- University of Colorado (Aurora, CO)
- …in faculty development activities. + Accept other responsibilities assigned by the Medical Director . **Quality** + Develops, implements, and evaluates the ... review and clinical coding compliance activities. + Collaborate as appropriate with medical staff in the care of complex patients. + Interact with other health… more
- Veterans Affairs, Veterans Health Administration (Muskogee, OK)
- …certified in Anatomic and Clinical Pathology Preferred Experience: Experience serving in a Medical Director and/or Chief of service capacity Reference: For more ... in facility Quality Management activities. Performs and directs others who perform coding of surgical reports with CPT and SNOMED codes Recruits clinical and… more
- Catholic Health Initiatives (Omaha, NE)
- …Summary and Responsibilities** + Patient Care: + Diagnose and treat various medical conditions. + Develop and implement comprehensive treatment plans. + Conduct ... thorough medical examinations and histories. + Communication: + Communicate effectively...findings, diagnoses, and treatment plans. + Ensure compliance with coding and billing regulations. + Diagnostic Procedures: + Order… more
- University of Southern California (Newport Beach, CA)
- …party payers/payers insurance carrier for authorization with correct CPT and ICD coding + Research payers medical policy requirements for chemotherapy treatment ... The Clinical Authorization Specialist will take the lead in securing medical authorizations from third party payers (commercial and government) for outpatient… more
- CenterWell (Middleburg, FL)
- … medical expertise with the care team through daily huddles. . Helps Regional Medical Director (RMD) and Center Administrator (CA) in setting a tone of ... of care, health maintenance, and disease prevention. Keeps a medical history and medical records. Refers the...manner working with a quality- based coder to optimize coding specificity. . Follows policy and protocol defined by… more
- Community Health Systems (Fort Wayne, IN)
- **Benefits** As a Scheduling Specialist at Lutheran Medical Group you'll join a team and be a part of a culture that's dedicated to providing top quality care to our ... process for patients and physicians offices within the hospital or medical facility. This role involves coordinating appointments, procedures, and treatments across… more
- Martin's Point Health Care (Portland, ME)
- …prior authorization requests (prior authorization, concurrent review, and retrospective review) for medical necessity referring to Medical Director as needed ... for ensuring the receipt of high quality, cost efficient medical outcomes for those enrollees with a need for...medical claims disputes, records, and authorizations for billing, coding , and other compliance or reimbursement related issues +… more
- Prime Healthcare (Chicago, IL)
- …W Talcott Ave, Chicago IL Responsibilities Under the direction of the Regional VP of Medical Groups and Director of Finance - Medical Groups, the Corporate ... Finance Analyst will work on various Medical Group projects for the Medical Groups...Working knowledge of government & non-governmental payor reimbursement methodologies, coding practices, and denials & appeals protocols preferred. 2.… more
- AdventHealth (Orlando, FL)
- …Financial Services, Patient Access, AHS Managed Care departments and applicable medical staff of specific updates, statistical trending and/or changes related to ... services throughout the continuum of care for the membership served by contracted medical group provider networks. The PA is an important contact for clinicians,… more
- Catholic Health Initiatives (Omaha, NE)
- …Summary and Responsibilities** + Patient Care: + Diagnose and treat various medical conditions. + Develop and implement comprehensive treatment plans. + Conduct ... thorough medical examinations and histories. + Communication: + Communicate effectively...findings, diagnoses, and treatment plans. + Ensure compliance with coding and billing regulations. + Diagnostic Procedures: + Order… more