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60 Cms Physician Jobs Hiring Near You

CMS - RN

Philadelphia, PA · On-site

$45/hr

CMS, Inc. requires all Employees to be fully vaccinated with an approved COVID-19 vaccine and show ... Act as a liaison between physician and program staff. * Provide training to residents and staff in ...

$24.25 - $27.50/hr

Strong knowledge of CMS physician and ancillary documentation regulations, E/M, ICD-10-CM, AMA/CPT coding guidelines, and resources. Familiarity with coding compliance tools, Meditech EMR system, and ...

$24.25 - $27.50/hr

... of CMS physician and ancillary documentation regulations, E/M, ICD-10-CM, AMA/CPT coding guidelines, and resources. · Familiarity with coding compliance tools, Meditech EMR system, and encoder ...

$24.25 - $27.50/hr

... CMS physician and ancillary documentation regulations, E/M, ICD-10-CM, AMA/CPT coding guidelines, and resources. • Familiarity with coding compliance tools, Meditech EMR system, and encoder ...

The Physician Advisor provides physician-to-physician reviews, clinical guidance, education, and ... Ensure adherence to CMS Conditions of Participation, Medicare regulations, and payer policies

The Physician Advisor provides physician-to-physician reviews, clinical guidance, education, and ... Ensure adherence to CMS Conditions of Participation, Medicare regulations, and payer policies

Physician Advisor The Physician Advisor provides physician-to-physician reviews, clinical guidance ... Ensure adherence to CMS Conditions of Participation, Medicare regulations, and payer policies

The Physician Advisor provides physician-to-physician reviews, clinical guidance, education, and ... Ensure adherence to CMS Conditions of Participation, Medicare regulations, and payer policies

The Physician Advisor provides physician-to-physician reviews, clinical guidance, education, and ... Ensure adherence to CMS Conditions of Participation, Medicare regulations, and payer policies

The Physician Advisor provides physician-to-physician reviews, clinical guidance, education, and ... Ensure adherence to CMS Conditions of Participation, Medicare regulations, and payer policies

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Provider Consultant

Health Information Associates

Pawleys Island, SC • Remote

$70K - $80K/yr

Full-time

Re-posted 8 days ago


Job description


Overview:
Performs compliance audits based on current CMS, CPT, ICD-10 guidelines, as well as all state and federal regulations. Utilizes the CMS 95/97 or 2021 documentation guidelines for evaluation and management (E amp;M) reviews. Writes and presents concise recommendation worksheets with appropriate findings and references to clients during summation calls. Writes Executive Summaries and must communicate with different levels within the practice/facility. Utilizes review databases (Intelicode, MD Audit, etc).
Required Skills and Experience:
• High School diploma with at least one AAPC credential; CPC preferred
• Minimum 5 years review experience in a multispecialty clinic/facility
• ICD-10-CM training • Computer proficiency, able to research coding questions and utilize HIA’s internal educational resources
• Experience using Electronic Health Record (EHR)
• Independent, focused individual able to work remotely.
• Sound organizational, communication and critical thinking skills
Responsibilities:
  • Prepares for Review
  • Reviews Evaluation and Management codes based on CMS 95/97 or 2021 Documentation Guidelines
  • Reviews records assigned to ensure appropriate diagnosis reporting based on ICD-10-CM Guidelines (addition, deletion, revision, re-sequence)
  • Reviews records assigned to ensure appropriate CPT reporting based on CPT coding conventions.
  • Reviews record for documentation opportunities and compliance issues based on Federal and State guidelines and/or Payor requirements.
  • List out findings with recommendations from guidelines/regulations (CMS Documentation Guidelines, Coding Clinic, Federal Regulations, CMS Physician Services Guidelines, etc.) to provider client with educational feedback for corrective action.
  • Research State/Federal and/or Payor guidelines to support recommendations made
  • Uses various software applications, groupers, encoders and other coding tools to analyze and ensure appropriate codes, sequencing and edits
  • Runs preliminary and final reports as required
  • Completes client rebuttals and makes appropriate changes in database as needed
  • Prepares for Summation Conference using Teams
  • Conducts Summation Conference with Administration
  • Conducts Summation Conference with staff and or providers as requested
Client Relations:
• Maintains adequate communication with client throughout the review process to ensure review goals and objectives are met
• Leads organized summation conference in an approachable, educational manner for client staff
• Provides ongoing educational support to client staff between scheduled reviews by researching issues and responding promptly to client inquiries Performance and Professionalism
• Maintains strict confidentiality and adheres to HIPAA guidelines
• Exhibits professional demeanor at all times
• Maintains communication by responding promptly to Corporate office staff
• Demonstrates flexibility, open mindedness, and versatility in adjusting to changing environments
• Handles constructive feedback with a positive attitude • Receptive to suggestions for changing or improving the way work is accomplished
• Commits to continually improving his/her job skills (i.e. attends educational meetings