Are you a business? Hire medicare compliance candidates in Englewood, NJ
Process and resolve Medicare denials and appeals, focusing on medical necessity and coding compliance * Utilize Epic software to manage Workqueues (WQs) and track claim status * Review and analyze ...
... Care, Medicare, Child Health Plus, Exchange, Partnership in Care, MetroPlus Gold, Essential Plan ... Performs all MLTC/MAP management activities in compliance with all regulatory agency requirements
The primary function of the Clinical Quality Reviewer is to assess and audit medical charts for compliance with a focus on HEDIS, QARR, Medicare Advantage Star measures and quality improvement ...
Health Care Attorney with 2-5 years of law firm experience in health care transactions including; regulatory and compliance issues, and litigation. Candidates should be familiar with medicare and ...
Acts in compliance with corporate, hospital and all relevant regulatory policies. Responsibilities ... As required by the Centers for Medicare and Medicaid Services (CMS), Hospital Conditions of ...
Ensure compliance with all infection control policies, procedures and OSHA (Occupational, Safety ... Medicare & Medicaid Services) Deemed Status. * Continually evaluate clinical workflows for ...
... Medicare and Medicaid Services (CMS) guidelines, as applicable. Essential Functions ... compliance with vendor contracts * Participate in the review and revision process for hospital ...
Qualifications: * 2-6 years of health law experience involving regulatory and compliance issues ... and Medicare/Medicaid (as well as similar state laws) * JD from an accredited university and ...
Ensures their full compliance with prescribed clinical standards. 2. Plans staff orientation and in ... Under the Medicare and Medicaid Programs, Reform of Requirements for Long-Term Care Facilities, as ...
