- Select Medical (Camp Hill, PA)
- **Overview** ** Medicare Exhaust Specialist** **ON-SITE** **Starting Hourly Rate $20 (based on experience)** **BONUS ELIGIBLE** Are you results-oriented? Our dynamic ... team has the responsibility of resolving outstanding insurance claims...for casual work attire, jeans are our norm! The Medicare Exhaust Specialistsupports the accounts of patients who have… more
- Medical Mutual of Ohio (OH)
- …+ Intermediate proficiency navigating windows and web-based systems and basic Microsoft Office skills. Medical Mutual is looking to grow our team ! We truly value ... looking for compassionate and experienced case managers to support Medicare patients. Ideal candidates will have a strong background...places in and around town, just for being a Medical Mutual team member. + The opportunity… more
- Independent Health (Buffalo, NY)
- …and plans. + Provide support to (or be a) subject matter expert within product team in the review of Medicare Advantage and Part D operations and requirements. ... fosters growth, innovation and collaboration. **Overview** The Training and Product Specialist- Medicare , Senior will be responsible for the design and development of… more
- CareOregon (Portland, OR)
- …non-network clinics in the areas of: + Primary Care focus - Patient-centered medical home leadership, data systems, team -based care, access, clinic support ... alternative payment programs in areas related to patient-centered primary care and high-performing medical homes or to Medicare Stars, CAHPS, and Risk coding.… more
- OhioHealth (Columbus, OH)
- …matter expert in the following areas, S-10, Wage Index, Bad Debts, Medicare Audits, Disproportionate Share, Indirect Medical Education, Graduate Medical ... Description Summary:** This position is responsible for preparing and reviewing the Medicare and Medicaid cost reports for all OhioHealth entities. * This position… more
- CVS Health (Phoenix, AZ)
- …Advocacy Center. The Member Advocacy Center (MAC Team ) is an elite team in Medicare Stars that conducts various high touch omnichannel outreach campaigns ... benefit usage and education, and claims, including but not limited to; medical , dental, prescriptions, and value-added items and services. The service advocate will… more
- Fallon Health (Worcester, MA)
- …leader * Performs other responsibilities as assigned by Clinical Integration Leadership Team **Clinical documentation and data management and reporting** * ... documentation system per department guidelines ensuring all Care Team members are notified of any emergent needs and...depending upon the need * Attends and participates in team 's monthly medical rounds case presentations **Qualifications**… more
- TEKsystems (Plano, TX)
- …information on records. -Request necessary documentation (chartnotes, prescription request, medical records, etc) to bill Medicare . -Ensuring orders are ... patient orders to avoid any unnecessary delays. -Calling providers for medical records. -Reviewed records for accuracy. -Obtained needed documents for missing… more
- PruittHealth (Norcross, GA)
- …responsibilities for all assigned locations. This position functions within a team environment and under general supervision. Successful individuals manage a volume ... skilled at problem solving and account resolution. They work well within a team and help foster an environment where continuous improvement in business processes and… more
- AdventHealth (Altamonte Springs, FL)
- …valid clarifications that are easily understood by physicians and other members of the medical team . . Accurately reconciles all cases in CDI Software. . Assists ... of the patient. The CDS educates members of the patient care team regarding documentation guidelines, including physicians, allied health practitioners, nursing,… more
- BJC HealthCare (St. Louis, MO)
- … documentation improvement; serves as a resource for the clinical documentation improvement specialist team . + Leads provider engagement, establishes ... & technology, analytics, etc.; acts as a consultant to quality managers, management team , medical staff and health care staff regarding core measure performance… more
- Texas Health Resources (Arlington, TX)
- … Documentation Integrity Specialist is responsible for concurrently analyzing medical records to facilitate improvement in the overall quality and completeness ... of the medical record documentation to ensure accurate depiction...HIM professionals, and other ancillary staff. Active participation in team meetings and ongoing education of staff in the… more
- Northwell Health (Lake Success, NY)
- …risk of mortality, and complexity of care provided. Responsible for concurrent inpatient medical record reviews for Medicare , Medicaid and all commercial payers. ... or conflicting documentation . Job Responsibility 1.Facilitates clarification of clinical documentation ensuring accuracy and integrity in the medical record.… more
- MetroHealth (Cleveland, OH)
- …of industry changes impacting role. Educates members of the patient care team both formally and informally regarding clinical documentation guidelines and ... **Location:** **METROHEALTH MEDICAL CENTER** **Biweekly Hours:** **80.00** **Shift:** **8a-4:30p** **The MetroHealth System is redefining health care by going beyond… more
- Prime Healthcare (Victorville, CA)
- …for conducting clinically based concurrent and retrospective reviews of inpatient medical records to evaluate the clinical documentation is reflective ... for acute care services provided. CDS Trainee will collaborate closely with the medical staff to facilitate appropriate clinical documentation of patient care.… more
- Penn State Health (Lancaster, PA)
- …rules of Medicare , Medicaid, and commercial payers preferred. + Electronic medical record and chart review experience preferred. + CCS and/or CCDS preferred. ... Work with program leadership to plan, develop, and implement clinical documentation education programs for CDI specialists and providers. Educate members of… more
- Southeast Health (Dothan, AL)
- Southeast. Always the right career direction. Job Description Summary The Clinical Documentation Specialist facilitates accurate and compliant medical record ... in correct and optimal DRG assignment for selected diagnostic groups. The Clinical Documentation Specialist serves as a resource to hospital and medical staff… more
- USAA (San Antonio, TX)
- …what truly makes us special and impactful. **The Opportunity** USAA Life Company's Claim Team is seeking a talented ** Medical Specialist Principal** to play a ... and claims experience to safeguard long-term morbidity outcomes; providing expert medical consultation on Medicare Supplement policies and claims; conducting… more
- Humana (Dover, DE)
- …clinical reference materials, internal teaching conferences, and other sources of expertise. Medical Directors will learn Medicare and Medicare Advantage ... clinical group practice management. + Utilization management experience in a medical management review organization, such as Medicare Advantage, managed… more
- Sharp HealthCare (Chula Vista, CA)
- **Facility:** Chula Vista Medical Center **City** Chula Vista **Department** **Job Status** Regular **Shift** Night **FTE** 1 **Shift Start Time** **Shift End Time** ... service. This role utilizes Patient Secure to identify the accurate patient medical record while adhering to EMTALA regulations and performs face-to-face interviews… more