Reviews audit adjustments for accuracy. • the Medicare cost report Medicaid DSH eligibility ... Assists in providing education with Federal rules and regulations. EDUCATION: Minimum Level of ...
Reviews audit adjustments for accuracy. • the Medicare cost report Medicaid DSH eligibility ... Assists in providing education with Federal rules and regulations. EDUCATION: Minimum Level of ...
Technology Segment Risk Manager Sr.
Columbus, OH · On-site +1
Remote roles will also have the opportunity to come together in our offices for moments that matter ... Specific work arrangements will be provided by the hiring team. Huntington is an Equal Opportunity ...
Technology Segment Risk Manager Sr.
Columbus, OH · On-site +1
Remote roles will also have the opportunity to come together in our offices for moments that matter ... Specific work arrangements will be provided by the hiring team. Huntington is an Equal Opportunity ...
Technology Segment Risk Manager Sr.
Columbus, OH · On-site +1
Remote roles will also have the opportunity to come together in our offices for moments that matter ... Specific work arrangements will be provided by the hiring team. Huntington is an Equal Opportunity ...
Technology Segment Risk Manager Sr.
Columbus, OH · On-site +1
Remote roles will also have the opportunity to come together in our offices for moments that matter ... Specific work arrangements will be provided by the hiring team. Huntington is an Equal Opportunity ...
Virtual Educator
Columbus, OH · Remote
We are looking for teachers and tutors with virtual tutoring experience to provide 1:1 or group ... This is a remote job! * Set your own availability and change it at any time * Set your own hourly ...
Virtual Educator
Columbus, OH · Remote
We are looking for teachers and tutors with virtual tutoring experience to provide 1:1 or group ... This is a remote job! * Set your own availability and change it at any time * Set your own hourly ...
Technology Segment Risk Manager Sr.
Columbus, OH · On-site +1
Remote roles will also have the opportunity to come together in our offices for moments that matter ... Specific work arrangements will be provided by the hiring team. Huntington is an Equal Opportunity ...
Technology Segment Risk Manager Sr.
Columbus, OH · On-site +1
Remote roles will also have the opportunity to come together in our offices for moments that matter ... Specific work arrangements will be provided by the hiring team. Huntington is an Equal Opportunity ...
Technology Segment Risk Manager Sr.
Columbus, OH · On-site +1
Remote roles will also have the opportunity to come together in our offices for moments that matter ... Specific work arrangements will be provided by the hiring team. Huntington is an Equal Opportunity ...
Technology Segment Risk Manager Sr.
Columbus, OH · On-site +1
Remote roles will also have the opportunity to come together in our offices for moments that matter ... Specific work arrangements will be provided by the hiring team. Huntington is an Equal Opportunity ...
This role is critical to helping the Firm manage personnel risk, meet legal and contractual ... Remote Education:NoneEmployment Type:
This role is critical to helping the Firm manage personnel risk, meet legal and contractual ... Remote Education:NoneEmployment Type:
This role is critical to helping the Firm manage personnel risk, meet legal and contractual ... Remote Education:NoneEmployment Type:
This role is critical to helping the Firm manage personnel risk, meet legal and contractual ... Remote Education:NoneEmployment Type:
This role is critical to helping the Firm manage personnel risk, meet legal and contractual ... Remote Education:NoneEmployment Type:
This role is critical to helping the Firm manage personnel risk, meet legal and contractual ... Remote Education:NoneEmployment Type:
This role is critical to helping the Firm manage personnel risk, meet legal and contractual ... Remote Education:NoneEmployment Type:
This role is critical to helping the Firm manage personnel risk, meet legal and contractual ... Remote Education:NoneEmployment Type:
Finance Tutor
Cleveland, OH · Remote
$40/hr
... risk adjustment in valuation, and interpreting financial ratios. Adapts instruction using financial ... Ways To Connect With Students * 1-on-1 Online Tutoring - Provide personalized instruction to ...
Finance Tutor
Cleveland, OH · Remote
$40/hr
... risk adjustment in valuation, and interpreting financial ratios. Adapts instruction using financial ... Ways To Connect With Students * 1-on-1 Online Tutoring - Provide personalized instruction to ...
