CMS Jobs - Remote Work From Home & Flexible
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1 week agoCoders will be presented with all risk-adjusting diagnoses billed on a claim for a particular date of service or inpatient stay. Coders will also review member and claim data validation aspects, which include: Member name, Member DOB, Gender, Dates of...
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1 week agoCoders will be presented with all risk-adjusting diagnoses billed on a claim for a particular date of service or inpatient stay Must be able to identify acceptable provider specialty. Coder must have knowledge of ICD-10-CM IP and OP coding.
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25 days agoOngoing website updates and maintenance forCMSdriven websites. Build new frontend features on existing websites. BuildCMSsolutions based on individual business needs within KirbyCMS, WordPress, or platforms with a responsive mobile-first approach.
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New!6 days agoPlan and implement information structure and features, functionality, user- interface design, and navigation for the Drupal 9.xCMS. Export applicable content from current legacy Drupal website to new Drupal 9.x or newerCMS. Deploy Agency websites...
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25 days agoJoin a team of front end developers and assist with configuring and installing aCMSand eCommerce systems. Skills in HTML5, CSS3 and JavaScript are needed. Option for remote position.
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1 week agoAnalyzes and interprets data and makes recommendations for change based on judgment and experience. Prepare detailed work papers and present findings in accordance with Government Auditing Standards (GAS) andCMSrequirements. Gain experience with...
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29 days agoUpload, updating and publish between 20-50 articles per week in ourCMS. Coordinate with Project Managers, content editors and Content Producers to ensure edits were published correctly. Update stock photography and uploading infographics as needed.
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30+ days agoPerform copyediting in MS Word on academic book manuscripts. Must have a bachelor's degree, 5 years of experience as a copyeditor, and proficiency in APA andCMSstyles. STEM and foreign-languageexperience is a plus. Freelance, home-based job.
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23 days agoReviews health risk evaluations within required timelines to determine completion & compliance withCMSguidelines. Reviews & assesses the accuracy, completeness, specificity & appropriateness of diagnosis codes identified in the health risk evaluations.
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30+ days agoCommunicate directly with physicians to ensure that clinical documentation is coded timely, accurately and in compliance withCMSguidelines & national correct coding initiatives.Assist in staff training, educational sessions, and takes part in meetings.
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30+ days agoThe remote editor will focus on editing and formatting content for input into the XML-basedCMS. Candidates should have one to two years' copyediting experience, ideally in the tech, educational or scientific field.
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17 days agoThe Manager Medicare Compliance role is critical in maintaining adherence toCMSfederal regulations by effectively monitoring and overseeing business practices for our Medicare Advantage programs. Bachelors and Medicare Advantage Health Plan experience.
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30+ days agoReviews health risk evaluations within required timelines to determine completion and compliance withCMSguidelines. Reviews and assesses the accuracy, completeness, specificity and appropriateness of diagnosis codes identified in the health evaluations.
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30+ days agoReviews health risk evaluations within required timelines to determine completion and compliance withCMSguidelines. Reviews and assesses the accuracy, completeness, specificity and appropriateness of diagnosis codes identified in the health risk...
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1 week agoResponsible for redesigning, maintaining, and creating new WordPress-based websites and/or otherCMSand apps, ensuring that they are efficient, secure, and user-friendly while adhering to our mission and brand.
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Featured27 days agoCollaborate with clients to collect quality data on a timely basis. Process and analyze client's data including EHR files, Excel spreadsheets, billing data files, and custom data collection tools. Become an expert on our company software,CMSQuality...
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30+ days agoReviewCMS流程叙述和流程流,然后执行a gap analysis to regulatory requirements. Perform current state process mapping. Assess current state processes for adherence to policies, procedures, and regulations. Make recommendations...
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30+ days agoAssessCMSprogram documents including, without limitation, Board and Management oversight, Third Party oversight, compliance programs, complaint response management, and compliance audit programs. Assess current state processes for alignment...
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Featured20 days agoResearch and write 300- to 900-word articles in a customCMS. Write content on a quick turnaround as applicable. Contribute to and follow the guidelines of our style guide, editorial strategy, and publishing standards to uphold quality of content.
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Featured20 days agoClaim feature article topics from a large selection of assignments. Research, pitch, and write 2600- to 3000-word articles in a customCMSwith a one-week to one-day turnaround, depending on the topic and timeliness of the article. Contribute to...
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Featured20 days agoResearch, pitch, and write 2600- to 3000-word articles in a customCMSwith a one-week to one-day turnaround, depending on the topic and timeliness of the article. Minimum three years' editorial experience writing and editing. Experience with building...
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Featured20 days agoThese positions are work-from-home with flexible, stable hours. Research and write 300- to 900-word articles in a customCMS. Write content on a quick turnaround as applicable. Contribute to and follow the guidelines of our style guide, editorial...
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Featured20 days agoClaim feature article topics from a large selection of assignments. Research, pitch, and write 2600- to 3000-word articles in a customCMSwith a one-week to one-day turnaround, depending on the topic and timeliness of the article. Contribute to and ...
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FeaturedNew!6 days agoClaim feature article topics from a large selection of assignments. Research, pitch, and write 2600- to 3000-word articles in customCMSwith a one-week to one-day turnaround, depending on the topic and timeliness of the article. Contribute to and...
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New!3 days agoClaim feature article topics from a large selection of assignments. Research, pitch, and write 2600- to 3000-word articles in a customCMSwith a one-week to one-day turnaround, depending on the topic and timeliness of the article. Contribute to and...
