- Humana (Bismarck, ND)
- **Become a part of our caring community and help us put health first** The Medicaid ( PPS ) Provider Hospital Reimbursement Analyst also known as a Senior ... Pricer Business and System Support team responsible for administering complex Medicaid provider reimbursement methodologies. The associate will support existing… more
- Avera (Fargo, ND)
- …+ Experience in all reimbursement settings such as, Prospective Payment Hospitals ( PPS ), Sole Community Hospitals (SCH), Critical Access Hospital (CAH), Rural ... be responsible for the oversight of reimbursement associated with the Medicare, Medicaid , Tricare and any other governmental cost reports and regulatory support for… more
- Sutter Health (Sacramento, 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
- Covenant Health (Lewiston, ME)
- …to patients by referral of a physician or other appropriate healthcare provider . Essential Duties and Responsibilities * Supports and promotes the mission and ... under the order of a physician or other accepted healthcare provider while observing precautions, indications, and contraindications. * Evaluates patients per… more
- Fairview Health Services (St. Paul, MN)
- …are applicable to each government payment system, including the Prospective Payment Systems ( PPS ) for inpatient and outpatient hospital services and the Medicare ... and/or outpatient coding certifications with specific experience in auditing provider documentation, coding, and billing of professional and/or outpatient facility… more
- Sunnyside Nursing and Post-Acute Care (Torrance, CA)
- …the appropriate assignment of Impairment Groups under the Preferred Payment System ( PPS ) for Rehabilitation and UDS data submission, as applies to rehab locations. ... Timely submits required data to the Center for Medicare and Medicaid Services (CMS). + CHART AUDITS/COMPLIANCE: Coordinates monthly interdisciplinary record reviews.… more