- Ventura County (Ventura, CA)
- …is responsible for billing and processing claims appropriately for timeliness in reimbursement and billing compliance with Medi-Cal, Medicare , and general ... and timely payment; + Reviews bulletins to identify new programs that may affect reimbursement for Medi-Cal and/or Medicare and prepares reports; + Serves as… more
- SAIC (TX)
- …medical coding, reimbursement guidelines, and healthcare fraud; commercial reimbursement guidelines and policies; coding audit principles and concepts, ... **Description** SAIC is looking for a Full-Time **Remote** Medical Coder III to provide remote medical coding support to government Medical Treatment Facilities… more
- Medical Mutual of Ohio (Dublin, OH)
- …fully insured and self-funded group coverage, including stop loss, as well as Medicare Advantage, Medicare Supplement, and individual plans. Medical Mutual' s ... policy administration/enforcement, project management, physical security, mainframe provisioning, and audit liaison. Works under close supervision and escalates issues… more
- The County of Los Angeles (Los Angeles, CA)
- …procedures concerning program administration, ensuring compliance with Federal and State Medicare and Medicaid regulations for reimbursement claiming and maximum ... and review methods as necessary. Oversees audits and the implementation of audit recommendations for programs managed. Represents managed programs in meetings with… more
- Hackensack Meridian Health (Hackensack, NJ)
- …denials by:** **I. Peer-to Peer (P2P) Concurrent appeals** **ii. Written Concurrent appeals** ** iii . Recovery Audit Contractors & levels of appeal** **iv. Root ... These include but are not limited to utilization review,** **hospital reimbursement , clinical compliance, case management, and transitions of care, as** **outlined… more
- Hackensack Meridian Health (Hackensack, NJ)
- …clinical denials by: I. Peer-to Peer (P2P) Concurrent appeals ii. Written Concurrent appeals iii . Recovery Audit Contractors & levels of appeal iv. Root cause ... UMC. These include but are not limited to utilization review, hospital reimbursement , clinical compliance, case management, and transitions of care, as outlined in… more
- Baystate Health (Springfield, MA)
- …the first year, with scheduled earned increases + Continuing education support and reimbursement + First Time Home Buyers Financial Packages + Farm Share Memberships ... home, auto and personal insurance + Life insurance + Reimbursement for a variety of wellbeing activities, included but...to transfer and discharge. Explains and obtains signatures for Medicare forms. Organizes chart for Medical Records, faxes or… more
- Baystate Health (Springfield, MA)
- …the first year, with scheduled earned increases Continuing education support and reimbursement First Time Home Buyers Financial Packages Farm Share Memberships 403b ... health Pet, home, auto and personal insurance Life insurance Reimbursement for a variety of wellbeing activities, included but...or GED 1 year of Acute Care Experience Level III High School Diploma or GED 3 years of… more
- HCA Healthcare (Independence, MO)
- …compilation, and reimbursement projects. + Annual completion of tax and audit schedules. + Other projects as assigned. What qualifications you will need: + ... of the hospital including month-end close, maintenance of financial records/files, Medicare reporting and ensuring Sarbanes-Oxley compliance. Join us and become part… more
- CommonSpirit Health Mountain Region (Durango, CO)
- …Review patient satisfaction to ensure excellent quality of care. Chart audit oversight and performance improvement planning for all programs. Oversight of ... town of Durango. It is the only hospital in Colorado to be rated by Medicare with five stars for overall hospital quality. It is recognized for excellence in… more
- City of New York (New York, NY)
- …of Homeless Services (DHS). DSS-AO maintains the operation of the Office of Audit Services (OAS) and Office of Quality Assurance (OQA), Office of Accountability ... Data Analytics & Verification is recruiting for (1) Administrative Staff Analyst NM III to function as an Executive Director, Data Analytics & Verification who will:… more