CMS Encounter Implementation Specialist
GoTo Meeting
GoTo Meeting in Raleigh, NC seeks a Systems Analyst responsible for implementing CMS encounter submissions for new and expanding payer clients. This role involves requirements gathering, data mapping, and ensuring compliance with CMS regulations. The ideal candidate has a Bachelor's degree, 3+ years experience in healthcare data implementations, and strong SQL skills. The role requires excellent communication and analytical abilities to successfully coordinate implementation activities. #J-18808-Ljbffr GoTo Meeting
$92.97k - $129.23k
Systems Analyst - CMS Encounter Implementation The Systems Analyst - CMS Encounter Implementation is responsible for supporting the end-to-end implementation of CMS encounter submissions for new and expanding payer clients. This role leads requirements gathering, data...CmsWork at officeLocal area$69.85k - $97.09k
Systems Analyst - Payer Encounter Management Platform page is loaded## Systems Analyst - Payer Encounter Management Platformremote type: Hybridlocations... ...ingestion, edit resolution, submission readiness, and CMS response handling, giving health plans and BPO partners a...CmsFor contractorsLocal areaRemote work$92.97k - $129.23k
Expert Product Advisor - Payer Encounters Submission Partners closely with highly complex and strategic payer/health plan customers to serve... ...submission workflows, claims integration, risk adjustment, and CMS regulatory requirements into actionable product insights,...Cms- A healthcare analytics firm based in Raleigh, NC, is seeking a Systems Analyst for their Encounter Management Platform. This role involves working closely with clients post-sales to assist with installations, configuration, and troubleshooting. The ideal candidate should...Suggested
$60.8k - $82.9k
...applications utilized for billing and claims management. Identify and implement process improvements to reduce denials and accelerate... ...Compliance & Quality Assurance: Ensure systems align with CMS, HIPAA, and payer requirements. Respond to internal and external...CmsBi-weekly payFull timeTemporary workApprenticeshipWork at officeRemote workHome office$71.2k - $158.2k
...Consultant to help design, configure, activate, and support the implementation of Oracle Health EHR (Millennium) solutions across Federal... ...workflow dependencies , including: Patient demographic and encounter setup (registration types, visit classes, and encounter...Temporary workFlexible hours$92k - $135k
...healthcare payer systems and HL7 FHIR interoperability. This role translates regulatory requirements into technical solutions and supports CMS interoperability initiatives. The ideal candidate has over 5 years of IT experience, strong knowledge of C#, .NET, and experience...CmsRemote job$92k - $135k
...interoperability. The role focuses on translating regulatory and business requirements into robust technical solutions and supporting CMS interoperability initiatives. Key Responsibilities Gather and translate business and regulatory requirements into technical solutions...CmsRemote workWork from home- ...characteristics described here are representative of those an employee encounters while performing the essential functions of this job.... ...required. Must meet Center for Medicaid/Medicare Services (CMS)-approved state and/or national certification requirements...CmsImmediate start
- Saransh Inc is seeking a Labguru Analyst to support the implementation of our Electronic Lab Notebook (ELN) in Raleigh, NC. This role requires hands-on configuration experience with Labguru, strong communication skills, and the ability to manage iterative delivery cycles...
- ...EAM) software solutions that support the management life cycle for equipment maintenance and operations. Overview Implementation Specialists collaborate closely with Functional Consultants and Project Managers to implement our software and configure the system...Temporary workCasual workImmediate start
- ...project, particularly where engineering judgment on the part of the EIT/Designer is exercised and unusual or difficult problems are encountered Obtain guidance from senior engineers and the Department Head as necessary to resolve technical and coordination issues and...CmsLocal areaFlexible hours3 days per week
- North Carolina State University is seeking a Manufacturing Engineering Specialist responsible for assisting clients in adopting advanced manufacturing technologies. This role involves project management, customer service, and technical support across areas like automation...