Finance Tutor
Cincinnati, OH · Remote
$40/hr
... risk adjustment in valuation, and interpreting financial ratios. Adapts instruction using financial ... Ways To Connect With Students * 1-on-1 Online Tutoring - Provide personalized instruction to ...
Finance Tutor
Cincinnati, OH · Remote
$40/hr
... risk adjustment in valuation, and interpreting financial ratios. Adapts instruction using financial ... Ways To Connect With Students * 1-on-1 Online Tutoring - Provide personalized instruction to ...
Finance Tutor
Akron, OH · Remote
$40/hr
... risk adjustment in valuation, and interpreting financial ratios. Adapts instruction using financial ... Ways To Connect With Students * 1-on-1 Online Tutoring - Provide personalized instruction to ...
Finance Tutor
Akron, OH · Remote
$40/hr
... risk adjustment in valuation, and interpreting financial ratios. Adapts instruction using financial ... Ways To Connect With Students * 1-on-1 Online Tutoring - Provide personalized instruction to ...
Finance Tutor
Columbus, OH · Remote
$40/hr
... risk adjustment in valuation, and interpreting financial ratios. Adapts instruction using financial ... Ways To Connect With Students * 1-on-1 Online Tutoring - Provide personalized instruction to ...
Finance Tutor
Columbus, OH · Remote
$40/hr
... risk adjustment in valuation, and interpreting financial ratios. Adapts instruction using financial ... Ways To Connect With Students * 1-on-1 Online Tutoring - Provide personalized instruction to ...
Job Summary The Risk Control Senior Professional is responsible for providing a full range of risk ... Location Remote-AZ Territory Behavioral Competencies * Collaborates * Customer focus * Communicates ...
Job Summary The Risk Control Senior Professional is responsible for providing a full range of risk ... Location Remote-AZ Territory Behavioral Competencies * Collaborates * Customer focus * Communicates ...
Applied AI Scientist III
Dayton, OH · On-site +1
Work closely with interdisciplinary teams across IT, risk adjustment, program integrity, HEDIS ... Provide strategic guidance and recommendations to senior leadership based on data analysis and ...
Applied AI Scientist III
Dayton, OH · On-site +1
Work closely with interdisciplinary teams across IT, risk adjustment, program integrity, HEDIS ... Provide strategic guidance and recommendations to senior leadership based on data analysis and ...
Cybersecurity Risk Manager
Columbus, OH · On-site +1
$70K - $140K/yr
Provide advisory and guidance on control design, cybersecurity standards/policies, metrics, and ... Remote roles will also have the opportunity to come together in our offices for moments that matter.
Cybersecurity Risk Manager
Columbus, OH · On-site +1
$70K - $140K/yr
Provide advisory and guidance on control design, cybersecurity standards/policies, metrics, and ... Remote roles will also have the opportunity to come together in our offices for moments that matter.
Cybersecurity Risk Manager
Fairlawn, OH · On-site +1
$70K - $140K/yr
Provide advisory and guidance on control design, cybersecurity standards/policies, metrics, and ... Remote roles will also have the opportunity to come together in our offices for moments that matter.
Cybersecurity Risk Manager
Fairlawn, OH · On-site +1
$70K - $140K/yr
Provide advisory and guidance on control design, cybersecurity standards/policies, metrics, and ... Remote roles will also have the opportunity to come together in our offices for moments that matter.
Provides on demand support during regulatory exams of MRM and periodic reviews performed by ... Engages in continued education through the company's internal training webinars. Performs any other ...
Provides on demand support during regulatory exams of MRM and periodic reviews performed by ... Engages in continued education through the company's internal training webinars. Performs any other ...
Client Manager - Project Risk
Cleveland, OH · On-site +1
Provides expert external support to clients while directing internal support resources as needed ... education, coursework, and professional development to strengthen wrap-up and construction risk ...
Client Manager - Project Risk
Cleveland, OH · On-site +1
Provides expert external support to clients while directing internal support resources as needed ... education, coursework, and professional development to strengthen wrap-up and construction risk ...
