing Specialist is responsible for reviewing and ... (HCHB) system prior to claim submission. This role ensures compliance with Medicare , Medicaid, and other Commercial payer requirements, helping to prevent billing… more
- Rochester Regional Health (Rochester, NY)
- …hospital with state and federal regulations, and maintain professional standards. The Senior Utilization Review Specialist assists providers with level of care ... determinations in compliance with regulatory and contractual agreements. The Senior Utilization Review Specialist will act as a mentor and resource for… more
- Dana-Farber Cancer Institute (Boston, MA)
- …The P/FR Specialist will support the Patient / Family Relations program at the Institute, including the outpatient and inpatient locations, by serving as ... of Patient/Family Relations, the Patient / Family Relations (P/FR) Specialist serves as an integral member of the Quality...Works closely with the P/FR Director, and other P/FR senior staff, along with clinical and operational leaders to… more
- Henry Ford Health System (Troy, MI)
- … senior Revenue Integrity leaders, the Revenue Integrity (RI) Specialist is responsible for multiple Revenue Integrity initiatives involving multiple clinical ... SUMMARY: Reporting to the Manager, Revenue Integrity, the Revenue Integrity Specialist identifies revenue opportunities and works collaboratively with Revenue Cycle… more
- LA Care Health Plan (Los Angeles, CA)
- Community Resource Center Specialist III Job Category: Customer Service Department: Community Resource Center-Metro LA Location: Los Angeles, CA, US, 90006 Position ... to achieve that purpose. Job Summary The Community Resource Center (CRC) Specialist III builds and maintains meaningful relationships with members of the community,… more