activities of the Medical Staff Office, and the activities of the ECHN Credentialing Program, in compliance with state... Specialist (CPCS) or Certification in Professional Medical Services Management (CPMSM). If not certified in CPCS upon hire...
' awareness and understanding on a variety of compliance-related topics, including medical record documentation guidelines... classification. 1. Proficiency Level Analyzes and assesses risks with billing and coding rules and regulations based on CMS, OIG...
or immunization with parent or patient. Refers patients to medical specialist for consultant services when necessary for patient... needed for admission to school. Participates in CPI program. Maintains compliance, is knowledgeable, and utilizes the guidelines...
compliance with Beacon Health System and regulatory requirements. Functions as an expert on patient data and assists with coded... compliance with Beacon Health System and regulatory requirements. Supervising or conducting quality audits on staff to ensure...
to medication with patient. Refers patients to medical specialist for consultant services when necessary for patient's well-being... including medical history, physical exam, diagnoses, and plan of action. Participates in CPI program. Maintains compliance...
to support compliance with medical necessity requirements. Apply knowledge of all coding reference materials and education... or documentation in the record is inadequate, ambiguous, or unclear for coding purposes. 5% of time spent. Maintain compliance...
’ charts to ensure compliance with all applicable federal, state and local regulations, as well as with institutional... level of service, diagnosis, procedure and diagnostic code assignments. Respond to payor audits conducted by the CMS RAC...
professional coding guidelines consistent with CMS compliance and other federal regulations. PREFERRED QUALIFICATIONS... on provider coding and documentation to ensure compliance with national coding guidelines and MAHEC policies for complete...
test results while assuring compliance and meeting all regulatory requirements consistent with the highest standards... in CMS mandated proficiency testing. Maintains records that demonstrate that proficiency testing and competency assessments...
on changes published by the AMA (American Medical Association) via CPT guidelines; updates quarterly based on CMS (Centers... of improvements. Develops corrective action plans and participates in compliance investigations as needed. Assists with the annual...
and a provider network with 19 regional locations. Summary As senior level coding specialist, assigns compliant, complete... and external reporting, research, and compliance with regulatory and payer guidelines. • Keep up to date on best practices...
of reference materials such as, but not limited to, Center for Medicare Services (CMS) publications, Coding Clinic, CPT Assistant..., etc. Facilitates optimization of revenue while maintaining compliance standards for the organization through varied venues and tasks...
classification systems, coding for third-party payers, including CMS guidelines and reimbursement compliance, and demonstrated... on professional billing and compliance activities. Strong knowledge of evaluation and management coding guidelines and requirements...
, business or related fields 3 5 years insurance/billing experience CBS (certified benefits specialist) preferred CMS... and revise benefit packages in compliance with employee needs. They may also give presentations and write information guides...
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...
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...
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...
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...
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...