Remote Risk Adjustment Provider Educator information
What is the difference between Remote Risk Adjustment Provider Educator vs Remote Risk Adjustment Analyst?
| Aspect | Remote Risk Adjustment Provider Educator | Remote Risk Adjustment Analyst |
|---|---|---|
| Credentials | Certifications in risk adjustment, healthcare coding, or related fields | Certifications in data analysis, healthcare analytics, or coding |
| Work Environment | Remote, educational, training-focused | Remote, data analysis, reporting |
| Employer & Industry | Health plans, healthcare providers, education companies | Health plans, analytics firms, healthcare organizations |
The Remote Risk Adjustment Provider Educator primarily focuses on training healthcare providers and staff on risk adjustment processes, requiring educational skills and certifications. In contrast, the Remote Risk Adjustment Analyst analyzes data to identify trends and improve risk scores. Both roles are remote and industry-specific but differ in their core functions and skill sets.
What are popular job titles related to Remote Risk Adjustment Provider Educator jobs in Ohio? For Remote Risk Adjustment Provider Educator jobs in Ohio, the most frequently searched job titles are:
What job categories do people searching Remote Risk Adjustment Provider Educator jobs in Ohio look for? The top searched job categories for Remote Risk Adjustment Provider Educator jobs in Ohio are:
- Remote Physician Coach
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What cities in Ohio are hiring for Remote Risk Adjustment Provider Educator jobs? Cities in Ohio with the most Remote Risk Adjustment Provider Educator job openings:
SR REIMBURSEMENT ANALYST / REMOTE / Medicare Medicaid Cost Reports
Premier HealthDayton, OH • On-site, Remote
Full-time
Posted 28 days ago
Job description
**This is a 100% remote work-from-home position**
TITLE: Sr. Reimbursement Analyst / Medicare Medicaid Cost Reports
DEPT: Reimbursement
SHIFT: Days-Remote
ESSENTIAL DUTIES & FUNCTIONS:
• Collects, analyzes all underlying data and prepares supporting documentation for:
• the Medicare cost report Worksheet S-10. Reviews outside consultant logs and schedules. Reviews audit adjustments for accuracy.
• the Medicare cost report Medicaid DSH eligibility. Prepares additional provider research files and reviews outside consultant logs.
• the Medicare cost reports Traditional Medicare Bad Debt and Dual Eligible logs.
• the Medicare cost report Wage Index. Reviews audit adjustments for accuracy.
• Prepares the calculation of accounts receivable and third-party reserves including the timely submission of the monthly journal entry along with additional analyses as needed.
• Collects and analyzes all underlying data and prepares the Medicaid pending conversion calculations.
• Prepares 340 B trial balances for inclusion with the annual HRSA submissions.
• Prepares Medicare gain/loss analysis for Schedule H of Form 990.
• Assists in the annual net revenue budget and three-year forecasting process. Research and completion of all governmental modeling is the primary focus.
• Assists with the preparation of E&Y audit workpapers.
• Reviews CMS/MAC rate reviews and audit adjustments for accuracy.
• Prepares amended Medicare and Medicaid cost reports and Tricare capital and direct medical education reports and supporting schedules as needed.
• Reviews tentative cost report settlements and final cost report settlements including audit adjustments for accuracy.
• Prepares Medicare and Medicaid reimbursement factors and reimbursement calculators for Inpatient, Outpatient, Psych, and Rehab.
• Collects and analyzes all underlying data in conjunction with the Rehab Unit and prepares the submission for the Inpatient Rehab Unit 75% compliance report for exemption from the Inpatient Prospective Payment System.
• Collects and analyzes all underlying data, prepares all supporting documentation, and submits in a timely and accurate manner the Medicare occupational mix surveys. Reviews audit adjustments for accuracy.
• Prepares HCAP logs and obtains supporting documentation for independent consultant review. Also, prepares the matching data in the formats used for the Medicaid cost report.
• Prepares Myers & Stauffer logs for the federal DSH audits that match the Medicaid cost report in the required format in a timely and accurate manner.
• Submits documentation for the Kentucky Workers' Compensation Hospital Fee Schedule cost-to-charge ratio calculation.
• Collects all underlying data, prepares detail and summary invoices, and payment reconciliations for the Montgomery County Indigent Ill Levy submissions.
• Acts as a liaison between Reimbursement and the report writing team to assist in regulatory data revisions.
• Prepares detailed analysis of regulatory changes to determine the reimbursement impact to PHP.
• Ensures compliance with Federal and State laws when using PHP provider numbers, including Provider Based Status rules.
• Maintains current working knowledge of Medicare, Medicaid, and other regulations. Assists in providing education with Federal rules and regulations.
EDUCATION:
Minimum Level of Education Required:
Bachelor's Degreein Business Administration majoring in Accounting, Finance or related business field required.
EXPERIENCE:
Minimum Level of Experience Required:
§ 3-5 years of job-related experience required.
§ Hospital reimbursement required, including Medicare and Medicaid cost report experience required.
§ Current working knowledge of the financial statement process, running ad-hoc patient financial system and/or general ledger financial reports, and strong financial skills required.
Preferred experience: Experience in Medicare medical education reimbursement (IME/DGME) and Medicare provider enrollment system (PECOS)
TITLE: Sr. Reimbursement Analyst / Medicare Medicaid Cost Reports
DEPT: Reimbursement
SHIFT: Days-Remote
ESSENTIAL DUTIES & FUNCTIONS:
• Collects, analyzes all underlying data and prepares supporting documentation for:
• the Medicare cost report Worksheet S-10. Reviews outside consultant logs and schedules. Reviews audit adjustments for accuracy.
• the Medicare cost report Medicaid DSH eligibility. Prepares additional provider research files and reviews outside consultant logs.
• the Medicare cost reports Traditional Medicare Bad Debt and Dual Eligible logs.
• the Medicare cost report Wage Index. Reviews audit adjustments for accuracy.
• Prepares the calculation of accounts receivable and third-party reserves including the timely submission of the monthly journal entry along with additional analyses as needed.
• Collects and analyzes all underlying data and prepares the Medicaid pending conversion calculations.
• Prepares 340 B trial balances for inclusion with the annual HRSA submissions.
• Prepares Medicare gain/loss analysis for Schedule H of Form 990.
• Assists in the annual net revenue budget and three-year forecasting process. Research and completion of all governmental modeling is the primary focus.
• Assists with the preparation of E&Y audit workpapers.
• Reviews CMS/MAC rate reviews and audit adjustments for accuracy.
• Prepares amended Medicare and Medicaid cost reports and Tricare capital and direct medical education reports and supporting schedules as needed.
• Reviews tentative cost report settlements and final cost report settlements including audit adjustments for accuracy.
• Prepares Medicare and Medicaid reimbursement factors and reimbursement calculators for Inpatient, Outpatient, Psych, and Rehab.
• Collects and analyzes all underlying data in conjunction with the Rehab Unit and prepares the submission for the Inpatient Rehab Unit 75% compliance report for exemption from the Inpatient Prospective Payment System.
• Collects and analyzes all underlying data, prepares all supporting documentation, and submits in a timely and accurate manner the Medicare occupational mix surveys. Reviews audit adjustments for accuracy.
• Prepares HCAP logs and obtains supporting documentation for independent consultant review. Also, prepares the matching data in the formats used for the Medicaid cost report.
• Prepares Myers & Stauffer logs for the federal DSH audits that match the Medicaid cost report in the required format in a timely and accurate manner.
• Submits documentation for the Kentucky Workers' Compensation Hospital Fee Schedule cost-to-charge ratio calculation.
• Collects all underlying data, prepares detail and summary invoices, and payment reconciliations for the Montgomery County Indigent Ill Levy submissions.
• Acts as a liaison between Reimbursement and the report writing team to assist in regulatory data revisions.
• Prepares detailed analysis of regulatory changes to determine the reimbursement impact to PHP.
• Ensures compliance with Federal and State laws when using PHP provider numbers, including Provider Based Status rules.
• Maintains current working knowledge of Medicare, Medicaid, and other regulations. Assists in providing education with Federal rules and regulations.
EDUCATION:
Minimum Level of Education Required:
Bachelor's Degreein Business Administration majoring in Accounting, Finance or related business field required.
EXPERIENCE:
Minimum Level of Experience Required:
§ 3-5 years of job-related experience required.
§ Hospital reimbursement required, including Medicare and Medicaid cost report experience required.
§ Current working knowledge of the financial statement process, running ad-hoc patient financial system and/or general ledger financial reports, and strong financial skills required.
Preferred experience: Experience in Medicare medical education reimbursement (IME/DGME) and Medicare provider enrollment system (PECOS)