Senior M3 Solution Lead
-functional, business analyst, or consultant role Experience configuring M3 and working with tools such as H5, XtendM3, CMS, LCM...
-functional, business analyst, or consultant role Experience configuring M3 and working with tools such as H5, XtendM3, CMS, LCM...
Ask about our REFERRAL BONUS! Wisconsin Dells Health Services is proud to be rated 5-Stars in Quality Measures by CMS...
-being. Ensure adherence to CMS, State, and Federal regulations and company standards. Provide coverage in multiple...
/Medicare Services (CMS)-approved state and/or national certification requirements within the required state or CMS timeline...
& Medicaid Services (CMS), Ambulance Policy Manual – Chapter 10. Actively pursue and obtain copayments and deductibles prior...
compliance with carrier guidelines, CMS requirements, and internal processes Qualifications: Prior experience...
experience is required, including working knowledge of: CMS HCC risk adjustment models ICD-10 diagnosis codes Clinical...
: Knowledge of CMS Regulations and NCQA HEDIS Guidelines;Knowledge of Evidence-based Clinical Practice Standards: American... that all pertinent and active medical conditions are documented in the medical record in a manner compliant with CMS/DHHS, Inovalon...
and CMS. Knowledge of clinical operations and procedures, and utilizes proper policies, procedures, and guidelines in caring...
and material assist devices for the heavier items. EDUCATION Center for Medicaid/Medicare Services (CMS)-approved state... or CMS timeline. All appropriate state licensure education and training (if any) required. EXPERIENCE AND REQUIRED SKILLS...