- Independent Living Systems (Miami, FL)
- …including Medicare and Medicaid reimbursement methodologies (ie Per Diem, PPS , FFS, APG, Capitation, etc.) required. Must possess good understanding of claim ... in agile project environments. Responsibilities: Maintain data integrity of provider set-ups and reimbursement configurations, including timely updates and… more
- Humana (Honolulu, HI)
- **Become a part of our caring community and help us put health first** The Medicare ( PPS ) Provider Hospital Reimbursement Analyst also known as a Senior ... the Pricer Business and System Support team responsible for administering complex Medicare provider reimbursement methodologies. The business needs of the team… more
- UCLA Health (Los Angeles, CA)
- …+ Support audit requests from financial, federal, and state agencies. + Calculate annual PPS Medicare rates for internal hospital coding. Salary Range: ... lead the preparation and review of financial and statistical information for Medicare and Medi-Cal cost reports. You will collaborate across departments to ensure… more
- HCA Healthcare (Austin, TX)
- …Minimum of one or more years of home health, public nursing or acute hospital nursing experience + Familiar with Medicare home health regulations, documentation ... Home which is a part of the nation's leading provider of healthcare services, HCA Healthcare. T **he territory...more years of home health, public nursing or acute hospital nursing experience Familiar with Medicare home… more
- Community Health Systems (Springdale, AR)
- …ACO Scorecard data and CMS performance metrics. + Tracks discharge patterns for Medicare patients, collaborating with hospital and post-acute care teams to ... that patients receive the highest quality of care while responsibly managing Medicare resources. The CCC is responsible for managing patient transitions between… more
- Avera (Sioux Falls, SD)
- …+ Experience in all reimbursement settings such as, Prospective Payment Hospitals ( PPS ), Sole Community Hospitals (SCH), Critical Access Hospital (CAH), Rural ... sign-on and relocation assistance. Seeking a candidate with 5+ years of Medicare Cost Reporting experience. Avera offers competitive salary and benefits! **You… more
- HCA Healthcare (San Antonio, TX)
- …to join Methodist Hospital which is part of the nation's leading provider of healthcare services, HCA Healthcare. **Benefits** Methodist Hospital offers a ... spending accounts, supplemental health protection plans (accident, critical illness, hospital indemnity), auto and home insurance, identity theft protection, legal… more
- HCA Healthcare (Jacksonville, FL)
- …Minimum of one or more years of home health, public nursing or acute hospital nursing experience + Familiar with Medicare home health regulations, documentation ... Florida Healthcare at Home our nurses set us apart from any other healthcare provider . We are seeking a(an) Registered Nurse Home Health PRN to join our healthcare… more
- LA Care Health Plan (Los Angeles, CA)
- …agreements, applicable laws & regulations, policies, and industry standards which provide medical, hospital , vision, dental, behavioral health, transportation ... Plan is an independent public agency created by the state of California to provide health coverage to low-income Los Angeles County residents. We are the nation's… more
- Sutter Health (Emeryville, 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
- Sutter Health (Modesto, 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
- Avera (Sioux Falls, SD)
- …term, and ambulatory care facilities. **What you will do** + Audits hospital /clinic coded charts and provides written reports with findings and recommendations. + ... activities based on various types of reviews including but not limited to PPS , CAH and Professional Physician services. + Provides consultant services to non-Avera… more
- HCA Healthcare (Sarasota, FL)
- …Minimum of one or more years of home health, public nursing or acute hospital nursing experience + Familiar with Medicare home health regulations, documentation ... spending accounts, supplemental health protection plans (accident, critical illness, hospital indemnity), auto and home insurance, identity theft protection, legal… more
- HCA Healthcare (Kingwood, TX)
- …Minimum of one or more years of home health, public nursing or acute hospital nursing experience + Familiar with Medicare home health regulations, documentation ... spending accounts, supplemental health protection plans (accident, critical illness, hospital indemnity), auto and home insurance, identity theft protection, legal… more
- Sunrise Senior Living (Fort Belvoir, VA)
- …follows Resident Centered Care model. + Assists with case management of both Medicare and non- Medicare guests/residents as needed. + Participates in the Care ... actively in the Clinical IDT Meetings and in the Daily Prospective Payment System ( PPS ) meetings to obtain information on admissions and discharges for the day /… 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. ... REPORTING REQUIREMENTS: Timely submits required data to the Center for Medicare and Medicaid Services (CMS). + CHART AUDITS/COMPLIANCE: Coordinates monthly… more
