- Evolent (Madison, WI)
- …interacts with leadership and management staff, other Physicians, and staff whenever a physician `s input is needed or required. **What You Will Be Doing:** + Serve ... as the Physician match reviewer in Imaging cases, that do not...rationale for standard and expedited appeals. + Utilizes medical/clinical review guidelines and parameters to assure consistency in the… more
- Marshfield Clinic (Ladysmith, WI)
- …**Job Title:** Locum Tenens Recruiter (Remote/Hybrid) **Cost Center:** 301081250 Physician and APC Recruitment **Scheduled Weekly Hours:** 40 **Employee Type:** ... Locum Tenens Recruiter is responsible for the recruitment of physician and APC locum and NonClass A positions ensures...for this position. Licenses with restrictions are subject to review to determine if restrictions are substantially related to… more
- Banner Health (WI)
- …knowledge of clinical documentation and its impact on reimbursement under Medicare Severity Adjusted System (MS-DRG),All Payer Group (APR-DRG) and Ambulatory Payment ... and ethical coding compliance. If applicable, initiates and follows through on physician queries to ensure that code assignment accurately reflects the patient's… more
- Evolent (Madison, WI)
- …interacts with leadership and management staff, other Physicians, and staff whenever a physician `s input is needed or required. As well as, aids and acts as ... the regulatory timeframe of the request. + Utilizes medical/clinical review guidelines and parameters to assure consistency in the...by any state or federal health care program, including Medicare or Medicaid, and is not identified as an… more
- Marshfield Clinic (Eau Claire, WI)
- …Technologist** **JOB SUMMARY** The CIRV Technologist Cath Lab assists the Physician in performing a variety of specialized procedures (Cardiology, Interventional ... are required for this position. Licenses with restrictions are subject to review to determine if restrictions are substantially related to the position._ **Minimum… more
- Marshfield Clinic (Beaver Dam, WI)
- …resident's care plans. 6. Prepares and administers medications as ordered by the physician in accordance with the facility's policies and procedures. 7. Processes ... physician 's orders in accordance with facility procedures. Communication: 8....for this position. Licenses with restrictions are subject to review to determine if restrictions are substantially related to… more
- Centene Corporation (Madison, WI)
- …healthcare coverage, providing access to affordable, high-quality services to Medicaid and Medicare members, as well as to individuals and families served by the ... cost containment, and medical quality improvement activities. + Performs medical review activities pertaining to utilization review , quality assurance, and… more
- Fresenius Medical Center (Waupaca, WI)
- …(QD). + Evaluate intradialytic problems and provide intervention as prescribed by physician order or as directed. + Monitor patients' response to dialysis therapy ... the designated clinical application accurately and in a timely manner. + Review treatment sheets for completeness, ensure nursing signatures are documented, and… more
- Cardinal Health (Madison, WI)
- …and keep updated on policy or procedural changes + Investigate and resolve patient/ physician inquiries and concerns in a timely manner + Enter detailed information ... or customer service environment, preferred + Clear knowledge of Medicare , Medicaid & Commercial payer policies and guidelines for...other status protected by federal, state or local law._ _To read and review this privacy notice click_ here… more
- CVS Health (Madison, WI)
- …to identify and submit ICD codes that are submitted to the Centers for Medicare and Medicaid Services (CMS) for the purpose of risk adjustment processes are ... of 1 year recent and related experience in medical record documentation review , diagnosis coding, and/or auditing. + Completion of AAPC/AHIMA training program for… more