- UCLA Health (Los Angeles, CA)
- Description As the Clinical Documentation Integrity Specialist - Medicare Advantage Risk Adjustment, you will be an expert in risk adjustment coding and ... individual with: + A Certified Professional Coder (CPC) certification or Certified Coding Specialist (CCS) certification, required + A Certified … more
- CVS Health (Monroeville, PA)
- …to communicate with clientele in a professional manner; both verbally and written + Certified Billing and Coding Specialist (CBCS) preferred but not required . ... parking. **What you will do** + Timely response to Medicare audits and appeals + Research and gather the...appropriate documentation to form all levels of appeals for Medicare + Third party follow-up associated with the dispensing… more
- State of Colorado (Grand Junction, CO)
- Board Certified Behavior Analyst (BCBA), (Clinical Behavioral Specialist II) - Grand Junction Print ... (https://www.governmentjobs.com/careers/colorado/jobs/newprint/4726146) Apply Board Certified Behavior Analyst (BCBA), (Clinical Behavioral Specialist II) -… more
- State of Georgia (Gwinnett County, GA)
- Certified Peer Specialist (CPS) - Gwinnett Co. Jail In-Reach Program - Lawrenceville, GA. Georgia - Gwinnett ... that incorporates effective community-based services. TO APPLY PLEASE USE THE LINK PROVIDED Certified Peer Specialist (CPS) - Gwinnett Co. Jail In-Reach Program… more
- State of Georgia (Decatur, GA)
- Certified Peer Specialist Parent (CPS-P) - C&A CSU - Decatur, GA. Georgia - Decatur (https://careers.georgia.gov/jobs/59647/other-jobs-matching/location-only) ... strengths, natural supports, and community resources. TO APPLY PLEASE USE THE LINK PROVIDED Certified Peer Specialist Parent (CPS-P) - C&A CSU - Decatur, GA.… more
- State of Georgia (Newton, GA)
- Certified Peer Specialist - New Rock Peer Support - Covington, GA Georgia - Newton - Covington ... disabilities. View Point Health serves uninsured, underinsured, low-income Medicaid, Medicare , war veterans and some private insurance across multiple locations… more
- Northwell Health (Lake Success, NY)
- …of care provided. Responsible for concurrent inpatient medical record reviews for Medicare , Medicaid and all commercial payers. Generates queries and have follow up ... discussions with physicians for clarification of ambiguous or conflicting documentation. Job Responsibility 1.Facilitates clarification of clinical documentation ensuring accuracy and integrity in the medical record. 2.Facilitates appropriate clinical… more
- Medical Mutual of Ohio (Brooklyn, OH)
- …or related field.** **.** **5 years of experience as a Sourcing Specialist or equivalent experience.** **Professional Certification(s):** . Certified Purchasing ... or related field.** **.** **7 years of experience as a Sourcing Specialist or equivalent experience.** **Professional Certification(s):** . Certified Purchasing… more
- Medical Mutual of Ohio (Brooklyn, OH)
- **_The Claims/Customer Care Specialist - TPA position allows you the flexibility to work at home as long as you reside within a 50-mile radius of an Ohio Medical ... fully insured and self-funded group coverage, including stop loss, as well as Medicare Advantage, Medicare Supplement and individual plans. Medical Mutual' s… more
- Fairview Health Services (St. Paul, MN)
- …Health Information Technician (RHIT), Registered Health Information Administrator (RHIA), Certified Coding Specialist (CCS), Certified Professional ... Coder (CPC), Certified Coding Specialist - Professional (CCS-P), Certified Professional Coder - Hospital (CPC-H), Certified Clinical Documentation … more
- Louisiana Department of State Civil Service (LA)
- …from Medical Certification Specialist 2 by the absence of Centers for Medicare and Medicaid Services certification and by the level of independence exercised in ... Medical Certification Specialist 1-2 Print (https://www.governmentjobs.com/careers/louisiana/jobs/newprint/4740168) Apply Medical Certification Specialist 1-2… more
- Medical Mutual of Ohio (OH)
- **Responsibilities** **COB Specialist I** Researches and responds to inquiries/issues to ascertain specifics of multiple health insurance coverages for members and ... and other insurance companies. . Performs other duties as assigned. **Sr. COB Specialist ** Performs research to ascertain specifics of other coverage for members and… more
- Medical Mutual of Ohio (Brooklyn, OH)
- …consider collective experience, training and education. . 5 years as an Appeals Specialist or equivalent experience in Medicare health insurance claims, customer ... denial issues related to appeal requests. Completes cases within the Center for Medicare & Medicaid Services (CMS) timeframes. . Utilizes the appropriate systems and… more
- Priority Health Care (Marrero, LA)
- …EDUCATION, CERTIFICATIONS & EXPERIENCE: + Certified Professional Biller (CPB), Certified Medical Reimbursement Specialist (CMRS), Certified Professional ... JOB SUMMARY: The Revenue Cycle Specialist II must adhere to the Code of...regulations of state and federal regulatory agencies and other certified agencies. MAJOR RESPONSIBILITIES/ACTIVITIES: The responsibilities of the Revenue… more
- Lancaster General Health (Lancaster, PA)
- …REQUIRED QUALIFICATIONS:** + High school diploma or equivalent (GED) + Certification as Certified Coding Specialist for Physicians (CCS-P) or a Certified ... Health Information Technician), RHIA (Registered Health Information Administrator), CCS ( Certified Coding Specialist ), COC-A ( Certified Outpatient… more
- Medical Mutual of Ohio (Toledo, OH)
- …Association (AHIMA) + RHIT (Registered Health Information Technician) and/or + CCS/CCS-P ( Certified Coding Specialist /Physician-based + CRC ( Certified Risk ... of risk adjustment coding for ACA (Affordable Care Act) and MA ( Medicare Advantage) with assigning and maintaining diagnoses medical codes. Evaluates requests for… more
- Adams County Government (Westminster, CO)
- …related field is preferred + Registered Health Information Technician (RHIT), OR Certified Coding Specialist (CCS) credential through American Health Information ... Medical Billing and Coding Specialist Print (https://www.governmentjobs.com/careers/adams/jobs/newprint/4744793) Apply Medical Billing and Coding Specialist … more
- Marshfield Clinic (Marshfield, WI)
- …if restrictions are substantially related to the position. **Minimum Required** : Certified Child Life Specialist (CCLS) certification awarded by the Association ... or American Red Cross within one month of hire. **Preferred/Optional:** Certified Therapeutic Recreation Specialist (CTRS) certification awarded by the… more
- Medical Mutual of Ohio (OH)
- …insured and self-funded group coverage, including stop loss, as well as Medicare Advantage, Medicare Supplement, and individual plans. Analyzes the delivery, ... or related field. + 3 years experience as a Learning & Development Specialist or equivalent experience in adult learning or organizational development, preferably in… more
- Hackensack Meridian Health (Neptune, NJ)
- …and Certifications Required:** + Current state Registered Nurse license. + Certified Clinical Documentation Specialist (CCDS) or certification within two ... and serve as a leader of positive change. The **Clinical Documentation Specialist RN** facilitates improvement in the overall quality, completeness and accuracy of… more