Utilization Management Professional Lead. Remote MO Maryland Heights 63043 Gathers and synthesizes clinical information in order to authorize services. Reviews health care services to determine consistency with contract requirements, coverage policies and evidence-based medical necessity criteria.
A clinical healthcare support company has a current position open for a Remote RN Clinical Coder in Baltimore. Must be able to: Ensure proper services are provided to Medicare and PPS model clients Oversee the management of Medicare and PPS model clients Perform final review and lock