Evaluating the pre-service authorization request. Promoting the quality cost-effectiveness of medical care. Forwarding requests to the appropriate physician or medical director with recommendations for other determinations. Qualifications for this position include:
Identifying any discrepancies between the submitted hospital bill and the medical records. Scheduling hospital audits, conducting audits, comparing itemized hospital bill to the medical records, and identifying overcharges, undercharges, and disallowed charges.
Complex Case Management. 1-3 years in case management, disease management, managed care or medical or behavioral health settings. Active, unrestricted State Registered Nursing license in good standing. Must have valid driver's license with good driving record.
Bachelor's degree in a related field is required. Minimum of 5-7 years experience in a healthcare, medical communications or scientific agency. Excellent technology skills with a high proficiency with Microsoft Office (PowerPoint, Word, Excel and Outlook) and web-conferencing are a must.
A healthcare company is filling a position for a Remote Certified Medical Coding Auditor in Temple. Candidates will be responsible for the following: Performing coding quality audits. Providing feedback to coders and educating coders.
A non-profit organization is seeking a Telecommute Medical Coder I in Albuquerque. Must be able to: Maintain at least a 95% accuracy rate. Access several systems to research medical records to complete coding. Resolve any and all pre-bill edits and denials for assigned accounts.
A healthcare company needs applicants for an opening for a Telecommute Medical Records Coder II in Albuquerque. Must be able to: Review patients entire current medical record, assigning appropriate codes.
A healthcare company is filling a position for a Remote Certified Disease Medical Coder III in Dallas. Core Responsibilities of this position include: Analyzing and interpreting documentation from medical records. Completing an accurate coding of diagnoses and procedures.
Retrieving information from medical records and entering the information into the hospital computer system. Reviewing and correlating financial and medical entries to identify discrepancies in charging and billing issues. Position Requirements Include: High School Diploma or equivalent.
Coding claims directly from the medical record/operative report according to coding guidelines. Accurating and timely completion of charge review work queues as assigned. Assisting with tracking and trending coding issues and research of denied claims. Qualifications Include: