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This job will deliver value to the Health Plan, and its beneficiaries enrolled in Risk Adjusted government programs such as Medicare Advantage (MA) and Affordable Care Act (ACA), using skills including but not limited to Hierarchical Condition Category (HCC) Coding, medical coding, clinical terminology and anatomy/physiology, Centers for Medicare and Medicaid Services (CMS) coding guidelines, and Risk Adjustment Data Validation (RADV) Audits.
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Intraday and real time monitoring of Avaya CMS, Five9 and CAS offline queues, Verint WFM, Aspect, Avaya Predictive Dialer, and CAS for volume including inbound calls, outbound calls, faxes and other offline functions including non- production time (meetings, trainings, etc.
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Duties include, but are not limited to: monitoring Avaya CMS, Five9, CAS offline queues, any cloud based or predictive dialer for inbound/outbound calls, adjusting staff to ensure service levels and performance goals are met, create and maintain data in CMS, Verint WFM and other databases which may be applicable to this role.
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CVS Health can provide a request for a reasonable accommodation, including a qualified interpreter, written information in other formats, translation or other services through If you have a speech or hearing disability, please call 7-1-1 to utilize Telecommunications Relay Services (TRS.
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Point of contact for all CMS-related items for timeshare/event digital marketing, with hands-on work/stand-up of landers (landing pages) in CMS, which may include copywriting, image selection (from brand repository), and sub-projects to support these landers.
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Applies advanced knowledge of regulatory and accreditation standards such as The Joint Commission (TJC), National Committee for Quality Assurance (NCQA), Centers for Medicare & Medicaid Services (CMS), Health Resources and Services Administration (HRSA) to ensure continued compliance in all matters pertaining to professional staff services.
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1+ years of experience with Barco devices and control room software ( UniSee, TransForm N / CMS , etc.) Delivering the fan experience at one of 100+ sports facilities for the NFL, MLB, NBA, NHL, MLS, NCAA.
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Experience on Cisco WebEx, MS Teams, WebEx Hybrid Mesh, VCS-C, VCS-E, TMS, ISDN Gateways, MCUs, CMS, Conductor, MS-Teams -EV & Clients for Video conferencing is must. Manage and Maintain Cisco VCS-C, VCS-E, TMS, ISDN gateways, MCU, Conductor, Client for Audio/Video conferencing support.
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Expertise in content management systems (CMS) and digital asset management (DAM) Familiarity with the AEM (Adobe Experience Manager) platform for CMS and DAM. Expertise in content management systems (CMS) and digital asset management (DAM.
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Abt Associates seeks a mid-level professional in Data Analytics with a background in data used by the United States Department of Health & Human Services (HHS) Centers for Medicare & Medicaid (CMS), Social Security Administration (SSA), Centers for Disease Control (CDC), or other HHS agencies.
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Participates in the coordination and completion of multidisciplinary efforts in regard to regulatory preparedness and completion of applications (e.g. Hospital Accreditation and Licensure, CMS Database Forms, ICM completion, measurement of success data, DPH/DOH or CMS corrective action plans, and clinical charter teams.
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Experience with PHP-based CMS platforms (e.g., WordPress, Drupal) Junior PHP Developer - Remote Job, 1+ Year Experience. Familiarity with front-end frameworks/libraries like React, Angular, or Vue.js.
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Description : JOB SUMMARYThis job will deliver value to the Health Plan and its beneficiaries enrolled in risk-adjusted government programs such as Medicare Advantage (MA) and Affordable Care Act (ACA) through Hierarchical Condition Category (HCC) coding, medical coding, clinical terminology and anatomy/physiology, Centers for Medicare and Medicaid Services (CMS) coding guidelines, and support of Risk Adjustment Data Validation (RADV) audits.
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The Credentialing Manager will conduct all aspects of third-party credentialing for providers and facilities in accordance with CMS, FQHC (Federally Qualified Health Center) and third-party insurance standards.
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Strong interpersonal skills, good verbal and written communication skills and comprehensive knowledge of outpatient coding, CMS HCC, billing, VBC and regulatory requirements. 5+ years' progressive outpatient coding experience that includes but not limited to assignment of E&M levels, CPT II and CMS HCC Coding.
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cms job Title: facility administrator
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