$25k
...pharmacy, and quality improvement staff, to implement evidence‑based interventions and... ...and in compliance with organizational and CMS regulatory standards. Prepare, participate... ...accordance with HIPAA. Document patient encounters accurately and timely in the indicated platform...CmsFull timeWork at officeMonday to Friday- ...Medical Records Outpatient Coder III reviews short stay focused encounters to accurately assign diagnosis and procedural codes-using ICD-... .... Certifications And Licensures Required : Certified Coding Specialist (CCS) Preferred : RHIT (Health Information) Education...CmsRemote jobReliefFlexible hoursShift workWeekend work
$25k
...quality improvement staff-to implement evidence-based interventions... ...compliance with organizational and CMS regulatory standards. Prepare... ...with HIPAA. Document patient encounters accurately and timely in the... ..., nurses, behavioral health specialists and more, spend up to 50...CmsFull timeTemporary workApprenticeshipWork at officeMonday to Friday- ...claims and authorizations. Must Have's Experience implementing Medicare LOB on Facets platform Knowledge of CMS regulatory guidelines/policies and ability to... ...black lung, and injury related services. Accurate Encounter Data for Risk Adjustment Revenue Missing or rejected...CmsDaily paidContract workShift work
- ...Required - Or Registered Health Information Administrator Required - Or Certified Professional Coder Required - Or Certified Coding Specialist Required - Or Certified Outpatient Coder Required Education: Associate's Degree Health Information Management Required Bachelor's...CmsRemote work
$90k - $120k
...identify opportunities for optimization while ensuring compliance with CMS, HIPAA, and state‑specific healthcare regulations. You... ...healthcare data structures, including claims, eligibility, and encounter data. ~ Familiarity with SQL, BI tools, or data visualization...CmsFull timeRemote workMonday to FridayFlexible hours- 1. Assesses, interprets, plans, implements and evaluates patients according to the patient’... ...accurately updates the overall plan of care (CMS 485) at least every 60-62 days,... ...traffic hazards while home visiting. May encounter patients and other situations which present...CmsTemporary workMonday to FridayFlexible hoursWeekend work
- ...cycle including developing Requests for Proposals, evaluating proposals, and determining functional requirements through final implementation and production support. Additional responsibilities include status reporting, service level agreements, project monitoring for...Work experience placementWork at officeLocal areaNight shift
$25k
...quality improvement staff—to implement evidence-based interventions... ...compliance with organizational and CMS regulatory standards.... ...withHIPAA. Document patient encounters accurately andtimelyin the indicated... ..., nurses, behavioral health specialists and more, spend up to 50...CmsFull timeTemporary workApprenticeshipWork at officeMonday to Friday$18 per hour
...with a behavioral health condition and a Certified Peer Support Specialist. 2. Parent or guardian of an individual with a behavioral... ...landlords, and others regarding reasonable accommodations. Document encounters and contacts; complete and submit billing documentation....CmsHourly payWeekly payMonday to FridayFlexible hours- ...collaboration with physicians and specialty providers. Perform comprehensive assessments and document encounters accurately and thoroughly in the EMR, ensuring compliance with CMS requirements. Apply Curana's clinical protocols and practice guidelines to support safe,...CmsPart timeLocal areaImmediate startShift workNight shiftWeekend workDay shiftAfternoon shift
- COOLSOFT is seeking a Healthcare Jira MITA Specialist in Raleigh, NC. This position is essential for supporting the NC Medicaid Enterprise... ...certification strategy for projects, ensuring compliance with CMS criteria, and coordinating with stakeholders to achieve certification...Cms
$18.5 - $42.35 per hour
...Medicare and Medicaid. Identifying and implementing process efficiencies across the dept. including... ...action based upon compliance and CMS regulations Identifying key stakeholders... ...of the intricacies of medical billing encountered in such areas like ambulatory care, physician...CmsHourly payFull timeContract workTemporary workWork at officeLocal area$67.12k - $87.13k
...organization. The Data Analyst, classified as a Business Systems Analyst II, provides reporting and analysis of Medicaid financial, claims/encounter, member, provider, data etc. in support of the division’s objectives and operations. Work involves collaboration with division...Permanent employmentTemporary workWork experience placementWork at officeRemote workWork from homeNight shift- ...Technologies in North Carolina seeks a Certification & Compliance Project Specialist to manage the execution of the Medicaid Enterprise Systems... ..., and coordinate with stakeholders to ensure compliance with CMS requirements. Applicants should have extensive project...CmsRemote job
$71.2k - $158.2k
...work Understanding federal reporting requirements for state CMS reporting, focusing on CMS-64, CMS-21, and CMS-37 Working with... ...and Medicaid claims data, which includes financial, provider, and encounter data ~ Knowledge of CMS requirements for US States ~...CmsTemporary workWork experience placementFlexible hours$59.3k - $80.9k
...of ICD-10 and CPT coding guidelines, government regulation and protocols Complete appropriate system(s) entry regarding claim/encounter information Support and participate in process and quality improvement initiatives Use your skills to make an impact WORK...CmsBi-weekly payFull timeContract workTemporary workApprenticeshipWork at officeRemote workWork from homeHome officeMonday to Friday
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