A healthcare company is filling a position for a Telecommute Provider Installation Representative. Candidates will be responsible for the following: Validating and maintaining all provider records within the health plan system.
A healthcare company is filling a position for a Telecommute Clinical and Service Quality Director. Core Responsibilities of this position include: Directing professional staff, both clinical and nonclinical. Ensuring clinical and service–related compliance of the corporation.
A healthcare company is searching for a person to fill their position for a Remote Hospital Coding Quality Reviewer in West Allis. Core Responsibilities Include: Completing coding accuracy reviews to assist the coding leadership in carrying out the department's compliance plan.
Experience with telecommuting, working with EMRs and other electronic tools. Recognized CDI credential from ACDIS (CCDS) or AHIMA (CDIP) Current clinical license (RN, NP, PA, MD) Clinical experience in an acute care, outpatient or physician office setting. Strong Microsoft Office skills.
Assigning, validating, and/or editing procedure categories, modifiers. Skills and Requirements Include: High School graduate or GED equivalent. 1 year of acute care hospital inpatient coding. Coding technical skills. Analytical skills. Organization. Communication.
Perform medical record review for HEDIS and HEDIS-like measures. Perform over-read of medical records. Qualifications for this position include: 1+ year healthcare/health plan experience. 1+ year HEDIS experience and/or knowledge. Home internet is required.
A health information site is filling a position for a Telecommute Senior Mobile Quality Assurance Engineer in San Francisco. Candidates will be responsible for the following: Advocating for the user. Managing all communications related to QA Status.
A healthcare company has a current position open for a Virtual Coding Review Analyst. Must be able to: Conduct coding reviews of medical records. Process and/or review claims in a timely manner. Document coding review findings within investigative case tracking system. Required Skills:
Current unrestricted RN license. 2+ years Utilization Management experience in managed care, acute, or rehab setting. 1 year of supervisory experience. Knowledge of utilization review process and prior authorization process in a managed healthcare industry. Knowledge of ICD10 and CPT coding.
Promote effective and efficient use of healthcare resources. Review of clinical care and treatment plans. Focus on care management overall. Qualifications Include: RN license in the state on MN- if the do not we will have to work on getting a supplemental MN license.