- Humana (Sacramento, CA)
- **Become a part of our caring community and help us put health first** The Medicare ( PPS ) Provider Hospital Reimbursement Analyst also known as a Senior ... the Pricer Business and System Support team responsible for administering complex Medicare provider reimbursement methodologies. The business needs of the team… more
- UCLA Health (Los Angeles, CA)
- …+ Support audit requests from financial, federal, and state agencies. + Calculate annual PPS Medicare rates for internal hospital coding. Salary Range: ... lead the preparation and review of financial and statistical information for Medicare and Medi-Cal cost reports. You will collaborate across departments to ensure… more
- LA Care Health Plan (Los Angeles, CA)
- …agreements, applicable laws & regulations, policies, and industry standards which provide medical, hospital , vision, dental, behavioral health, transportation ... Plan is an independent public agency created by the state of California to provide health coverage to low-income Los Angeles County residents. We are the nation's… more
- Sutter Health (Emeryville, CA)
- …Organization (HMO), Preferred Provider Organization (PPO), Patient Processing Service ( PPS ),Centers for Medicare and Medicaid Services (GR) Grouper (CMS) ... Physician Advisor (PA) is a key member of the hospital 's leadership team charged with meeting the organization's goals...and strengthening the relationship with System Enterprise and the hospital to appropriately optimize the use of Sutter Health… more
- Sutter Health (Modesto, CA)
- …Organization (HMO), Preferred Provider Organization (PPO), Patient Processing Service ( PPS ),Centers for Medicare and Medicaid Services (GR) Grouper (CMS) ... Physician Advisor (PA) is a key member of the hospital 's leadership team charged with meeting the organization's goals...and strengthening the relationship with System Enterprise and the hospital to appropriately optimize the use of Sutter Health… more
- Sunnyside Nursing and Post-Acute Care (Torrance, CA)
- …the appropriate assignment of Impairment Groups under the Preferred Payment System ( PPS ) for Rehabilitation and UDS data submission, as applies to rehab locations. ... REPORTING REQUIREMENTS: Timely submits required data to the Center for Medicare and Medicaid Services (CMS). + CHART AUDITS/COMPLIANCE: Coordinates monthly… more