Performing in-depth evaluations of variable factors. Performing other duties as assigned. Skills and Requirements Include: 5+ years of technical experience. A current and unrestricted license in at least one jurisdiction. MD or DO degree Board Certified in an approved ABMS Medical Specialty.
Minimum of 5+ years recent auditing experience in a hospital setting. If working remote must have recent remote experience. Experience in regulatory issues related to Medicare. Require RHIA, RHIT and /or CCS. Other requirements as outlined in the job description.
A healthcare provider is seeking a Telecommute Regional Chief Medical Officer. Must be able to: Work with Quality Management to assure clinical soundness. Manage the service center’s medical utilization budget. Develop, train, and create plans for clinical and care management staff.
A healthcare technology solution is in need of a Remote Inpatient Coding Specialist. Must be able to: Assign appropriate ICD-10 CM or CPT-4 codes according to established guidelines with a 95% accuracy rate. Maintain AHIMA coding standards for productivity.
Being the first point of contact for patients. Scheduling appointments, verifying insurance, completing pre-certifications, and making referrals. Focusing solely on working with patients to obtain complete and accurate information. Qualifications for this position include:
Core Responsibilities of this position include: Providing medical interpretation and decisions about the appropriateness of services provided. Ensuring healthcare professionals are in compliance with policies, procedures, and performance standards.
Core Responsibilities of this position include: Reaching out to members and ensuring appropriate care is accessed. Providing social assessments and member education. Creating a positive experience and relationship with the member. Applicants must meet the following qualifications: