...utilization, billing compliance and reduction of claims denials.
Provide compliance element for Centers for Medicare and Medicaid Services (CMS)Conditions of Participation (COP) by performing secondary medical necessity reviews.
Provide a more cost-effective delivery of...
Cms
Full time
Part time
Relief
Outdoor
Relocation package
Flexible hours
...~ Preferred knowledge of medications, medical terminology, and patient care
~ Preferred knowledge of CPT, ICD, HCPCS, HCC coding, CMS Quality measures
~ Strong written and verbal communication skills
~ Strong skills in office equipment (computers, printers, etc.)...
Cms
Holiday work
Temporary work
Local area
Remote job
...patient's insurance plan(s). This includes a thorough understanding of accurately completing hospital-based compliance forms required by CMS. Uses multiple computer applications proficiently.
7. Consistently discusses financial liability with the patient(s) and/or...
Cms
Holiday work
Work experience placement
Remote job
Shift work
Sunday
...supported through the MEAT or TAMPER methodology, with the intention of reporting these findings to the Health plan for submission to CMS.
Essential Duties and Responsibilities :
Receive assigned medical charts to code
Abstract and code diagnosis and...
Cms
Holiday work
Temporary work
Apprenticeship
Remote job
...Proven knowledge of CPT, ICD-10 and HCPC codes
Proven knowledge of clinical standards of care
Awareness of NCQA requirements, CMS guidelines, Medicaid/Medicare contracts and benefit systems
**PLEASE NOTE** Employees must be in an active regular status. Employees...
Cms
Relocation bonus
...licenses, and adherence to rules and guidelines set forth by applicable regulatory agencies. (OSHA, EPA, The Joint Commission, DNV, CMS, etc.)
Assures current records of all maintenance procedures are kept as required to meet all applicable codes and standards.
Maintains...
Cms
Remote job
Full time
Contract work
Work experience placement
...hire to obtain certification. If not eligible for MA certification at the time of hire, must complete CEUs for ABR -OE, which meets CMS requirements for Meaningful Use. All direct patient care personnel are required to demonstrate competent performance of...
Cms
Relocation bonus
Shift work
Monday to Friday
$21.88 - $37.5 per hour
...Completes documentation per workflow timeline and content requirements including completion of the Individual Plan of Care (IPoC) per CMS guidelines
Schedules family conferences and/or communicates with caregiver following each team conference and more often as needed...
Cms
Full time
...analysis.
Oversees concurrent review functions with appropriate follow-up action plan and intervention.
Ensures compliance with CMS regulations and Conditions of Participations for discharge planning.
Manages core staffing plan and employs flexible staffing plan...
Cms
Full time
Part time
Flexible hours
...AHCCCS, and have worked closely with insurance claims representatives in resolving claim issues
Knowledgeable in AHCCCS, Medicaid, CMS guidelines and coding policies, RCM compliance and goals.
Understanding of current coding and billing regulations and compliance...
Cms
...unit is one of the nation's premier orthopedic programs. The unit's commitment to excellent patient care has earned a 4 STAR rating by CMS and repeated recognition as having one of the Top 100 Orthopedic Programs in the U.S. by The Health Network and HCIA, Inc. Because we...
Cms
Internship
Local area
Shift work
Weekend work
Sunday
Saturday
...claims.
* Submit accurate claims utilizing Brightree billing software.
* Reconcile billing errors on a daily basis.
* Complete CMS 1500 claim forms as required.
* Manage account receivables to maintain payments within 90 days.
* Adhere to monthly closing timeline...
Cms
Holiday work
Full time
Temporary work
Local area
Weekend work
...Completes documentation per workflow timeline and content requirements including completion of the Individual Plan of Care (IPoC) per CMS guidelines
Schedules family conferences and/or communicates with caregiver following each team conference and more often as needed...
Cms
Hourly pay
Holiday work
Full time
Relief
...organization.
What we'll provide:
DaVita is a clinical leader! We have the highest percentage of facilities meeting or exceeding CMS's standards in the government's two key performance programs. We expect our nurses to commit to improving patient health through...
Cms
...coming into the department. Requirements: RHIT (Registered Health Information Technician) Credential, preferred Knowledge of JCAHO, CMS, Federal and AZ State charting requirements preferred Knowledge of HIPAA regulations preferred Ability to read and communicate in English...
Cms
Daily paid
...Ability to understand and write about technical construction topics including the roles of subcontractors, prime contractors, GC, CMs and Design/Build firms as well Job Order Contract (JOC) opportunities.
Ability to understand and write about the various capabilities...
