• Atrium Health (Charlotte, NC)
    …strategy, vision, mission, and goals. Ensures competency of Clinical Documentation Specialist staff by conducting on-going reviews and skills assessments; provides ... and understanding of severity based DRG systems; All-Patient Refined and Medicare Severity (APR-DRG), Medical Severity Diagnostic Related Group System (MS-DRG) and… more
    JobGet (06/16/24)
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  • Medical Specialist 2

    New York State Civil Service (Thiells, NY)
    …the American Board of Medical Specialties (ABMS) in your specialty. OR* Medicaid and Medicare certified . OR* Current Medical Specialist 2. OR* Eligible for ... HELP No 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 (04/30/24)
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  • Medicare Billing Specialist

    Sunrise Senior Living (Arlington, VA)
    **_Sunrise Senior Living was again certified as a Great Place to Work(R) by Activated Insights. This is the 7th time Sunrise has received this top culture and ... (P&L) Summary reporting - Review balance sheet account reconciliations - Medicare /Medicaid billing - Adherence to Sunrise Senior Living business process controls… more
    Sunrise Senior Living (05/22/24)
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  • Clinical Pharmacist - Medicare

    CVS Health (Richmond, VA)
    Certified Ambulatory Care Pharmacist, Board Certified Geriatric Pharmacist, or Board- Certified Pharmacotherapy Specialist + At least 3 months in a recent ... help to support various Scorable Action Items (SAI) programs in the Medicare population, including Fraud, Waste, and Abuse (FWA), Formulary Education, Therapeutic… more
    CVS Health (06/05/24)
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  • Medicare Quality Coding Review and Audit…

    The Cigna Group (Houston, TX)
    …certifications, is strongly preferred: + Certified Professional Coder (CPC) + Certified Coding Specialist for Providers (CCS-P) + Certified Coding ... **Job Summary:** The Medicare Coding Quality Review Audit Manager is responsible...performed concurrently to achieve objectives. + Leads team of certified coders and administrative support personnel to ensure that… more
    The Cigna Group (06/11/24)
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  • Pharmacist - Medicare Advantage Clinical…

    CVS Health (Albany, NY)
    … Ambulatory Care Pharmacist, Board Certified Geriatric Pharmacist, or Board- Certified Pharmacotherapy Specialist Education + Current, unrestricted US state ... organization. This position will focus on beneficiaries enrolled in Medicare Advantage plans to provide resources and assistance to...and allied health professionals to support the needs of Medicare beneficiaries + Speak one on one with … more
    CVS Health (06/01/24)
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  • Billing & Certified Coding…

    Beth Israel Lahey Health (Burlington, MA)
    …CPC-A ( Certified Professional Coder - Apprentice through AAPC), or CCS-P ( Certified Coding Specialist Physician Based through AHIMA) Experience: 1-2 years of ... coding guidelines. 2. Stays current on quarterly CCI Edits, bi-monthly Medicare Bulletins, Medicare 's yearly fee schedule, Medicare Website, and specialty… more
    Beth Israel Lahey Health (06/01/24)
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  • Certified Peer Specialist - St.…

    St. Luke's University Health Network (Sellersville, PA)
    …communities we serve, regardless of a patient's ability to pay for health care. The Certified Peer Specialist has experience as a recipient of mental health or ... or GED TRAINING AND EXPERIENCE: + Must have competed Certified Peer Specialist training in Pennsylvania or...the only Lehigh Valley-based health care system to earn Medicare 's five-star ratings (the highest) for quality, efficiency and… more
    St. Luke's University Health Network (04/10/24)
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  • Cigna Medicare Population Health Nurse Care…

    The Cigna Group (Bloomfield, CT)
    …follow up contact, which may include primary care physician and specialist appointment scheduling. + Provide clinical assessments, health education, and utilization ... years experience in acute care, home health or case management experience. + Medicare and/or Medicaid experience with geriatric populations a plus + Certified more
    The Cigna Group (05/23/24)
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  • MATCH - Certified Peer Specialist -P…

    State of Georgia (Gwinnett County, GA)
    MATCH - Certified Peer Specialist -P (CPS - Parent) - Region 3 Georgia - Gwinnett - Lawrenceville ... age youth and young adults, ages 14-26) have complex mental health needs where Certified Peer Specialist (CPS) support might offer support in: Assisting youth,… more
    State of Georgia (06/07/24)
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