- Northeast Georgia Health System, Inc (Gainesville, GA)
- …reporting for governmental entities, including, but not limited to IRS, Medicare , Medicaid, pension, state filings and involvement/approval in other reports ... or disclosure. Responsible for coordinating and executing the annual external audit and implementing and operating all financial reporting and charge capture… more
- Cambia Health Solutions, Inc (Portland, OR)
- …Qualifications: Bachelor's degree in a related fieldMinimum 5 years of Medicare Advantage or Commercial risk adjustment experience includingMinimum 4 years of ... experience in a HCC Coding Audit or Network Management roleEquivalent combination of education and experience.CRC credentials a mustSkills and Attributes: Strong… more
- Elevance Health (Tampa, FL)
- ** Audit & Reimbursement Senior -** ** Medicare Cost Report Audit ** **Locations:** This is a virtual position, the ideal candidate will live within 50 ... and Medicaid Services to transform federal health programs. The ** Audit and Reimbursement Senior ** , will support our Medicare Administrative Contract… more
- Elevance Health (Dearborn, MI)
- …Medicaid Services to transform federal health programs. The ** Audit and Reimbursement Senior -Appeals** will support our Medicare Administrative Contract ... ** Audit & Reimbursement Senior -...** Audit & Reimbursement Senior - Appeals** _This is a...Services). The Audit and Reimbursement Senior will support contractual workload involving complex Medicare… more
- AdventHealth (Altamonte Springs, FL)
- …**Job Location** : Hybrid; Altamonte Springs, FL **The role you'll contribute:** The Senior Reimbursement Analyst is responsible for preparing and filing the ... third party balances of AdventHealth + Review the reasonableness of hospital interim reimbursement rates and special payments received from Medicare and Medicaid… more
- The Cigna Group (Bloomfield, CT)
- As a member of the clinical senior leadership team, the Chief of Staff for the Medicare Clinical Strategy team will report directly to the Vice President (VP) ... and Chief Medical Officer for Cigna Medicare (CMO), and will be responsible for supporting the...synthesized set of business updates and strategies for a senior executive-level audience. Ideally, this high-potential candidate uses this… more
- Vanderbilt University Medical Center (Nashville, TN)
- …**Federal & State R** **eporting and Defense** + Manages production aspects of Medicare & State reimbursement including completing mandatory State and /or ... in patient care, education, and research. **Organization:** Finance - Reimbursement Strate **Job Summary:** The primary purpose of this...990 Schedule H or specific components of the annual Medicare cost report. Can serve in the roles of… more
- University of Michigan (Ann Arbor, MI)
- Reimbursement Analyst Senior Apply Now **How to Apply** A cover letter is required for consideration for this position, and it should be attached as the first ... leadership, affiliated hospitals, payers, outside agencies and government entities. The reimbursement analyst will maintain current knowledge of Medicare ,… more
- Prime Healthcare (Ontario, CA)
- …preparation of various government reports and support their audits. The Corporate Senior Government Reimbursement Specialist is responsible for preparing and ... understanding the complexity of a cost report. The Corporate Senior Government Reimbursement Specialist fully understands how...a multi-state hospital system and provide the support at audit + Knowledge of Medicare rules on… more
- CenterWell (Carson City, NV)
- …various reimbursement methodologies, including risk adjustment, fee for service, Medicare , etc. + Passionate about contributing to an organization focused on ... ICD-10-CM, CPT, & HCPCS codes that are submitted to the Centers for Medicare and Medicaid Services (CMS), other payers, and over government agencies. In addition,… more
- ProMedica Health System (Toledo, OH)
- Senior Reimbursement Analyst is responsible for hospital month-end revenue accounting, cost report preparation, audits and regulatory analyses. The position will ... *All duties listed below are essential unless noted otherwise* 1. Prepare Medicare , Medicaid and Tricare cost reports in compliance with government regulations. Cost… more
- Texas Health Resources (Arlington, TX)
- **Revenue Cycle Manager Charge Capture Senior Analyst** _Texas Health Resources is looking for a top skilled Revenue Cycle Manager Charge Capture Senior Analyst. ... or decision support/database management is required. Familiarity with analyzing Medicare fiscal intermediary bulletins, CMS memorandums and have the ability… more
- Ventura County (Ventura, CA)
- Behavioral Health Finance Analyst I/II/ Senior Print (https://www.governmentjobs.com/careers/ventura/jobs/newprint/4617164) Apply Behavioral Health Finance Analyst ... I/II/ Senior Salary $75,660.36 - $129,463.29 Annually Location Oxnard, CA...auditors. Oversees audits, interprets and assists with resolution to audit findings; + Plans, schedules and coordinates all aspects… more
- Blue Cross and Blue Shield of Louisiana (Baton Rouge, LA)
- …under the direction of the departmental director and working closely with more senior level reimbursement staff. May serve on related committees. + Identifies ... hoc requests such as auditing of contracts, responses to RFI/RFPs, researching Medicare and other industry policies and reimbursement methodologies. Compiles fee… more
- Nuvance Health (Danbury, CT)
- …*Summary:* Reporting to the Special Associate Compliance Officer (SACO) Physician Audit & Billing, the Senior Inpatient Professional Auditor providesHospital ... on auditing results. Effectively uses abstracting databases, internal and external audit results, QIO reports and revenue cycle edit/denial information. Effectively… more
- CommonSpirit Health (Englewood, CO)
- …happen both inside our hospitals and out in the community. **Responsibilities** The ** Senior Reimbursement Analyst i** s responsible for providing cost report ... preparation, cost report appeals, audit preparation and other duties...the improvement of internal business processes and meeting future reimbursement service needs. The Senior Reimbursement… more
- Blue Cross and Blue Shield of Louisiana (Baton Rouge, LA)
- …must be in contact with: Medical Directors, departmental management in Provider Reimbursement , Provider Audit , Medical Management, IT, BCBSLA Network physicians, ... analysis and application of CPT, HCPCS, and ICD-10-CM coding, billing and reimbursement guidelines for Medicare and private payers required. **Skills and**… more
- Trinity Health (Columbus, OH)
- …Shift **Description:** **Why MediGold?** MediGold (https://medigold.com/) is a not-for-profit Medicare Advantage insurance plan serving seniors and other Medicare ... a wide variety of professional roles including information technology, financial analysis, audit , provider relations and more. We know that exceptional patient care… more
- AdventHealth (Sebring, FL)
- …by AHS Corporate including internal audit , cash management, and reimbursement reviews. The Senior Accountant works collaboratively with Adventist Health ... functions of the Accounting Department that include Fixed Assets, Foundation, Reimbursement , Cash, Tax, and Government Reporting.The Senior Accountant routinely… more
- Lucile Packard Children's Hospital Stanford (Palo Alto, CA)
- …paragraph summarizes the general nature, level and purpose of the job. The Senior Charge Capture Auditor works closely with clinical departments to ensure compliance ... is also responsible for managing Med Assets charge capture audit results, conducting root cause analysis and taking corrective...Service Standards and its Code of Conduct. + Assists Senior Financial Manager with removing coding exceptions from CDM… more
