- ERP International (Laurel, MD)
- …) is currently seeking Full-Time ** Policy & Regulatory ** ** Analyst ** to support of the ** CMS Division of Enterprise Architecture** in ... AL and San Antonio, TX - plus project locations nationwide. **Responsibilities** + ** Regulatory Review and Impact Analysis:** + Analyze CMS laws, regulations,… more
- Highmark Health (Annapolis, MD)
- …to healthcare (payer and provider) business processes + Knowledge of relevant regulatory guidelines, vendor management , sourcing and procurement, and completing ... of a broad range of frameworks including NIST, HITRUST, PCI, HIPAA, SOC, MAR, CMS , JCAHO, NCQA, the BCBSA, etc., in addition to owning projects and initiatives… more
- Intermountain Health (Annapolis, MD)
- …charge capture accountability and revenue monitoring. + Performs extensive data mining, regulatory and payer policy review, abstracting of financial and clinical ... **Job Description:** The RCO Revenue Integrity Analyst is responsible for appropriate charge capture, assigned...of consistent charge capture or charge edits to ensure regulatory compliance and revenue optimization for assigned service line(s).… more
- Banner Health (MD)
- …certification in an active status with the American Health Information Management Association (AHIMA) or American Academy of Professional Coders (AAPC). **Candidate ... as appropriate. Ensures ethical and accurate coding in accordance with all regulatory requirements and AHIMA Standards of Ethical Coding. Acts as subject-matter… more
- Banner Health (MD)
- …as appropriate. Ensures ethical and accurate coding in accordance with all regulatory requirements and AHIMA Standards of Ethical Coding. CORE FUNCTIONS 1. Analyzes ... treatment information or documentation to coding support tech, coding quality analyst or coding manager for clarification/additional information for accurate code… more
- Banner Health (MD)
- …appropriate. Ensures ethical and accurate coding in accordance with all regulatory requirements and nationally recognized coding guidelines. CORE FUNCTIONS 1. ... coding by ensuring compliance with coding rules and regulations according to regulatory agencies for state Medicaid plans, Center for Medicare Services ( CMS… more
- Banner Health (MD)
- …and/or areas assures compliance with coding rules and regulations according to regulatory agencies for state Medicaid plans, Center for Medicare Services ( CMS ... onboarding of new coders to include but not limited to daily functions, system training, policies and procedures. 8. Works independently with the ability to manage… more
- Ivyhill Technologies LLC (Bethesda, MD)
- …Tracking and Optimization System , DMLSS, Medical Expense and Performance Reporting System , CMS , Defense Pharmacy System , Radiology and PACS, Automated ... provide consultation to the customer on the Call Center and Referral Management care coordination strategies and resolve complex and unusual health care… more
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