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... conducts quality assurance audits of medical records and ICD-9/10 diagnosis codes that ... by clinical documentation within the health record. Follows state and federal ... while analyzing coding information..
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Description The Medical Director relies on medical background and reviews health claims. The Medical Director work assignments involve moderately ... of variable factors. Responsibilities The Medical Director actively uses their..
Description The Medical Director actively uses their medical background, experience, and judgement to ... and other sources of expertise. Medical Directors will learn Medicare and ... in their daily work...
... is acritical leadership role with full market financial oversight over the ... objectives o Responsible for identifying medical cost trends and leadership of ... cost trends and leadership of..
... The Supervisor, Pre-Authorization Nursing: Completes medical necessity and level of care ... Educates providers on utilization and medical management processes. Enters and maintains ... pertinent clinical information in various..
... physicians, specialists, hospital networks and health plans within the Houston area. ... initiatives Develop strategic relationships with health plan payers in the market ... and retaining organizational talent Lead..
... iCare is seeking an Enrollment Specialist who will support the iCare ... BadgerCare Plus. Responsibilities The Enrollment Specialist is responsible for iCare enrollment ... members, the Wisconsin Department of..
... Authorization Nursing Supervisor-- REMOTE/WORK AT HOME (Anywhere in the US) in ... team of 20-25 nurses and medical professionals that performs the following ... that performs the following functions:..
... Coders are responsible for reviewing medical records, completing multiple audits, and special ... by clinical documentation within the health record. Follows state and federal ... while analyzing coding information..
... order to prepare the Behavioral Health( BH) Clinical Team with the ... Experience working with the behavioral health population Excellent verbal and written ... investigative skills Excellent organizational and..
... and change lives with Fresenius Medical Care North America. Here, we ... When you join the Fresenius Medical Care team, you’ll be welcomed ... advantages include the following: Fresenius..
Description The Medical Director relies on medical background and reviews health claims. The Medical Director work assignments involve moderately ... East Coast hours Responsibilities The Medical Director actively uses their..
... by clinical documentation within the health record. Follows state and federal ... while analyzing coding information and medical records. Decisions are regarding the daily ... Coders are responsible for..
... Certified Diabetes Care and Education Specialist-Remote-US in Glen Allen Virginia Description ... Certified Diabetic Care and Education Specialist (CDCES) delivers comprehensive and seamless ... that reduce risks and optimize..
Job Information Humana UM Medical Director - Conviva in Glen ... Glen Allen Virginia Description The Medical Director relies on medical background and reviews health claims. The Medical Director work..
... and Waste Investigator-- REMOTE/WORK AT HOME in Glen Allen Virginia Description ... Waste, and Abuse in the Health Care Industry? If this resonates ... Conducts on-site audits of provider..
... outpatient medicine, continuity of care, health maintenance, and disease prevention. Keeps ... and disease prevention. Keeps a medical history and medical records. Refers the patient to specialists ... is..
... Waste Investigator - Work At Home (Anywhere in the US) in ... Waste, and Abuse in the Health Care Industry? If this resonates ... Conducts on-site audits of provider..
Description The Medical Director relies on medical background and reviews health claims. The Medical Director work assignments involve moderately ... East Coast hours. Responsibilities The Medical Director actively uses their..
Description The Medical Director actively uses their medical background, experience, and judgement to ... conferences, and other reference sources. Medical Directors will learn Medicare and ... daily work. Responsibilities Job..
Description The Medical Record Retrieval Specialist (Risk Adjustment Representative) travels to ... within the region and scans medical records into a secure system. The ... into a secure system. The..
... coordination, documentation and communication of medical services and/or benefit administration determinations. ... 2 will collaborate with other health care providers in reviewing actual ... in reviewing actual and proposed..
