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  • Consulting (3)

    Consulting Remote Medical Coding Job Texas

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    • Jurisdictional Analyst

      bachelor's degree in legal services/business administration with a major in paralegal studies Paralegal certification is preferred Relevant experience may substitute for formal training requirements Understanding of healthcare insurance functions and medical...coding Knowledge of state and federal medical and jurisdictional laws applicable to the IDR process

      Jurisdictional Determinations Medical Coding HIPAA Compliance HITECH Compliance
    • Maryland Licensed Jurisdictional Advisor

      the No Surprises Act and optimize workflow processes for efficiency and accuracy Required Qualifications, Training, and Education Bachelor's degree in a health-related field, with experience or coursework in healthcare and/or biological sciences Medical...coding certification is preferred Proven experience in healthcare eligibility, medical necessity, or revenue integrity management Knowledge of the No Surprises Act and CMS regulations Experience leading regulatory staff teams and optimizing operational

      Revenue Integrity Regulatory Knowledge Operational Knowledge Compliance Checks
    • Texas Licensed Orthopedic Reviewer

      services Utilize state-specific workers' compensation guidelines and nationally recognized criteria Submit clear, concise, and well-supported determinations Required Qualifications: Board Certification in Orthopedic Surgery Active, unrestricted Texas...medical license Active clinical practice

      Board Certification Utilization Review Evidence-based Opinions State-specific Guidelines
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