- Mount Sinai Health System (New York, NY)
- …MSH, Mount Sinai Hospital **Responsibilities** In collaboration with Senior Director of Regulatory Affairs , and other system leadership, directs and facilitates ... **Job Description** A member of MSHS regulatory team, the Accreditation Specialist is...regulations, and reporting of requirements of The Joint Commission, Medicare Conditions of Participation, the New York State Department… more
- Health First (Rockledge, FL)
- …and closings. Responsible for benefit-related functions for Product Development & Governance, Regulatory Affairs and key vendor personnel as required to meet ... of Health First Health Plans. *PRIMARY ACCOUNTABILITIES:* * Adheres to all regulatory and certification guidelines including HIPAA, State and Federal Guidelines, and… more
- Bassett Healthcare (Oneonta, NY)
- …What you'll do Under the general supervision of the Manager of Medical Staff Affairs (MSA), the Specialist works independently in cooperation with the MSA ... provide diversified, high quality, and confidential credentialing services. The Specialist is responsible for leading, coordinating, monitoring, and maintaining the… more
- Gentiva (Windsor Mill, MD)
- …hospice operations, state and federal regulations and compliance required + Strong regulatory affairs and governance requirements for healthcare + Thorough ... day. **Overview** We are looking for an **Executive Director Specialist RN** traveling to many of our offices throughout...knowledge of state and local guidelines that govern regulatory processes for healthcare + Able to travel a… more
- Gentiva (Orlando, FL)
- …of hospice operations, state and federal regulations and compliance + Strong regulatory affairs and governance requirements for healthcare + Thorough knowledge ... SC** We are looking for an **RN Executive Director Specialist ** . You will serve as the administrator on...of state and local guidelines that govern regulatory processes for healthcare + Able to travel 100%… more
- Vanderbilt University Medical Center (Nashville, TN)
- …and in compliance with ICD-10 Official Coding Guidelines and other regulatory requirements. Uses Diagnosis Related Groups (DRG) methodologies, including Medicare ... Official Coding Guidelines, Uniform Hospital Discharge Data Set (UHDDS) and other regulatory requirements to accurately assign the DRG. + Analyze the medical record… more
- Commonwealth Care Alliance (Boston, MA)
- …- Interdepartmental stakeholders include but are not limited to: quality; regulatory affairs /compliance; clinical, operations, pharmacy, dental, reporting, and ... and update operational processes. - Complaints Monitoring: Supports daily monitoring of Medicare and EOHHS?s Complaints Tracking & Management (CTM) Module and timely… more
- MetroLink (Los Angeles, CA)
- …years of experience in procurement, contract compliance, contract management, regulatory compliance, or program administration, including experience in planning, ... your dental services. If you require treatment from a specialist , your contract dentist will handle the referral. Many...exceeds $50,000, be added to your Federal, State, and Medicare taxable earnings for W-2 reporting. This amount is… more
- MetroLink (Los Angeles, CA)
- …the public, outside consultants, contractors, member agencies, grantors, and personnel from regulatory agencies. + Set. goals and objectives and establish and review ... your dental services. If you require treatment from a specialist , your contract dentist will handle the referral. Many...exceeds $50,000, be added to your Federal, State, and Medicare taxable earnings for W-2 reporting. This amount is… more
- University of Michigan (Ann Arbor, MI)
- …medical records to ensure accuracy of work and adherence toCenter of Medicare and Medicaid Services (CMS) AHA Official ICD-10-CM/ICD-10-CM Coding Guidelines. Ensure ... correct assignment of Medicare Severity Diagnosis Related Groups (MS-DRG), Risk of Mortality (ROM), Severity of Illness (SOI), Present on Admission (POA), Patient… more
- Rush University Medical Center (Chicago, IL)
- …communicates with Revenue Cycle colleagues, study teams, patients, Office of Research Affairs , IRB, RUMC Compliance, and all partners in the Research Continuum. * ... all internal processes related to research billing. * Stays current on Medicare , National and local, regulations and guidelines, policies and procedures governing… more
- Indian Health Service (Wolf Point, MT)
- …an advocate for Indian patients in securing alternative resources such as Medicare , Medicaid, Department of Veterans Affairs , Bureau of Employment Compensation, ... Department of Human Resources and Tribal offices to establish eligibility for Medicare , AFDC, and Supplemental Social Security Income (SSI) to establish patient… more
- Indian Health Service (Shiprock, NM)
- …the enrollment process. Incumbent reports to the Supervisory Health System Specialist . Responsibilities This position is being re-advertised to solicit additional ... identifies all alternate resources available, such as, but not limited to Medicare , Medicaid, Arizona Health Care Cost Containment System (AHCCCS), Department of… more