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The Manager of Quality and Compliance is responsible for leading and maintaining the regulatory compliance and process improvement initiatives of the transplant institute as set by the Organ Procurement Transplant Network (OPTN) / United Network for Organ Sharing (UNOS), CMS, Joint Commission, Intermacs, and the ESRD Network.
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Experience with CMS application security (Wordpress, Drupal, Joomla, Elementor, OpenText TeamSite, Concrete CMS, etc.) Information Security certifications such as CISSP, OSCP, GPEN, GWAPT, GXPN, GSE are a plus.
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Update all education materials based on CMS-HCC Model and ICD-10 annual changes Suggest, update, and enhance clinical educational materials to assist in training physicians and clinical staff on Risk Adjustment Healthcare Programs including CMSHCC Models, Clinician Chart Reviews, and Encounter Documentation.
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Responsibilities: Candidate will serve as a USACE Client Manager/Senior Program Manager on a variety of contracts and projects related to Coastal/Riverine Flood Risk Management, Environmental Restoration, navigation, horizontal design, Civil Works planning/feasibility studies, hydrologic/hydraulic modeling, CMS, and other CW related services.
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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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Provide local software and hardware support requiring complex integrated configurations in the areas of; Avaya Communications Manager and Avaya PBX (call routing, Cisco Unity Connection integration, AES, CMS, one-X), Sonus/Ribbon, LAN/WAN, VoIP, SIP.
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This job works collaboratively to support of all risk and compliance assessment activities of Highmark Health across a broad range of frameworks including NIST, HITRUST, PCI, HIPAA, SOC, MAR, CMS, JCAHO, etc.
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The role will provide subject matter expertise to assigned providers and internal matrix partners of Cigna Medicare’s programs specific to CMS Risk Adjustment and HCC Coding Processes. Working Knowledge of CMS Risk Adjustment and HCC Coding Process.
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The Digital Content Manager will work closely with the digital marketing strategist, business stakeholders, and product managers to plan and execute the development of content and CMS enhancements to meet the needs of the firm.
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POSITION OVERVIEWThe Coding Manager is responsible for driving consistency across IPM, related to medical record documentation and the correct use of CPT-4 and ICD-10 codes to ensure adherence to established Government and third-party billing guidelines, AMA, AAP, CMS, and coding policies.
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Proficient in the following programs: Go Concierge Ultra Pos Software for Gift Cards Total Rewards Program (See Additional Attachment for full detail) LMS CMS Open Table Spa Soft EBG Organized, detail-oriented self-starter, able to work independently and part of a group.
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Act as correspondent between CMS team and other organizations (including CMC, JETS safety, toxicology, Joint Cargo Certification Team, shipping department, export control, and others as required.
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With direct supervision of a qualified renal dietitian, this position will provide nutritional services for the facilities in-center and home patients in order to gain the experience required by CMS until year of clinical experience is completed to become a qualified dietitian.
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The New York County District Attorney's Office is seeking to hire a supervisor for its Case Management Services Department (CMS) in the Grand Jury Unit. CMS is responsible for administrative operations, data entry, data integrity, and discovery analysis for the entire office.
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Experience with CMS Medicare Advantage Risk Adjustment Data Validation and HCC coding desired. This is a position is in Risk Adjustment for CMS with HCC diagnosis coding. Health plan Risk Adjustment processes and system experience for CMS RADV and risk score assignment and acceptance are helpful.
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cms job Title: registered dietitian Company: Ish Dining Services
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