- Behavioral Center of Michigan (Warren, MI)
- …the URC since those duties include all tasks requested by the UR Manager, CEO or Medical Director to meet the needs of the Center. Perform utilization review in ... Behavioral Center. The Utilization Review Coordinator reviews the patient's chart and records clinical information and criteria. He/she will...+ Conducting and reviewing medical records for medical necessity + Basic ICD-9, CPT coding … more
- CenterWell (Anderson, SC)
- …active participant and leads the care team through daily huddles. + Helps Associate Medical Director (AMD), Physician and Center Administrator in setting a tone ... accordance with standards of care. + Follows level of medical care and quality for patients and monitors care...for patients and monitors care using available data and chart reviews. + Assists in the coordination of patient… more
- Saint Francis Health System (Tulsa, OK)
- …program activities within Saint Francis Health System (SFHS). This role supports clinical coding and billing audit functions as well as the performance of routine ... auditing experience within a hospital setting. Deep understanding of medical necessity, documentation standards, and clinical validation. Highly detail-oriented with… more
- Community Health Systems (Birmingham, AL)
- …analysis to enhance health information processes. **What We Offer:** + Competitive Pay + Medical , Dental, Vision, and Life Insurance + Generous Paid Time Off (PTO) + ... regulatory compliance, including adherence to HIPAA guidelines. + Collaborates with coding , billing, and clinical teams to resolve discrepancies in patient records… more
- Guthrie (Cortland, NY)
- …Knowledge of health benefit plans and related UM requirements preferred. Experience with CPT/ICD coding , medical record or chart auditing, and experience in ... as necessary with the hospital Business Office, physician offices, Care Coordination, Medical Director and other hospital departments as appropriate. + Serves… more