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The Senior DME billing code compliance and appeals specialist will play a crucial role in ensuring that our DME product complies with the billing codes and regulations set by Medicare and all federally funded payers.
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Categories: Healthcare/Medical Professional Level, Management/Supervisor, Healthcare/Nursing/Investigations/Compliance. Medicaid and Medicare Federal Regulations, State Statute, Rules, and Policies applicable to AHCCCS programs.
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The Compliance Senior Manager also has experience in general healthcare compliance matters, particularly as they relate to federal Medicare, Medicaid, Fraud, Waste and Abuse laws, including but not limited to OIG, Stark, and Anti-Kickback Statutes and all other applicable regulations, including the development of general compliance policies and procedures, training, and auditing.
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Are in compliance with regulatory agencies, including but not limited to, Covered California, the Centers for Medicare and Medicaid Services (CMS), the California Department of Health Care Services (DHCS), and the California Department of Managed Health Care (DMHC), i.
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Healthcare Fraud Investigator (AHFI), Health Care Anti-Fraud Associate (HCAFA), Certified Insurance Fraud Investigator (CIFI), Certified Financial Crimes Investigator (CFCI), Certified Fraud Examiner (CFE), Certified in Healthcare Compliance (CHC), or similar certifications in medical auditing or clinical coding such as CPC, CEMA, or CPMA preferred.
$106,200 - $242,000 a yearFull-timeExpandApply NowActive JobUpdated Today - UpvoteDownvoteShare Job
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The Referral Center will then transition the patient to their preferred home-based provider which will provide seamless and consistent patient transitions and continuum of care, reduce length of stay for patients transitioning to post-acute care, automate compliance and standardization of Medicare discharge planning requirements, and increase more timely communication between post-acute providers and Sentara hospitals about the discharge plan.
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Ensures compliance with current federal, state, and/or local laws and regulations including Centers for Medicaid and Medicare Services (CMS), and United Network for Organ Sharing (UNOS.
$26.82 - $29.8 an hourFull-timeExpandApply NowActive JobUpdated Today - UpvoteDownvoteShare Job
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The Stroke Coordinator assists in the development, maintenance, and updating all AMC policies, procedures, orders sets, plans of care, teaching materials, and documentation as they relate to the Stroke Program in order to maintain compliance with regulatory standards such as the Joint Commission, NYS Department of Health, Center for Medicaid and Medicare Services, and the American Heart Association.
$54,846 - $87,754 a yearExpandApply NowActive JobUpdated Today - UpvoteDownvoteShare Job
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This position ensures that the documentation is in compliance with Medicare/Medicaid billing regulations, and provider documentation guidelines, CPT documentation and CMS coding guidelines.
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About NYC Health + Hospitals MetroPlus Health provides the highest quality healthcare services to residents of Bronx, Brooklyn, Manhattan, Queens and Staten Island through a comprehensive list of products, including, but not limited to, New York State Medicaid Managed Care, Medicare, Child Health Plus, Exchange, Partnership in Care, MetroPlus Gold, Essential Plan, etc.
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Keywords: Monster, Talroo - Allied Health, LPN, Referral Coordinator, Intake Coordinator, Licensed Practical Nurse. First (Days) (United States of America) Sentara Enterprises is currently hiring full time Referral Coordinators to join their Home-Based Services team in Chesapeake.
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Monitor accuracy and timeliness of Electronic Data Processing Systems (EDPS) and Medicaid encounter data submissions to ensure compliance with Centers for Medicaid and Medicare Services (CMS) and Oregon Health Authority (OHA) regulations.
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Are in compliance with regulatory agencies, including but not limited to, Covered California, the Centers for Medicare and Medicaid Services (CMS), the California Department of Health Care Services (DHCS), and the California Department of Managed Health Care (DMHC), in addition to collaboration with, inter-departments to ensure member needs are met while simultaneously building strong peer relationships.
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Spring Venture Group offers incredible culture, benefits, and fantastic income potential in a stable and successful work environment at a Medicare agency. As a leader in Medicare health insurance distribution, Spring Venture Group guides people through one of their most important life decisions finding the right insurance coverage.
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Experience with Medicare/Medicaid, Joint Commission or state credentialing compliance required. We have an exciting opportunity for an Manager, Ethics & Compliance within our Abbott Rapid Diagnostics-Acelis Connected Health Supplies business located in Pleasanton, CA. Abbott Rapid Diagnostics (formerly Alere) is part of Abbott Diagnostics family businesses, bringing together exceptional teams of experts and industry-leading technologies to support diagnostic testing which provides essential information for treatment and management of diseases and other conditions.
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