type, for coding, billing, internal and external reporting, research as required, and regulatory compliance. You will review clinical... as required, and regulatory compliance. Under the direction of the coding manager—the coder should accurately code conditions and procedures...
type, for coding, billing, internal and external reporting, research as required, and regulatory compliance. You will review clinical... as required, and regulatory compliance. Under the direction of the coding manager—the coder should accurately code conditions and procedures...
type, for coding, billing, internal and external reporting, research as required, and regulatory compliance. You will review clinical... as required, and regulatory compliance. Under the direction of the coding manager—the coder should accurately code conditions and procedures...
to ensure compliance and optimal efficiency for appropriate membership, credentialing, and privileges for UCSF Health Saint...; and other applicable accreditation/payor standards (e.g. NCQA, TJC, DHS, DMHC, CMS, delegated credentialing agreements, etc.). Facilitates...
Title: Contract Membership Specialist (CMS) 12 Months Remote Description: Utilize Model N Revenue Manager.... Responsible and accountable for data compliance activities within membership and the oversight and execution of applicable...
to ensure compliance and optimal efficiency for appropriate membership, credentialing and privileges for UCSF Health Saint... accreditation/payor standards (e.g. NCQA, TJC, DHS, DMHC, CMS, delegated credentialing agreements, etc.). Facilitates and supports...
compliance with federal laws, state laws and standards of practice which govern the Medicaid Drug Rebate Program. Ensures... compliance with each State Medicaid contract. Maintains rebate records in accordance with all applicable state and federal...
documents. Reporting issues of policy and procedure non-compliance to Site Manager for resolution. Providing retraining... to back up adherence to health system policies and procedures. Responsible for ensuring adherence to all DNV, JC, CMS, OSHA...
all medical, pharmacy supplies, and office supplies to manage patient care. They will assure compliance with all the policies... modalities, symptom management, be available for emergencies, monitor for compliance and the effects of care management with high...
compliance with all the policies/procedures of MyMichigan Health and follow Occupational safety and Health Administration (OSHA... education, assist with specialty care modalities, symptom management, be available for emergencies, monitor for compliance...
, and patient inquiries following CBO guidelines, payer rules, compliance regulations, and related rules. Serve as a resource... Revenue Integrity Analysts to understand CPT and ICD-10 guidelines, payer policy and procedure manuals, updates, and CMS...
Department: Compliance Shift: Primarily Days (United States of America) Employee Type: Regular Per Diem... miles of Placerville, CA *** POSITION SUMMARY Works independently performing program, compliance, and risk-based reviews...
patient care. They will assure compliance with all the policies/procedures of MyMichigan Health and follow Occupational safety..., be available for emergencies, monitor for compliance and the effects of care management with high risk patients, educate on prescriptions and teach...
supplies, and office supplies to manage patient care. They will assure compliance with all the policies/procedures..., symptom management, be available for emergencies, monitor for compliance and the effects of care management with high risk...