- Sedgwick (Columbus, OH)
- …guidelines. **ESSENTIAL FUNCTIONS and RESPONSIBILITIES** + Prepares and drafts complex Medicare Set-Asides (MSAs), Medical Cost Projects (MCPs), Submission ... MCPs in preparation for reserve setting or settlement. + Performs comprehensive medical record reviews and evaluates Workers' Compensation Medicare Set-Aside… more
- AdventHealth (Altamonte Springs, FL)
- …in a timely and efficient manner . Update, review, and maintain supporting documentation for the Medicare and Medicaid Uniform Contractual Worksheet-Third Party ... and State Medicaid programs, including changes affecting hospital reimbursement of Medicare bad debt, graduate medical education, disproportionate share hospital… more
- Point32Health (Canton, MA)
- …Manager will participate in product strategy/bid planning meetings led by Product Strategy team to provide subject matter expertise, as needed, on matters related to ... be responsible for either directly populating the PBPs or will oversee the team 's Product Specialists who populate the PBPs with approved benefit details. The Senior… more
- Ochsner Health (New Orleans, LA)
- …assignments and managing projects in the areas of state licensing regulations, Medicare certification, Medicaid enrollment, and Medicare required time studies. ... conference calls. Train staff and physicians in completion of Medicare time studies as needed. To perform this job...identify underlying issues or problems. + Strong interpersonal and team building skills and ability to interact with individuals… more
- Zelis (TX)
- Position Overview: The Medicare Regulatory Pricer Analyst will collaborate with the Zelis Regulatory Pricer Product team to further the company's goals by ... communicating rules, regulations, and procedures pertaining to public and private Medicare / Medicare Advantage payment systems. This position requires an in-depth… more
- Cedars-Sinai (CA)
- …Corporation's Consumer Choice Award 19 years in a row for providing the highest-quality medical care in Los Angeles. Join us! Discover why US News & World Report ... and collections policy and practices. Incumbents may assist other team members. This position may be cross trained in...and written, to achieve desired results. + Adheres to documentation standards of the department and properly uses activity… more
- Public Consulting Group (Columbus, OH)
- …process improvements. + Assist with the Medicaid cost report audit support and documentation . + Responsibilities may change as the department and PCG grow and as ... principles . Experience with project accounting. . Experience with Medicare or Medicaid cost reporting preferred . Experience with...to the office or elsewhere may be required for team meetings, client meetings, etc. We are accepting applications… more
- Community Health Systems (Oro Valley, AZ)
- …Summary** The Medicare IRF PAI Coordinator is responsible for ensuring documentation in patient's medical records are accurate, detailed, and supports all ... admission in the Hospital/Facility. This position is also responsible for training new team members regarding their role in the patient assessment scoring as well as… more
- Mount Sinai Health System (New York, NY)
- **Job Description** **Accounting Clerk- Patient Financial Services ( Medicare & Medicaid Claims Follow-Up)-Corporate 150 East 42nd Street - Full-Time Days** Under the ... (oral and written) + The ability to work independently and on a team + Knowledgeable with the Patient Accounts System(s): Eagle, MEMS, Trac/On-Trac, Cirius, FSS,… more
- Hackensack Meridian Health (Neptune, NJ)
- …(RN)** facilitates improvement in the overall quality, completeness and accuracy of medical record documentation for assigned hospital/s of Hackensack Meridian ... and accurate. Educates all members of the patient care team on documentation guidelines, on an on-going... completeness and compliance with patient status. Facilitates accurate documentation for severity of illness and medical … more
- Fairview Health Services (St. Paul, MN)
- … issues, guidelines, and unanswered queries. + Promotes compliance with CMS, Medicare documentation , and coding and billing regulations. + Participates in ... **Overview** We at M Health Fairview are looking for a Remote Outpatient Clinical Documentation Integrity (CDI) Specialist to join our team ! This is a fully… more
- SSM Health (MO)
- …care team member, an auditor, and an educator ensuring medical records are complete and clinical documentation comprehensively represents the ... or medical school, or Associate's degree and Certified Clinical Documentation Specialist (CCDS) certification from the Association of Clinical Documentation … more
- Northwell Health (Lake Success, NY)
- …risk of mortality, and complexity of care provided. Responsible for concurrent inpatient medical record reviews for Medicare , Medicaid and all commercial payers. ... or conflicting documentation . Job Responsibility 1.Facilitates clarification of clinical documentation ensuring accuracy and integrity in the medical record.… more
- Tidelands Health (Georgetown, SC)
- …practices, especially disease management and health and wellness programs. + Works with the Medical Staff and Documentation Team members to provide physician ... for day-to-day evaluation of documentation by the Medical Staff and healthcare team in accordance... Program. Ensures overall quality and completeness of clinical documentation for Medicare , Medicaid or other payers… more
- UCLA Health (Los Angeles, CA)
- …and mid-levels; and assisting with appropriate documentation strategies. Partnering with Medical Coding, Case Management and the Quality team , you will ... UCLA Health. You will become a member of our highly successful of our Documentation Improvement Integrity team , including all modalities. This will involve daily… more
- Trinity Health (Maywood, IL)
- …Position is hybrid, must reside in Illinois. The **Regional Utilization Review Documentation Specialist** nurse works with the multidisciplinary team including ... Hospitals. **Position will be responsible for Gottlieb Memorial Hospital, Loyola University Medical Center, and MacNeal Hospital. Office location is Loyola campus.… more
- Medical Mutual of Ohio (OH)
- …self-funded group coverage, including stop loss, as well as Medicare Advantage, Medicare Supplement and individual plans. Medical Mutual' s status as a ... achieve their best possible health and quality of life. **Responsibilities** ** Medical Coding Compliance Specialist I** Optimizes/reviews documentation for the… more
- MetroHealth (Cleveland, OH)
- …of industry changes impacting role. Educates members of the patient care team both formally and informally regarding clinical documentation guidelines and ... **Location:** **METROHEALTH MEDICAL CENTER** **Biweekly Hours:** **80.00** **Shift:** **8a-430p** **The MetroHealth System is redefining health care by going beyond … more
- Avera (Sioux Falls, SD)
- …of something great! **Position Highlights** **Position Summary:** The Clinical Documentation Improvement Specialist (CDIS) reviews inpatient medical records ... while patients are still in-house (concurrent review) for proper documentation as it relates to revenue cycle elements (ie...as an ability to communicate effectively with the clinical team . **Work Schedule:** Forty hours per week, Monday through… more
- Marshfield Clinic (Marshfield, WI)
- …**JOB SUMMARY** The Clinical Documentation Integrity Specialist (CDS) facilitates accurate documentation in the medical record for patient care, risk of ... most exciting missions in the world!** **Job Title:** Clinical Documentation Integrity Specialist (Remote in Wisconsin/Michigan) **Cost Center:** 101651052… more