medical records and assigning accurate DRGs. Knowledge of Medicare , Medicaid and commercial payer rules and reimbursement...
accurate, timely documentation in compliance with Medicare/Medicaid guidelines Requirements Active, unrestricted Physical...
, and innovative individual to support the Centers for Medicare & Medicaid Services (CMS) in Baltimore, MD. The Integrated Service... that help ensure the functions of Medicare, Medicaid, and Marketplace are carried and contribute to efforts to reduce healthcare...
& Certifications: Experience working with state healthcare systems or Medicaid programs. Familiarity with hybrid work environments...
an experienced Business Analyst (Clinical Analyst & Coding Specialist) to support ongoing Medicaid operations and healthcare system... initiatives. The consultant will serve as a Subject Matter Expert (SME) for medical coding, Medicaid policy, and business analysis...
Preferred Qualifications Experience working with Medicaid/managed care plans, specifically AHCCCS Knowledge of InterQual...
and tactics, sales techniques, and sales control systems. Knowledge of Medicare and Medicaid regulations to include applicable...
with families, helping them navigate Virginia’s Medicaid Waiver programs (CCC+, CL & FIS, EPSDT), and making sure those you serve...
supporting Medicare or Medicaid populations Knowledge of preventive care initiatives (HEDIS measures) Work-from-home...
a positive and respectful environment at home and in the community. Assist with daily routines as outlined in the Medicaid...