- Cambia Health Solutions, Inc (Portland, OR)
- … Officer leads the company's Government Programs Compliance efforts, including Medicare Compliance efforts and Federal Employee Program compliance ... experience with Medicare health care products preferred.Knowledge and experience in Medicare Compliance activities and in working effectively with CMS and… more
- Segal (Boston, MA)
- …home) or fully remote (from home). You'll work with a highly talented national compliance consulting team in a role that offers visibility and the opportunity to be ... experience in both the technical and operational sides of compliance -related issues and be expected to evolve as a...and Addiction Equity Act, Affordable Care Act, and other federal health laws.Monitoring federal statutes and regulations… more
- Daiichi Sankyo, Inc. (Bernards, NJ)
- …pharmaceutical therapies to improve standards of care and address diversified, unmet medical needs of people globally by leveraging our world-class science and ... but not limited to, areas of GPO/PBM and trade/distribution agreements, Medicare , Medicaid, product pricing, and government price reporting. Coordination with, and… more
- Signature HealthCARE (Louisville, KY)
- …facilities have achieved a 4 or 5-star overall rating from the Centers for Medicare & Medicaid ServicesAdditionally, we have been awarded as a certified Great Place ... and Modern Healthcare's "Best Places to Work!" Overview Our Medical Records Nurses (LPN) ensure that our residents' records...in accordance with facility policies and with state and federal regulationsHow you Will make a difference In this… more
- Signature HealthCARE (Hodgenville, KY)
- …facilities have achieved a 4 or 5-star overall rating from the Centers for Medicare & Medicaid ServicesAdditionally, we have been awarded as a certified Great Place ... and Modern Healthcare's "Best Places to Work!" Overview Our Medical Records Nurses (LPN) ensure that our residents' records...in accordance with facility policies and with state and federal regulationsHow you Will make a difference In this… more
- Northeast Georgia Health System, Inc (Gainesville, GA)
- …system in cash collection while accurately complying with billing guidelines.Monitor compliance with corporate, federal , and state guidelines.Oversees all cost ... Coding, modifiers, billing regulations, DRGs and APCsUnderstanding of Graduate Medical Education and health care financing issuesPossess effective time management… more
- Eisai, Inc (Boston, MA)
- …the US healthcare system across major payer segments ( Medicare , Medicaid, Federal , and Commercial) Strong understanding of medical and pharmacy benefits, ... At Eisai, satisfying unmet medical needs and increasing the benefits healthcare provides...Customers: Market Access, Marketing Teams, Government Relations, Legal and Compliance Key External Customers: Health Care Professionals and stakeholders… more
- Signature HealthCARE (Lexington, KY)
- …of the MDS process, including resident assessments, care planning, documentation, compliance with federal and state regulations, and interdisciplinary team ... a deep understanding of MDS regulations and guidelines to maintain compliance with federal and state requirementsInterdisciplinary Collaboration: Work closely… more
- Careers Integrated Resources Inc (Atlanta, GA)
- …understand and translate CPT, HCPC, ICD-9/ICD-10 codes for HCC abstraction. Review medical records for completeness, accuracy and compliance with applicable ... AHA Coding Clinic Guidance, and in accordance with all state regulations, federal regulations, internal policies, and internal procedures. HCC Risk Adjustment Coders… more
- Northeast Georgia Health System, Inc (Gainesville, GA)
- …with emphasis on care of terminally ill patients, adults in acute care medical and surgical areas/home care. Additional experience with children and infants desired. ... with emphasis on care of terminally ill patients, adults in acute care medical and surgical areas/home care. Additional experience with children and infants desired.… more
- Signature HealthCARE (Nashville, TN)
- …facilities have achieved a 4 or 5-star overall rating from the Centers for Medicare & Medicaid Services. Additionally, we have been awarded as a certified Great ... How you Will make a difference Ensure that a company-wide regulatory compliance program is ongoing in accordance with company policies, standards of clinical… more
- GHR Healthcare (Atlanta, GA)
- …acute care and hospital patient discharges, maintaining a 96% accuracy rate. Compliance : Demonstrate adherence to policies, procedures, and federal guidelines ... Remote Inpatient Opportunity: Join Our Team as a Medical Coder! Summary: The Medical Coder...for billing. Regulatory Compliance : Perform duties in compliance with Centers for Medicaid & Medicare … more
- Signature HealthCARE (Owensboro, KY)
- …facilities have achieved a 4 or 5-star overall rating from the Centers for Medicare & Medicaid ServicesAdditionally, we have been awarded as a certified Great Place ... How you Will make a difference Ensure that a company-wide regulatory compliance program is ongoing in accordance with company policies, standards of clinical… more
- The George Washington University (Washington, DC)
- …SMHS finance and the GWU Office of Clinical Research (GWOCR) in compliance , technical, fiscal, and administrative services required to support cancer clinical trials ... including, clinical research billing compliance , invoicing, and financial reporting. This individual will assist...are sufficient to cover costs and are compliant with federal guidelines. Setting up of internal clinical trials files… more
- Northeast Georgia Health System, Inc (Gainesville, GA)
- …with emphasis on care of terminally ill patients, adults in acute care medical and surgical areas/home care. Additional experience with children and infants desired. ... of patient admission to the hospice program based on state, federal and regulatory requirements, hospice admission criteria and in consultation/coordination with… more
- Northeast Georgia Health System, Inc (Gainesville, GA)
- …Emphasis on care of terminally ill patients, adults in acute care medical and surgical areas/home care preferred. Additional experience with children and infants ... of patient admission to the hospice program based on state, federal and regulatory requirements, hospice admission criteria and in consultation/coordination with… more
- Blanchard Valley Health System (Findlay, OH)
- …to HIPAA related privacy, security and transaction & code set regulations in compliance with the federal guidelines. Accurately documents all account activity. ... paperwork, and documenting interviews with patients. Duty 4. Completes electronic medical records system processes for government programs and financial assistance… more
- Signature HealthCARE (Nashville, TN)
- …facilities have achieved a 4 or 5-star overall rating from the Centers for Medicare & Medicaid ServicesAdditionally, we have been awarded as a certified Great Place ... in accordance with Company policies, standards of nursing practices, Reimbursement compliance and governmental regulations, in order to maintain excellent care of… more
- Healthfirst (NY)
- …performance + Medical and Pharmacy Part D cost savings + Medicare Star Ratings/member experience. ** Compliance & Regulatory Responsibilities:** Noted above. ... specific Medicare performance areas such as Risk Score Accuracy, Medicare Clinical Programming and Operations, Provider Performance, Medical and Pharmacy… more
- Humana (Columbus, OH)
- …clinical reference materials, internal teaching conferences, and other sources of expertise. Medical Directors will learn Medicare and Medicare Advantage ... clinical group practice management. + Utilization management experience in a medical management review organization, such as Medicare Advantage, managed… more
