- Hackensack Meridian Health (Paramus, NJ)
- …healthcare and serve as a leader of positive change. The ** Regulatory Specialist ** is responsible for ensuring compliance with Federal, State, and Local ... assigned clinical trials. **Responsibilities** A day in the life of a ** Regulatory Specialist ** at **Hackensack Meridian** **_Health_** includes: + Organizes and… more
- Hackensack Meridian Health (Neptune, NJ)
- …and Disease Process. + Knowledge of Medicare Part A. + Familiar with Medicare Part B. + Knowledge of the regulatory environment. + Understand and support ... and serve as a leader of positive change. The Clinical Documentation Specialist facilitates improvement in the overall quality, completeness and accuracy of medical… more
- Mount Sinai Health System (New York, NY)
- …progress of corrective action plans/improvement projects and provides feedback on regulatory compliance . Provides comprehensive reports to stakeholders, as ... **Job Description** A member of MSHS regulatory team, the Accreditation Specialist is...readiness program. Responsible for providing direction and oversight for regulatory and accreditation compliance including The Joint… more
- VNS Health (Manhattan, NY)
- …Care (MLTC), Medicare Advantage (MA), or Select Health. Ensures regulatory compliance , timeliness requirements and accuracy standards are met. Coordinates ... You Will Do + Develops and maintains current knowledge of state and federal regulatory requirements related to all aspects of grievances and appeals for Medicare … more
- Hackensack Meridian Health (Hackensack, NJ)
- …and serve as a leader of positive change. The **Patient Access Specialist ** is responsible for all Inpatient and Outpatient Patient Access functions within ... Meridian _Health_ (HMH). Conducts quality interviews with every patient to ensure compliance with patient safety rules and state and federal regulations. Gathers… more
- Hackensack Meridian Health (Hackensack, NJ)
- …transitions of care, as outlined in the responsibilities below. **Responsibilities** 1. Regulatory compliance a. Provides direction and support regarding CMS & ... **Overview** The Senior Utilization Review Specialist collaborates with the healthcare team in the...on length of stay, level of care requirements and Medicare regulations, and Major Complications or Comorbidities (MCC) /… more
- Northwell Health (Valley Stream, NY)
- …to maximize reimbursement. + Carries out routine correspondence. + Ensures compliance to organization policies and procedures, and regulatory requirements. ... organization of assessment for patients/residents to comply with Centers for Medicare and Medicaid Services (CMS) and Department of Health requirements; assessing… more
- TEKsystems (Melville, NY)
- …limited to CPT, HCPCS, modifier, revenue codes and CDM descriptions to assure compliance and regulatory requirements. * Hospital or Physician coding and billing ... of identifying system improvements. + Documents system performance, to ensure accuracy, compliance , and to improve revenue. + Performs audits to evaluate if all… more
- Northwell Health (Lake Success, NY)
- …Healthcare Compliance (CHC) a plus. + Current knowledge of regulatory requirements, hospital and physician practice guidelines as established by all applicable ... **Req Number** 136687 Job Description As one of Northwell's Corporate Compliance Director of Audit, you will be assigned responsibility to oversee the daily… more
- Hackensack Meridian Health (Hackensack, NJ)
- …is responsible for auditing clinical documentation that supports code assignment for compliance with billing regulations, this includes compliance with the ... group appropriateness, audits for missed secondary diagnoses and procedures, and ensures compliance with all DRG mandates and reporting requirements. + Monitors … more
- Hackensack Meridian Health (Neptune, NJ)
- …healthcare and serve as a leader of positive change. The Patient Access Specialist , Oncology provides assistance to patients, Physicians, caregivers in all areas of ... A day in the life of a Patient Access Specialist for Oncology with Hackensack Meridian Health includes: +...is required should a treatment plan change. + Follow Medicare rules for medical necessity and inform clinical care… more
- Banner Health (New York, NY)
- …knowledge of clinical documentation and its impact on reimbursement under Medicare Severity Adjusted System (MS-DRG), and Ambulatory Payment Classification (APC) or ... coding is accurate for proper reimbursement and that coding compliance is complete. Monitors coding work and trends, then...assessments. 6. Maintains a current knowledge in all coding regulatory updates, and in all software used for coding… more
- Aston Carter (Morristown, NJ)
- …maintaining meticulous records for transparency and accuracy. * Supervise and coordinate Medicare regulatory reporting requirements, ensuring compliance with ... Job Title: Data Entry/Claims Specialist Job Description * Facilitate the First Notice...manage OFAC alerts, demonstrating acute attention to detail and regulatory adherence. * Conduct monthly audit reporting, meticulously reviewing… more
- Northwell Health (Lake Success, NY)
- …Hospital Discharge Data Set (UHDDS) definitions as well as any additional regulatory guidelines and/ or coding references to select the principal diagnosis, ... for all records as required and in accordance with the Centers for Medicare and Medicaid Services (CMS) rules and regulations. 7.Make determinations on medical… more
- Hackensack Meridian Health (Hackensack, NJ)
- …environment, and ongoing facilitation of practice improvement methodologies to ensure compliance with regulatory and NCQA standards. Dispute Resolution For ... as assigned, including but not limited to work on Commercial and Medicare quality contracts, Roster Management, Health and wellness campaigns. **Responsibilities** A… more
- Hackensack Meridian Health (Edison, NJ)
- …_Health_ includes **:** + Assigns codes for reimbursements, research and compliance with regulatory requirements utilizing guidelines and coding conventions. ... Common Procedure Coding System (HCPCS) Guidelines for Coding and Centers for Medicare and Medicaid Services (CMS) directives across Hackensack Meridian Health (HMH)… more
- Atlantic Health System (Morristown, NJ)
- …and accessories on a regular basis while monitoring SPD supply areas for compliance to regulatory agencies. Job Function 03: Obtains, returns, and delivers ... Nursing Units, Sterile Processing Team Members, and Cardiovascular Clinical Specialist . Job Function 07: Demonstrates ability to handle changing priorities… more