- Hartford HealthCare (Farmington, CT)
- …for services rendered. 4. Researches literature from regulatory groups such as; HHS /OIG, Medicare , Medicaid, NGS, etc., professional and peer organizations' ... common practices across the system. *_Position Summary:_* The Audit & Education Specialist develops and implements an effective and comprehensive audit & education… more
- Hartford HealthCare (Farmington, CT)
- …to the educators. 2. Researches literature from regulatory groups such as; HHS /OIG, Medicare , Medicaid, NGS, etc., professional and peer organizations' ... other common practices across the system.*__* *_Position Summary:_* The Audit Specialist is responsible for reviewing clinical documentation to determine appropriate… more
- Trinity Health (Columbus, OH)
- …to identify missed or undocumented HCCs. + Maintain compliance with CMS, HHS , and payer-specific risk adjustment guidelines. + Participate in internal audits and ... + Stay current with updates to coding guidelines, risk adjustment models (eg, CMS-HCC, HHS -HCC), and regulatory changes. + Train and mentor peers and new coders on… more
- Minnesota Visiting Nurse Agency (Minneapolis, MN)
- *_SUMMARY_* We are currently seeking a*Registration Specialist Senior* to join our**Admitting and Registration. **This 0.50 (40 hours per pay period) role will work ... Weekend, 11:30 PM - 8:00 AM). *Purpose of this position:*Registration Specialist Senior provides revenue cycle services and assumes responsibility for successful… more
- Centers for Medicare & Medicaid Services (Woodlawn, MD)
- Summary This position is located in the Department of Health & Human Services ( HHS ), Centers for Medicare & Medicaid Services (CMS), Office of Information ... Technology, IT Capital Planning Group (ICPG) . As a IT Specialist (Policy/Planning), GS-2210-15, you will serve as the senior technical authority for enterprise-wide… more
- Centers for Medicare & Medicaid Services (Woodlawn, MD)
- Summary This position is located in the Department of Health & Human Services ( HHS ), Centers for Medicare & Medicaid Services (CMS), Center for Medicare ... you will provide technical expertise concerning clinical aspects of the Medicare fee-for-service program and Medicare Shared Savings Program. Responsibilities… more
- Banner Health (Phoenix, AZ)
- …preparing and delivering reports and presentations, analyzing, developing, and/or submitting Medicare Advantage and Prescription Drug plan bid pricing tools and/or ... direct the preparation of rate filings to Centers for Medicare and Medicaid Services (CMS), Health and Human Services... and Medicaid Services (CMS), Health and Human Services ( HHS ), Arizona's Medicaid agency and the State Department of… more
- Centers for Medicare & Medicaid Services (Woodlawn, MD)
- Summary This position is located in the Department of Health & Human Services ( HHS ), Centers for Medicare & Medicaid Services (CMS), Center for Program ... Integrity, Division of Investigative Support. As a Supervisory Health Insurance Specialist , referred here as a Director, Division of Investigative Support,… more