Cms
Contract work
Temporary work
For contractors
For subcontractor
Monday to Friday
...unit is one of the nation’s premier orthopedic programs. The unit's commitment to excellent patient care has earned a 4 STAR rating by CMS and repeated recognition as having one of the Top 100 Orthopedic Programs in the U.S. by The Health Network and HCIA, Inc. Because we...
Cms
Hourly pay
Price work
Holiday work
Full time
Temporary work
Interim role
Remote job
Relocation bonus
Shift work
Night shift
Weekend work
...modernization efforts. They will manage the Associate, Global Site Experience and Digital Optimization responsible for managing SEO, CMS, Trend and Content Analysis.
Responsibilities:
Marketing / Merchandising Strategy
Own Global online calendar of new product...
Cms
Holiday work
Full time
Local area
Shift work
Day shift
...unit is one of the nation’s premier orthopedic programs. The unit's commitment to excellent patient care has earned a 4 STAR rating by CMS and repeated recognition as having one of the Top 100 Orthopedic Programs in the U.S. by The Health Network and HCIA, Inc. Because we...
Cms
Hourly pay
Price work
Temporary work
Interim role
Remote job
Relocation bonus
Shift work
Night shift
Weekend work
...state and federal laws, rules and regulations governing mental health and addiction treatment inpatient services and related funding (CMS, Joint Commission, AHCA, DCS, HIPAA, 42 CFR). Strong knowledge of Joint Commission accreditation standards and the proven ability to...
Cms
Contract work
Temporary work
Work experience placement
Local area
Remote job
Work alone
Shift work
...is one of the nation’s premier orthopedic programs. The unit’s commitment to excellent patient care has earned a 4 STAR rating by CMS and repeated recognition as having one of the Top 100 Orthopedic Programs in the U.S. by The Health Network and HCIA , Inc. Because...
Cms
Price work
Relocation bonus
Shift work
Weekend work
...senior living community partners across 30 states and participates in both the MSSP ACO, ACO Reach and Medicare Advantage programs with CMS. Backed by more than $300M in venture capital funding, the organization is poised to disrupt care delivery in senior living on a...
Cms
Full time
Local area
...is one of the nation’s premier orthopedic programs. The unit’s commitment to excellent patient care has earned a 4 STAR rating by CMS and repeated recognition as having one of the Top 100 Orthopedic Programs in the U.S. by The Health Network and HCIA , Inc. Because...
Cms
Price work
Holiday work
Full time
Shift work
Night shift
Weekend work
...is one of the nation’s premier orthopedic programs. The unit’s commitment to excellent patient care has earned a 4 STAR rating by CMS and repeated recognition as having one of the Top 100 Orthopedic Programs in the U.S. by The Health Network and HCIA , Inc. Because...
Cms
Shift work
...is one of the nation’s premier orthopedic programs. The unit’s commitment to excellent patient care has earned a 4 STAR rating by CMS and repeated recognition as having one of the Top 100 Orthopedic Programs in the U.S. by The Health Network and HCIA , Inc. Because...
Cms
Immediate start
Shift work
Monday to Friday
...is one of the nation’s premier orthopedic programs. The unit’s commitment to excellent patient care has earned a 4 STAR rating by CMS and repeated recognition as having one of the Top 100 Orthopedic Programs in the U.S. by The Health Network and HCIA , Inc. Because...
Cms
Holiday work
Immediate start
Shift work
Weekend work
...customer communications.
Manage supply chain including manufacturing, quality control and purchasing. Work with Engineering to qualify CMs and collaborate to achieve product cost reduction with specific annual targets.
Manage the customer support team and customer...
Cms
Full time
Local area
...is one of the nation’s premier orthopedic programs. The unit’s commitment to excellent patient care has earned a 4 STAR rating by CMS and repeated recognition as having one of the Top 100 Orthopedic Programs in the U.S. by The Health Network and HCIA , Inc. Because...
Cms
Price work
Holiday work
Full time
Immediate start
Relocation bonus
Shift work
Night shift
Weekend work
...is one of the nation’s premier orthopedic programs. The unit’s commitment to excellent patient care has earned a 4 STAR rating by CMS and repeated recognition as having one of the Top 100 Orthopedic Programs in the U.S. by The Health Network and HCIA , Inc. Because...
Cms
Price work
Holiday work
Full time
Relocation bonus
Shift work
Night shift
Weekend work
Afternoon shift
...medical records, patient plans of care and/or clinical pathways while meeting requirements of regulatory agencies (i.e. Joint Commission, CMS , State and Local Agencies).
5. Provides nutrition education to patients, families, staff and other health care team...
Cms
Full time
Part time
Local area
Relocation
Shift work