OASIS Coding Specialist: CMS Compliance & Reimbursement
FALCON HOME HEALTH AND HOSPICE
Empower Services seeks an OASIS Coding Specialist PRN to ensure accurate CMS-compliant OASIS reviews and coding for home health. You’ll collaborate with clinicians, nurses, and physicians to align plan of care with assessments, support appropriate visit utilization, and optimize reimbursement. The role requires experience in OASIS reviews, familiarity with HCHB, and ongoing education on regulatory changes. This is a PRN opportunity within a dynamic home health environment. #J-18808-Ljbffr FALCON HOME HEALTH AND HOSPICE
- ...Coding Specialist The US Oncology Network is looking for a Coding Specialist to join our... ...Supports and adheres to the US Oncology Compliance Program, to include the Code of... ..., and compliance with payer-specific reimbursement requirements. Identifies documentation...CmsReimbursementFull timeLive inWork at officeRemote workMonday to Friday
- ...CDI Specialist The CDI Specialist reviews inpatient... ...Specialist directly impacts reimbursement accuracy, quality... ...documentation best practices, coding guidelines, and... .... Regulatory Compliance & Quality: Ensure... ...documentation complies with CMS, AHIMA, ACDIS, and...CmsReimbursementWork at office
- ...FL ONLY Primary Purpose The primary purpose of the Coding Specialist III is to code and verify data necessary to ensure correct... ...accuracy of recorded patient medical information and appropriate reimbursement for services rendered. Education •High school...CmsReimbursementContract workLocal areaRemote work
- ...Purpose The primary purpose of the Coding Specialist II is to code and verify charge data necessary... ...medical information and appropriate reimbursement for services rendered. Education •... ...for Medicare & Medicaid Services (CMS) requirements for both professional and...CmsReimbursementContract workLocal areaRemote work
- ...Coding Analyst The US Oncology Network is looking for a Coding... ...and adheres to the US Oncology Compliance Program, to include the Code... ...accordance with coding and reimbursement guidelines. Review and correct... ...accurate coding for the CMS region. Utilize coding tools...CmsReimbursementFull timeWork at officeMonday to FridayFlexible hours
- ...Purpose As a part of our Coding Quality team, our coding editors... ...(RHIA) Certified Coding Specialist (CCS) Certified Coding... ...to demonstrate knowledge of reimbursement (Medicare and Medicaid) principles... ..., coding operations, coding compliance and other revenue cycle...CmsReimbursementLive inRemote work
- ...Revenue Cycle Department for the role of Coding Specialist III. Works under general supervision... ...and teaching physician documentation compliance. Supports audit and denial escalation... ..., audit readiness, and optimal reimbursement. The duties for this position will...CmsReimbursementFull timeLive inWork at officeWork from homeMonday to FridayFlexible hoursShift work
$23 per hour
...and work a hybrid schedule! The Loss Mitigation Specialist will be responsible for educating borrowers on CMS’ Loss Mitigation alternatives with the objective... ...to help Carrington and Vylla grow. Educational Reimbursement. Carrington Charitable Foundation contributes to...CmsReimbursementHourly payFull timeTemporary work- The US Oncology Network's Texas Oncology is seeking a Coding Specialist to join its Central Business Office in Richardson, TX. This full-time hybrid remote position supports coding of medical records across oncology services and requires residence in Texas. You will assign...CmsRemote jobFull timeWork at office
- ...Oncology, part of The US Oncology Network, is seeking a Coding Specialist to support our Central Business Office in... ...ensuring accurate documentation and cost-effective reimbursements while maintaining HIPAA compliance and quality standards. #J-18808-Ljbffr Texas OncologyCmsReimbursementRemote jobFull timeWork at office
$23 - $29 per hour
...Provider Enrollment Specialist Are you interested in harnessing... ...payers to facilitate timely reimbursement. This role supports the organization... ...records, and ensuring compliance with payer and regulatory... ...understanding of enrollment such as CMS, PECOS, NPPES, CAQH, Medical...CmsReimbursementHourly payWork experience placementWork at office$87.19k - $114.43k
...Oscar. We're hiring an Associate, Risk / Compliance to join our Compliance team.Oscar is the... ...health insurance rules and regulations, CMS ACA rules and requirements, CMS... ...disability insurance, and paid wellness time and reimbursements.Artificial Intelligence (AI): Our AI...CmsReimbursementFull timeWork at officeRemote work- ...abstracts inpatient and outpatient diagnoses and procedures, which are assigned appropriate ICD10-CM, ICD10 PCS and/or CPT codes for optimal reimbursement. They establish an accurate database for case mix indices which provide statistical reporting and trend analysis. The...CmsReimbursementShift work
$75k - $85k
