- Elevance Health (Columbus, OH)
- ** Audit & Reimbursement III - Medicare Cost Report Audit ** **Locations:** This is a virtual position; the ideal candidate will live within 50 miles ... Services to transform federal health programs. The ** Audit and Reimbursement III ** will support our Medicare Administrative Contract (MAC) with the… more
- Medical Mutual of Ohio (Dublin, OH)
- …fully insured and self-funded group coverage, including stop loss, as well as Medicare Advantage, Medicare Supplement, and individual plans. Medical Mutual' s ... members achieve their best possible health and quality of life. IT Security Specialist III Performs the more complex day to day operation of the security functions… more
- LA Care Health Plan (Los Angeles, CA)
- Compliance Advisor III -Privacy Job Category: Administrative, HR, Business Professionals Department: Compliance Location: Los Angeles, CA, US, 90017 Position Type: ... to achieve that purpose. Job Summary The Compliance Advisor III ensures that the Plan's processes and operations are...requirements, including but not limited to, the Centers for Medicare and Medicaid Services (CMS), the California Department of… more
- LA Care Health Plan (Los Angeles, CA)
- Operational Assurance Business Analyst III Job Category: Administrative, HR, Business Professionals Department: Enterprise Performance Optimization Location: Los ... standards and strategic objectives. The Operational Assurance Business Analyst III , either individually or collaboratively, researches, elicits, analyzes, communicates,… more
- LA Care Health Plan (Los Angeles, CA)
- Revenue Financial Analyst III Job Category: Accounting/Finance Department: Medical Payment System & Services Location: Los Angeles, CA, US, 90017 Position Type: Full ... net required to achieve that purpose. Job Summary The Revenue Financial Analyst III is responsible for the daily management of financial activity of the Revenue… more
- Bassett Healthcare (Cooperstown, NY)
- …a Forbes America's Best-In-State Employer 2022! What you'll do The Medical Office Assistant III serves as the first point of contact for patients within the Bassett ... is entered or scanned into the system accurately as monitored by system audit Accurate confirmation of attending PCP and Billing PCP, when appropriate. Assures… more
- SAIC (VA)
- …medical coding, reimbursement guidelines, and healthcare fraud; commercial reimbursement guidelines and policies; coding audit principles and concepts, ... **Description** SAIC is looking for a Full-Time **Remote** Medical Coder III to provide remote medical coding support to government Medical Treatment Facilities… more
- LA Care Health Plan (Los Angeles, CA)
- Marketing Program Manager III Job Category: Sales & Marketing Department: Marketing Location: Los Angeles, CA, US, 90017 Position Type: Full Time Requisition ID: ... progress reports to senior management on all activities. Continuously review programs, audit projects and tactics within an annual plan for quality, track projects… more
- Hackensack Meridian Health (Hackensack, NJ)
- …clinical denials by: I. Peer-to Peer (P2P) Concurrent appeals ii. Written Concurrent appeals iii . Recovery Audit Contractors & levels of appeal iv. Root cause ... These include but are not limited to utilization review, hospital reimbursement , clinical compliance, case management, and transitions of care, as outlined… more
- LA Care Health Plan (Los Angeles, CA)
- …Care Services (DHCS) such as Rate Development Template, Supplemental Data Request, Audit Request. Support of all Actuarial functions and needs. Create and maintain ... data anomalies. This position will work closely with Financial Analyst II and III to provide assistance and perform routine task. Duties Support in gathering data… more
- HCA Healthcare (Independence, MO)
- …compilation, and reimbursement projects. + Annual completion of tax and audit schedules. + Other projects as assigned. What qualifications you will need: + ... of the hospital including month-end close, maintenance of financial records/files, Medicare reporting and ensuring Sarbanes-Oxley compliance. Join us and become part… more
- University of Virginia (Charlottesville, VA)
- …and executive use. + Monitor regulatory changes provided by the Centers for Medicare and Medicaid Services (CMS) and the Virginia Department of Medical Assistance ... procedures, and applicable regulatory standards and requirements. + Completes chart audit reviews of clinical documentation to determine accuracy of charge capture.… more