- University of Michigan (Ann Arbor, MI)
- Medical Coder Compliance Spec Apply Now **Job Summary** Perform coding quality audits on outpatient records to assure appropriateness, accuracy, and compliance ... OPERATIONS + Perform pre and/or post bill secondary chart review to validate modifier selection, E&M, procedural, and diagnosis...+ Protect the confidentiality of primary and secondary health records and the information therein as mandated by law,… more
- ACLD (Roslyn Heights, NY)
- …people supported, schedule follow up, collect all paperwork, submit to nurse for review . * Communicate with families regarding medical appointments as needed. * ... Job Title: Medical Coordination Specialist Reports To: Residential Manager Primary...preferred. Ability to provide clear and legible documentation on records . Essential Functions * Oversee the dispensing and documentation… more
- Elevance Health (Indianapolis, IN)
- … medical necessity decisions. + Brings to their supervisors attention, any case review decisions that require Medical Director review or policy ... **Clinical Operations Medical Director** **Carelon MBM** **Virtual:** This role enables...CMS Coverage Determinations, as applicable. + Perform physician-level case review of utilization requests for procedures and interventions listed… more
- Humana (Washington, DC)
- …will understand how to operationalize this knowledge in their daily work. The Medical Director's work includes computer-based review of moderately complex to ... complex clinical scenarios, review of all submitted clinical records , prioritization of daily work and communication of decisions to internal associates. The… more
- Elevance Health (Wright Patterson AFB, OH)
- ** Medical Director -Long Term Support Services** _Preferred Location: Ohio._ _Please note that per our policy t_ _his role enables associates to work virtually ... health, long term services and supports, and psychosocial needs._ The ** Medical Director -Long Term Support Services** is responsible for the administration… more
- Elevance Health (Chicago, IL)
- **Clinical Operations Associate Medical Director** **Carelon Medical Benefit Management** **Genetic Testing Utilization Management/ Review ** **Virtual:** This ... medical necessity decisions. + Brings to their supervisors attention, any case review decisions that require Medical Director review or policy… more
- Humana (Denver, CO)
- …will understand how to operationalize this knowledge in their daily work. The Medical Director's work includes computer-based review of moderately complex to ... complex clinical scenarios, review of all submitted clinical records , prioritization of daily work, communication of decisions to internal associates, and… more
- Humana (Lansing, MI)
- …will understand how to operationalize this knowledge in their daily work. The Medical Director's work includes computer-based review of moderately complex to ... complex clinical scenarios, review of all submitted clinical records , prioritization of daily work, communication of decisions to internal associates, and… more
- Centene Corporation (Indianapolis, IN)
- …+ Provide leadership and expertise in the development, implementation and interpretation of medical review and quality related policies and guidelines. + Provide ... who changes everything for our 28 million members. **Position Purpose:** Provide medical oversight, expertise and leadership to ensure the delivery of cost… more
- Defense Health Agency (Tacoma, WA)
- …consultation and Temporary Disability Retired List (TDRL) evaluations. Responsible for comprehensive review of medical records , orders and interprets ... **Overview** **PHYSICIAN ( MEDICAL EVALUATION BOARD)** **About the Position:** This position...(Enlisted), and (3) extensive experience in command consultation, to review , evaluate and analyze cases of individuals being processed… more