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- ...Coding Compliance Specialist to oversee and evaluate RADV medical record reviews. The ideal candidate will have extensive experience with CMS RADV contracts, strong analytical skills, and a commitment to compliance. Responsibilities include ensuring adherence to guidelines,...CmsPart timeRemote workFlexible hours
- ...Candidate must have direct experience working on the Centers for Medicare & Medicaid Services Risk Adjustment Data Validation (CMS RADV) contract. Day time availability is required due to meetings. Position Summary TheCoding ComplianceSpecialist is responsible for overseeing...CmsContract workPart timeWork at officeRemote workFlexible hours
- Benefits: Health insurance Paid time off Required Skills/Level of Experience: Experience developing, in collaboration with stakeholders, including customers, partners, project teams, and vendors, security architectures for large, complex programs - 8+ years...CmsRemote work
- ...with a focus on quality, efficiency, and fiscal stewardship Champion quality & compliance — ensure adherence to Joint Commission, CARF, CMS, and National Patient Safety Goals while leading performance improvement initiatives Develop your team — coach, evaluate, and elevate...CmsFull timeShift workDay shift
$32.5 - $48.5 per hour
...productive and efficient environment. Comply with safety principles, laws, regulations, and standards associated with, but not limited to, CMS, The Joint Commission, DHHS, and OSHA if applicable. Benefits You Need & Then Some Avera is proud to offer a wide range of...CmsFull timePart timeWork experience placementShift workNight shiftAfternoon shift$27.75 - $41.25 per hour
...productive and efficient environment. Comply with safety principles, laws, regulations, and standards associated with, but not limited to, CMS, The Joint Commission, DHHS, and OSHA if applicable. Benefits You Need & Then Some Avera is proud to offer a wide range of...CmsFull timePart timeWork experience placementMonday to FridayShift workDay shift$32.5 - $48.5 per hour
...productive and efficient environment. Comply with safety principles, laws, regulations, and standards associated with, but not limited to, CMS, The Joint Commission, DHHS, and OSHA if applicable. Benefits You Need & Then Some Avera is proud to offer a wide range of...CmsFull timePart timeWork experience placementShift workNight shiftAfternoon shift$32.5 - $48.5 per hour
...productive and efficient environment. Comply with safety principles, laws, regulations, and standards associated with, but not limited to, CMS, The Joint Commission, DHHS, and OSHA if applicable. Benefits You Need & Then Some Avera is proud to offer a wide range of...CmsFull timePart timeWork experience placementRelocation packageShift workDay shift$24.5 - $33.75 per hour
...productive and efficient environment. Comply with safety principles, laws, regulations, and standards associated with, but not limited to, CMS, The Joint Commission, DHHS, and OSHA if applicable. Benefits You Need & Then Some Avera is proud to offer a wide range of...CmsFull timePart timeWork experience placementFlexible hoursShift workWeekend workDay shift- ...productive and efficient environment. Comply with safety principles, laws, regulations, and standards associated with, but not limited to, CMS, The Joint Commission, DHHS, and OSHA if applicable. Benefits You Need & Then Some Avera is proud to offer a wide range of...CmsFull timePart timeWork experience placementWork at officeShift workDay shift
$77.6k - $176k
Collection Requirements Manager, Senior The Opportunity: With all the information available today, it takes a skilled intelligence analyst to know how to find and interpret the best data to give their clients the right answers. With the critical decisions made ...CmsFull timeContract workPart timeWork at officeLocal areaRemote work$18 - $30 per hour
...items. EDUCATION AND LICENSES: High School diploma or G.E.D. required. Must meet Center for Medicaid/Medicare Services (CMS)-approved state and/or national certification requirements within the required state or CMS timeline. All appropriate state licensure...CmsHourly payWork experience placementImmediate start- WSP is currently initiating a search for an Inspector I for our Columbia, MD office. The client location will be in Lyttonsville, MD. Be involved in projects with our CM Team and be part of a growing organization that meets our clients objectives an Inspector, Contractor...CmsFor contractorsWork at office
$84.9k - $116.8k
