- Ciena Healthcare (Perrinton, MI)
- …Maintains current knowledge of applicable managed care, Medicare and state Medicaid regulations, reimbursement systems and methodology. + Aids in assigning ... social services, therapy, dietary, and activity staff. + Reviews information from hospital , consults and outside agencies and uses such information in the completion… more
- Bon Secours Mercy Health (Greenville, SC)
- …the extraction of all clinical documentation necessary to qualify a patient for hospital level of care utilizing the information maintained in the electronic medical ... record (ConnectCare(R)). + Provide a positive financial impact to the institution through...experience preferred. + Familiar with Medicare MS-DRGs and Medicare PPS preferred. + Performance Improvement (PI) experience preferred. +… more
- LifePoint Health (Martinsville, VA)
- …a working knowledge of billing regulations, including but not limited to Medicare IP PPS and OPPS, Medicaid and commercial billing guidelines, a must. Strong ... loss leaders and improvements by service line, payer and provider . * * . Document and track all RAC...Maintains e-requests. . Works with departments which impact the hospital 's ability to develop and document processes which facilitate… more
- Sutter Health (San Francisco, CA)
- …Organization (HMO), Preferred Provider Organization (PPO), Patient Processing Service ( PPS ),Centers for Medicare and Medicaid Services (GR) Grouper (CMS) ... Physician Advisor (PA) is a key member of the hospital 's leadership team charged with meeting the organization's goals...and strengthening the relationship with System Enterprise and the hospital to appropriately optimize the use of Sutter Health… more