- Atlantic Health System (Morristown, NJ)
- …Line Manager. Establishes and maintains clinical communication and clinical review with CoCM collaborating psychiatrists. Age Specific Competencies: Child, Adult. ... and AMG Leadership. Implements and monitors programmatic adjustments determined through review of financial metrics in coordination with Service Line Manager and… more
- Kelsey-Seybold Clinic (Pearland, TX)
- **Responsibilities** Analyze patient accounts and review chart notes, review reports, identify areas of deficiencies and make determinations regarding ... physician accuracy and education needs. Review denial reports to determine reasons and educational needs. Respond to other areas and departments seeking coding… more
- Corewell Health (Watervliet, MI)
- …physician education. + Responsible for compliance perspectives of rehabilitation team by completing chart audits and daily manual pull to review accuracy in ... Job Summary Responsible for ensuring optimal reimbursement through analytical review of medical records and collaboration with interdisciplinary teams, including… more
- Covenant Health Inc. (Knoxville, TN)
- …+ Reviews providers' requests for services and coordinates utilization management review . + Reviews precertification requests for medical necessity for all payors ... as necessary. + Completes daily work lists for utilization review meeting the time frames set forth by Covenant...with physicians and physician office staff. + Performs daily chart reviews for observation hour calculations and observation charge… more
- Sanford Health (Sioux Falls, SD)
- …coding for working diagnosis related group (DRG) assignments. Workflows may include patient chart review , and assisting with and managing of insurance coverage ... cases that do not meet departmental standards and require additional secondary review and/or escalation as needed. May also be actively involved in collaborating… more
- Actalent (Sunrise, FL)
- …necessary Skills: Quality improvement, data, audit, data abstraction, chart review , medical, quality audit, managed care, Medicare Work Environment: Remote ... compare results to HEDIS standards and/or custom or other measure set standards + Review medical records and abstract data for HEDIS and other measure sets in… more
- WellSpan Health (York, PA)
- …urgent issues and elevates concerns to Department Leadership. + Facilitates case/ chart reviews and develops/oversees action plans designed to expedite care and ... drive claims closure. Coordinates quarterly claims review meetings. + Assesses new cases by gathering information, reviewing diagnoses and injury reports, and… more
- Cognizant (Minot, ND)
- …to detail **Preferred Qualifications** + Medical/Health Insurance knowledge + Medicare background **Responsibilities:** + Review orders, summarize medical ... of the Pre-Authorization Specialist is to verify benefit eligibility, review /summarize orders, acquire prior authorization(s) and partner with respective Sales… more
- WellSpan Health (Hanover, PA)
- …the direction of the provider. Provides related education, counseling, ongoing review and monitoring regarding diagnostic tests (ie, INR results in Anticoagulation ... follow-up instructions. + Obtains basic health information from patient/family members to review with providers or clinical resource person to determine the urgency… more
- Robert Half Office Team (Oakland, CA)
- …What You'll Work On Act as a resource Demonstrates the ability to request, review and code medical services from reports and notes in order to convert procedural ... of care following coding rules and regulations. Thorough understanding of Medicare , Medi-Cal and other payor guidelines. Identifies documentation deficiencies and… more
Recent Jobs
-
Ultrasound Technologist PRN
- HCA Healthcare (Englewood, FL)
-
Associate Director, Commerce Activation
- Publicis Groupe (Springdale, AR)
-
Assistant/Associate Professor of Sustainable Tourism, Adventure Travel, and Sport Management
- Paul Smith's College (Paul Smiths, NY)
-
University Special Police Sergeant (Evening Shift)
- Johns Hopkins University (Washington, DC)