...work/life balance. Position The Coding Manager is responsible for... ...oversees coding quality and compliance with applicable federal and state... ...consistent with applicable CMS, Medicare, Medicaid, Workers’... ...guidelines and healthcare reimbursement regulations.Understanding of...CmsReimbursementFull timeWork experience placementRemote workWork from homeFlexible hoursShift work- ...possess knowledge and experience with relevant VA systems and coding standards, including: Oracle Cerner applications 3M/Solventum... ..., you will transcribe patient records and process claims for reimbursements. You will be responsible for selecting the correct codes and...CmsReimbursementFor contractorsRemote workFlexible hours
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- ...Medical Center is seeking a Technical Denials Management Specialist II in the Revenue Cycle Department to review, research, and... ...experience in medical claims recovery and knowledge of CMS 1500, ICD-9, CPT coding are highly valued. #J-18808-Ljbffr UT Southwestern Medical...CmsRemote jobWork at officeWork from home
- ...The Certified ER Medical Coding Auditor is responsible for... ...to ensure accurate coding, compliance, and optimal reimbursement. This role also includes training... ...and regulatory standards (CMS, HIPAA) Identify under... ...) CCS (Certified Coding Specialist) COC (Certified...CmsReimbursementFull time
- ...cycle while ensuring compliance with organizational policies... ..., and healthcare reimbursement principles to resolve... ...functional guidance to AP specialists and other finance... ...ensuring accuracy and proper coding to general ledger... ...list checks required of CMS-certified providers....CmsReimbursementFull timeContract workLocal areaImmediate start
$122.21k - $160.4k
...processes that support accurate coding, compliant billing, timely reimbursement, and overall financial performance... ...with clinical, operations, finance, compliance, credentialing, product, to... ...Professional Coder (CPC), Certified Coding Specialist (CCS), Certified Coding...CmsReimbursementFull timeWork at officeRemote work- ...Revenue Cycle Specialist II Fully Remote ESP Executive Offices - Dallas, TX 75... ...medical billing practices, insurance reimbursement guidelines, medical coding, and collection regulations. You... ...and surgery-related costs. Maintain compliance with payer requirements,...ReimbursementFull timeWork at officeRemote work
$130k - $159k
...OpportunityWSP is seeking a Project Controls Specialist to join their Project Controls team.... ..., including change management, cost coding, commitments, and accruals across active... ...); track acquisition packages for reimbursement and support invoice review and processing...ReimbursementFor contractorsLocal areaFlexible hours- ...processing vendor invoices and receipts, coding transactions for proper financial... ...submitted travel requests to evaluate policy compliance, cost reasonableness, and logistical... ...provide operational coverage. Mileage reimbursement is provided in accordance with organizational...ReimbursementContract workWork at officeHome office
- ...Management (RCM) services, certified in SOC2 compliance and recognized among the Inc. 5000... ...status updates. Analyze claim disputes, reimbursement discrepancies, and payer responses. Escalate... ...operational teams. Knowledge of CMS guidelines and payer dispute resolution...CmsReimbursement
- ...tracked, a visit verified, a code applied correctly, a denial worked... ...to ship.Make technical and reimbursement concepts land with non-... ...ACROSS TEAMSBRING DOMAIN AND COMPLIANCE JUDGMENTApply what you know about... ...underneath this product: CMS rules and rate updates, state...CmsReimbursementContract workShift work
- ...understanding and applying knowledge of medical code billing and claims processing rules and... ...sets, and state and Medicare adjustment reimbursement principles, knowledge of WC fee schedules... ...knowledge of medical forms such as CMS-1500, UB-92, UBO4/DWC-9/DWC-10 • Increase...CmsReimbursementHourly payWork experience placement
$122.21k - $160.4k
...cycle strategies and processes that support accurate coding, compliant billing, timely reimbursement, and overall financial performance. This leader will... ...partner closely with clinical, operations, finance, compliance, credentialing, product, to identify revenue cycle...CmsReimbursementFull timeWork at officeRemote work- ...patients navigate coverage, reimbursement, and support solutions... ...on coverage, coding, and payment questions... ...back-office Benefits Specialists for BI/BV and PA tracking... ...policies and procedures, compliance guidance, and policies... ...Medicaid Services (CMS) website at SummaryLocation...CmsReimbursementFull timeWork at officeLocal areaRemote workNight shift
$32 - $37 per hour
DescriptionRisk Adjustment Coding AuditorThe Risk Adjustment Coding... ...reporting and appropriate reimbursement across risk adjustment programs... ...information by ensuring compliance with HIPAA, privacy, security... ...diagnosis code capture based on CMS HCC categoriesMaintains knowledge...CmsReimbursementContract workTemporary workRemote work- ...direction, modifier usage, and payer compliance. The Director will... ...of the RCM process: billing, coding, charge posting, appeals, and... ...reconciliation of expected versus actual reimbursement across all payer contracts... ...standards, including CMS regulations Demonstrated...CmsReimbursementFull timeDay shift
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