- Humana (Springfield, IL)
- …possible participation in care management. The clinical scenarios arise from outpatient , inpatient or post-acute care environments. The Medical Director will have ... but may not be limited to, an overview of coding practices and clinical documentation, grievance and appeals processes...which preferably includes some experience in an inpatient and/or outpatient environment and/or related to care of a Medicaid… more
- UnityPoint Health (Moline, IL)
- …monitoring disease status. + Schedule referrals for patients with specialist or outpatient as requested by the provider. Complete appropriate forms or requisitions ... needed for referrals or lab testing, including appropriate CPT/ICD-10 coding . + Provide appropriate and timely documentation in the patient's electronic health… more
- Humana (Springfield, IL)
- …may require conflict resolution skills. Some roles include an overview of coding practices and clinical documentation, dispute, grievance, and appeals processes, and ... outpatient services and equipment, within their scope. The Medical Director may speak with contracted external physicians, physician groups, facilities, or community… more
- Humana (Springfield, IL)
- …discussions with an external provider. Some roles include an overview of coding practices and clinical documentation, dispute/grievance and appeals processes, and ... outpatient services and equipment, within their scope. Medical Directors support Humana values, and Humana's mission, throughout all activities. **Use your skills to… more
- Carle Health (Peoria, IL)
- …for laboratory analysis. Schedule referrals for patients with specialist or outpatient as requested by the provider. Complete appropriate forms or requisitions ... needed for referrals or lab testing, including appropriate CPT/ICD-10 coding . Responsible for tracking system for follow-up appointments related to office visits,… more
- BJC HealthCare (Alton, IL)
- …hospital. Alton Memorial offers patients a variety of inpatient and outpatient services, including surgery services, medical imaging, interventional and diagnostic ... and approve daily payroll updates. Reconcile time cards, bonus tracking and coding approval. Prepare, coordinate and execute all staff communications; prepare huddle… more
- CenterWell (Springfield, IL)
- …resolution skills. An aspect of the role includes an overview of coding practices and clinical documentation, grievance and appeals processes, and outpatient ... services and equipment, within their scope. The Medical Director may speak with contracted external physicians, physician groups, facilities, or community groups to support regional market care facilitation and priorities, which may include an understanding… more
- Rush University Medical Center (Chicago, IL)
- …12 months of hire. * Minimum of seven (7) years of progressive outpatient , specialty and/or ambulatory pharmacy experience required, with three (3) years of previous ... including medical and pharmacy benefit drugs, and ensure appropriate billing and coding practices. * Collaborates and works closely with 340B program teams to… more
- Rush University Medical Center (Chicago, IL)
- …regulatory and grant requirements + Evaluate and optimize provider quality, billing, and coding + Support team safety through emergency response as member of larger ... Rush Copley Medical Center and Rush Oak Park Hospital, as well as numerous outpatient care facilities. Rush University, with more than 2,500 students, is a health… more
- Carle Health (Peoria, IL)
- …catheters per protocol. Schedule referrals for patients with specialist or outpatient as requested by the provider. Complete appropriate forms or requisitions ... needed for referrals or lab testing, including appropriate CPT/ICD-9 coding . Responsible for tracking system for follow-up appointments related to office visits,… more