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Description The Medical Director relies on medical background and reviews health claims. The Medical Director work assignments involve moderately complex to complex issues where the analysis of situations or data requires ..
Description The Manager, Medical Coding oversees the coding team that is reviewing inpatient records for appropriate coding to include ICD-10, CPT, and HCPCS. The Manager, Medical Coding works within specific guidelines ..
Description The Medical Director relies on fundamentals of CMS Medicare Guidance on following and reviewing appeals for Medicare Part C Line of Business. The Medical Director provides medical interpretation and determinations ..
Description The Medical Director's primary responsibility is the review of medical authorizations or claims to determine the medical necessity of a given service or level of care. The Medical Director's work ..
Description The Senior Professional collaborates with healthcare professionals, pharmacists, and other business functions to implement formulary and medical strategies for the Medicaid line of business. Makes decisions on moderately complex to ..
Description The Medical Coding Auditor extracts clinical information from a variety of medical records and assigns appropriate procedural terminology and medical codes (e.g., ICD-10-CM, CPT) to patient records. The Medical Coding ..
Description The Behavioral Health Medical Director makes determinations regarding prior authorization and retrospective reviews for inpatient and outpatient services to ensure that members receive clinically appropriate and medically necessary services. All ..
Description The Medical Director actively uses their medical background, experience, and judgement to make determinations whether requested services, requested level of care, and/or requested site of service should be authorized. All ..
A law firm is seeking a Renewable Energy Project Development and Finance Associate Attorney in Billings. The Renewable Energy Project Development and Finance Associate Attorney will work with clients in the ..
Family Medicine opportunity in Big Sky Country! Clinic hours are 8:00 - 5:00, Monday through Friday with 1:8 weekend call coverage. Work with two Primary Care physicians, one Physician Assistant, and ..
Job Overview: A law firm in Billings, MT, is seeking a Commercial Litigation Associate Attorney with 2-4 years of top-tier law firm experience. The ideal candidate will have strong legal research ..
A law firm seeks a Real Estate Associate Attorney in Billings, MT.Job Overview:The Real Estate Associate Attorney will handle various commercial real estate transactions, including acquisitions and sales, development, leasing, title, ..
Description The Medical Coding Coordinator 3 extracts clinical information from a variety of medical records and assigns appropriate procedural terminology and medical codes (e.g., ICD-10-CM, CPT) to patient records. The Medical ..
A law firm is seeking a Labor And Employment Associate Attorney for their office in Billings, MT.Job Overview:The Labor And Employment Associate Attorney will be responsible for providing legal support and ..
A law firm in Billings is seeking a skilled Trademark Associate Attorney with 2-5 years of experience. The ideal candidate will possess expertise in trademark searching, global trademark strategy development, and ..
Nestled on the tranquil banks of the Yellowstone river, our client in southeastern Montana is seeking a Family Medicine provider. Join this community oriented non-profit organization where you'll work collaboratively with ..
Description The Behavioral Health Medical Director responsible for behavioral health care strategy and/or operations. The Behavioral Health Medical Director work assignments involve moderately complex to complex issues where the analysis of ..
Job Information Humana AVP, Stars and Risk Adjustment National Medical Director in Billings Montana Description The Healthcare Quality Reporting & Improvement (HQRI) organization is seeking a talented Physician executive that can ..