...Management and people leadership experience, preferred. OASIS experience, required. Homecare Homebase (HCHB) experience, preferred. CMS PDGM billing knowledge or experience, preferred. Additional Information Normal Hours of Operation: M-F / 8a-5p (ET) On-Call...CmsFull timeTemporary workApprenticeshipImmediate start- A healthcare coding company is seeking an experienced Medical Coding Specialist to work remotely. The ideal candidate will have a minimum of 3 years of inpatient coding experience, mastery of ICD-10-CM coding, and relevant certifications such as CCS or RHIT. Responsibilities...CmsRemote work
$223.8k - $313.1k
...A leading health services company is seeking a Medical Director to enhance healthcare services, ensuring alignment with CMS guidelines for Medicare and Medicaid. Responsibilities include reviewing clinical cases for medical necessity and compliance, supporting organizational...CmsWork at officeRemote work$151k - $170k
An educational solutions provider is seeking a Principal Product Manager to lead the development of content authoring tools and delivery experiences. This full-time remote position requires over 7 years of product management experience and involves setting strategic direction...CmsFull timeRemote work- Seeking a Configuration Manager to implement and maintain configuration management and version control processes for hardware and software systems across the full lifecycle. This role ensures configuration integrity and traceability, manages baselines, enforces standardized...Cms
- A leading health data platform company is seeking experienced inpatient coders to ensure accurate coding using ICD-10-CM and ICD-10-PCS codes. This remote role requires a minimum of 3 years of inpatient coding experience and offers benefits such as health insurance, 40...CmsRemote work
- ...procedures (central line placement, intubation, etc.) 6 bed Cardiac Surgery Intensive Care Unit 12 to 24-hour shifts available CMS 5 Star Hospital #1 Community Hospital in Maryland, US News and World Report Education Required Skills: Strong critical...CmsFull timeShift work
- ...record system Some awareness or knowledge of health/care reimbursement systems (Medicare Advantage, Commercial payer, Medicaid and CMS regulatory rules) Annually: Successful completion of PCC Assessment of Critical Skills, Passing score on inter-rater reliability....CmsWork at officeWeekend work
- Job Overview: We are seeking a highly skilled Release Manager with an active TS/SCI clearance to support an enterprise-level Information Technology (IT) program. The ideal candidate will have a minimum of 8 years of relevant experience with a BS/BA degree, or 6 years ...Cms
$94k - $160k
Prime Therapeutics is seeking a Senior Program Manager to lead and execute core programs focused on interoperability and compliance with CMS mandates. This remote role requires a Bachelor’s degree and at least 5 years of experience in healthcare or project management. The...CmsWork at officeRemote work- A leading medical coding firm is seeking experienced inpatient facility coders for a remote role. Candidates must have at least three years of inpatient coding experience and relevant coding certifications. Responsibilities include abstracting clinical information, assigning...CmsRemote work
- ...platforms to raise awareness or promote activities and efforts Assists with website content updates using content management system (CMS) Coordinates and facilitates communications and outreach needs for AAWDC initiatives Facilitates outreach campaigns and assists in...CmsWork at officeLocal areaMonday to FridayWeekend workAfternoon shift
- A leading government contractor in Suitland, MD is seeking a Mid to Senior Level Configuration Control Manager. The role involves developing a Configuration Management Plan, conducting configuration control board meetings, and maintaining documentation under version control...CmsFor contractors
- Randstad Client in Washington, DC is seeking a Senior HCM Business Analyst for a 12+ month contract role. We are looking for an experienced professional with a strong background in SAP HCM or Success Factors (EC, TA, CM, PG, TM, LM, and ON). Preferred qualifications...CmsContract work
- ...Supports intake, data entry, and processing of claims. Key Responsibilities: · Receive and sort incoming claims · Enter data into CMS and create case numbers · Assess claim complexity · Track and update claim status · Respond to inquiries · Support claim...CmsContract workWork at office
$160k - $180k
...organization is seeking a role in Medicare Secondary Payer recovery in Washington, DC. This position involves analyzing and resolving incorrect CMS payment cases, performing detailed manual reviews, and coordinating overpayment recoveries. Successful candidates will have strong...CmsRemote job$100k - $150k
...and engineering teams. The ideal candidate will have over ten years of experience in solution analysis and a solid understanding of CMS platforms. Compensation ranges from $100,000 to $150,000 annually and includes a competitive benefits package. #J-18808-Ljbffr LCG, Inc...Cms

