Average salary: $68,749 /yearly
More stats ...experience
~ Knowledge of CPT, ICD-9 and HCPC codes
~ Knowledge of clinical standards of care
~ Awareness of NCQA requirements, CMS guidelines, Medicaid/Medicare contracts and benefit systems
About OptumCare:
At OptumCare, we’ve found that putting...
Cms
Hourly pay
Work experience placement
Local area
Relocation bonus
...AngularJS.
1 or more years of experience Administration of a ServiceNow instance including the management of users, groups, and roles, CMS Development, ACLs, business rules, workflows, UI actions, UI policies, dictionary, and catalog items Orchestration and Discovery...
Cms
Hourly pay
Temporary work
Currently hiring
Flexible hours
...The Responsibilities
Oversee the end-to-end process of publishing technical publications using the Content Management System (CMS), Product Lifecycle Management tools & Project Management application. Create and update specifications for document production (MS Word...
Cms
Holiday work
Work experience placement
Worldwide
...Knowledge of medical coding methodologies, conventions and guidelines (e.g. ICD-9-CM, ICD-10, CPT, HCPC)
•Familiarity and understanding of CMS HCC Risk Adjustment coding, Medicaid CRG coding, and data validation requirements, preferred.
•Strong written and verbal...
Cms
Holiday work
Remote job
Work from home
Home office
...others in the department.
Adheres to all Corporate and Departmental policies and ensures all regulatory requirements such as DOH, CMS, Medicaid, and accreditation requirements such as NCQA , URAC and HEDIS functionalities are met or exceeded.
Process Management and...
Cms
...Adjustment.
Working knowledge of ICD-10, CPT, HCPCS and revenue codes.
Knowledge of Centers for Medicare and Medicaid Services (CMS) and state agency guidelines.
Experience using data analysis and visualization tools.
Experience working in an agile framework....
Cms
Full time
Work experience placement
Local area
Remote job
Afternoon shift
...drive to succeed, Loomis is the place to be. Come join our team!
Job Overview:
This position is responsible for supervising daily CMS operations, which may include deposit verification, change order preparation, currency/coin inventory management, and balance and...
Cms
Holiday work
Flexible hours
...Adjustment Analyst performs data and analytical services in support of optimizing risk adjusted revenue, maintaining compliance with CMS and NYS standards and modeling financial impacts of changes in risk adjustment data and methodologies. This position interacts with analyticalcoding...
Cms
For contractors
...Advises staff on proper code selection and validation through informal discussion and project over read.
•Coordinates and performs CMS RADV targeted and/or National audits. Supports HHS Initial Validation Audits (IVA) and other audits as requested. Responsible for ensuring...
Cms
Holiday work
Temporary work
Remote job
Work from home
Home office
...application of trend mitigation.
Required Skills:
Demonstrated knowledge of operations and healthcare management; NCQA, CMS, and other local, state, and federal regulations
Knowledge of managed care operations, process improvement and techniques...
Cms
Holiday work
Full time
Local area
Afternoon shift
...processes.
2. Complies with facility policies and procedures and Regulatory requirements: State, Federal and Accreditation Body AAAHC – CMS - inclusive of corporate compliance – ie. Patient Bill of Rights and Responsibilities, Privacy Notice, Advance Directives, Surprise...
Cms
Private practice
Flexible hours
...accurate documentation to support all audits
Assures adherence to and currency with internal and external regulatory guidelines (CMS/HHS, DOH, HIPAA, HITECH, and Fraud Waste & Abuse, Medical coding protocols)
Maintains coding credentials as required by credentialing...
Cms
Remote job
Flexible hours
...initiatives. This includes copywriting, sourcing images, limited graphic design, designing the page within brand standards, development in a CMS, and receiving stakeholder approvals.
Site Improvement and Analytics -Use site improvement tools to identify improvements and fix...
Cms
Hourly pay
Full time
Second job
...clinical experience
~ Knowledge of CPT, ICD-9 and HCPC codes
~ Knowledge of clinical standards of care
~ Awareness NCQA requirements, CMS guidelines, Medicaid/Medicare contracts and benefit systems
About OptumCare:
At OptumCare, we’ve found that putting...
Cms
Full time
Work experience placement
Local area
Relocation bonus
...progress on WMS. Provides support during emergencies and outages. (10%,S)
JOB REQUIREMENTS:
Skills/Abilities:
Computer skills: CMS, MS Word and Excel Spreadsheets, CSS, WMS, and MMS
Strong verbal and written communication skills
Strong planning, scheduling,...
Cms
Local area
Gangs
...findings in a concise/comprehensive manner that is compliant with documentation requirements and Center for Medicare and Medicaid Services (CMS) regulations
Responsible for ensuring that all diagnoses are ICD10, coded accurately, and documented appropriately to support the...
Cms
Minimum wage
Holiday work
Work experience placement
Local area
Relocation bonus
Weekend work