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20 days agoReviews health risk assessments/evaluations to determine completion and compliance withCMSguidelines on a timely basis. Reviews and assesses the accuracy, completeness, specificity and appropriateness of diagnosis codes identified in the health risk...
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Featured20 days agoIdeal candidates have at least three years of experience writing content for print or the web with a focus on food, beverages, and cooking tips and tricks. Research and write 300- to 900-word articles in a customCMS. Write content on a quick...
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Featured30+ days agoClaim feature article topics from a large selection of assignments. Research, pitch, and write 2600- to 3000-word articles in a customCMSwith a one-week to one-day turnaround, depending on the topic and timeliness of the article. Contribute to and...
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Featured30+ days agoClaim news and evergreen article topics from a large selection of assignments. Pitch relevant and timely stories related to the site's areas of coverage. Research and write 300- to 900-word articles in a customCMS. Write content on a quick turnaround...
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30+ days agoReviewing prior authorization requests for medical necessity, benefits and possible carve out to the health plan. Members will work with a subset of a larger team of approximately 100 employees.Have an understanding of how to apply health plan andCMS.
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Featured25 days ago从一个大选择o声称新闻文章主题f assignments. Pitch relevant and timely news stories related to the site's areas of coverage. Research and write 300- to 900-word articles in customCMS. Write content on a quick turnaround as applicable.
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30+ days agoMonitor DHHS, EOHHS, andCMSwebsites, listservs and other sources to identify existing payment practice and upcoming changes. Determine the scope and impact of the change on Plan operations and seek to implement changes as necessary. Staff and...
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New!2 days agoProvides medical interpretation and determinations whether services provided by other healthcare professionals are in agreement with national guidelines,CMSrequirements, company policies, clinical standards, and (in some cases) contracts.
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Featured1 week agoYou are responsible for analyzing submitted documentation, making outbound calls to obtain required information, and processing Medicare Part D claims perCMSregulations. This position requires methodical attention to detail, strong analytic thinking...
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30+ days agoAssist Manager in all credentialing aspects of regulatory reviews including, but not limited to, State and Federal regulations, NCQA,CMS, and TJC, URAC. Prepare or review all pre-audit documents to assure accuracy Participates in the staff interview...
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16 days agoPerforms remote medical record review to capture all relevant diagnosis codes included in theCMSand HHS Hierarchical Condition Categories (HCC) conditions for the Commercial and Medicare Risk Adjustment Payment system. Focus on retrospective coding...
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FeaturedNew!2 days agoResponsible for all components of five 3-year state/CMSmandated Performance Improvement Projects. Develop understanding of customer requirements and/or expectations and anticipate needs to determine appropriate course of action. 5+ years of experience...
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30+ days agoManage and respond to live customer requests using support andCMSsoftware both through email and over the phone. Troubleshoot customer issues and problem-solve. Work across internal teams to solve customer issues or complete requests. Maintain...
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28 days agoResponsibilities include conducting revenue integrity audit activities for compliance related to internal policy,CMS, Medicaid and managed care regulations and requirements, communication, outcomes analysis and reporting for the purpose of internal...
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30+ days agoThe role involves managing project teams of architects, engineers, contractors, commissioning agents, testing labs, and other vendors including the pre-qualification process forCMs, GCs and subcontractors. Deliver significant projects on time and budget.
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30+ days agoProficient with the rules, regulations, amendments and Guidelines ofCMSfor executing claims processing. Must be able to verify that claims are paid in accordance with correct contractual provisions, regulatory guidelines and all company and...
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30+ days agoIdentify areas of technical SEO improvement for a customCMSand liaise with development to test / implement new strategies. Create, test, and implement market leading content & technical SEO strategies. Collaborate with a team of SEOs as well as...
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30+ days agoConfigure broadcast studio with assets provided by our Project Managers/customers (background, holding images, VTs), and connect it to ourCMS, Backstage, using RTMPs.Run rehearsals and live shows: welcome speakers, launch and close the live stream.
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New!2 days agoPrepare & file all FHA, VA, PMI &investor claims timely and accurately according to investor/insurer/CMS指导方针和要求。评审,后续& ensure the timely & accurate completion of all regular scheduled steps including foreclosure tracking.
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30+ days agoConducts medical record audits to determine the medical necessity and/or appropriateness of medical treatment as defined by the Statement of Work andCMSdirectives as well as state and local specific regulations. Conducts in-depth claims analysis.
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26 days agoResponsible for abstracting all relevant ICD 10 codes from each chart as defined by the company and the clients scope of work for that specific project. The coder will adhere to the officialCMSor project specific coding guidelines.
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16 days agoDevelop social media messaging for regular posts on multiple channels, including creating original content and engaging with relevant third-party material. Bachelor's degree and 5 years of experience creating digital content utilizingCMSand Social...
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22 days agoYou'll edit 2-4 articles per day from staff and freelancers, write multiple stories each week, manage freelance assignments as needed and produce stories on theCMS. You'll also edit for clarity, accuracy, style and voice and contribute to related...
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30+ days agoWork on 60+ projects a year. Create prototypes for home pages, inner pages, and more. Design and build responsive websites. Theme WordPressCMSbuilds (programmers code and build custom functionality). Design infographics. Design landing pages and ads.
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30+ days agoDevelop, design, specify, implement, and manage analytics dashboards in DOMO using data from various sources such as Google Analytics, SitecoreCMS, Pardot, Salesforce, SEO measurement tools and more. Apply a business-first mindset to the presentation...
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