An insurance company has an open position for a Virtual Medical Case Manager. Individual must be able to fulfill the following responsibilities: Provide telephonic case management on assigned workers’ compensation claims.
A physician advisory and revenue cycle services provider is seeking a Telecommuting Inpatient Medical Coder. Must be able to: Review physician assigned diagnosis code. Review clinical documentation and diagnostic results as appropriate. Consistently meet all productivity and quality metrics.
A healthcare company is seeking a Telecommute Medical Expertise Guide. Must be able to: Assist members with finding cost and quality effective facilities. Assist members with finding quality effective surgeons within their health plan. Ask the health plan members appropriate questions.
A hospital and healthcare system is searching for a person to fill their position for a Telecommuting Medical Coder III in Frisco. Individual must be able to fulfill the following responsibilities: Complete accurate coding of diagnoses and procedures and abstracts.
A healthcare company has an open position for a Telecommute Senior Medical Stop Loss Underwriter. Must be able to: Renew accounts and write new business at profitable levels. Achieve overall business targets or assigned volume of new applications.
A healthcare company has a current position open for a Telecommute Evening Shift Medical Collections Specialist in Irving. Candidates will be responsible for the following: Performing patient collections in regards to their hospital account(s)
Presenting a concise medical summary within each appeal based on support from the medical record. Composing clinical appeal letters to send to payers. Updating the patient account record to identify actions taken on the account. Must meet the following requirements for consideration:
Review medical charts and enter data into the computer system. Ensure that plans of care are person centered. Ensure that the services that the member receives are appropriate to meet their medical needs. Qualifications Include: Complete face to face comprehensive assessment of patients.
Analyzing and interpreting documentation from medical records. Completing accurate coding of hospital-based diagnoses and procedures. Skills and Requirements Include: Associate’s Degree or equivalent experience. RHIA, RHIT, CCS, CCS-P, CCA, CPC, CPC-P, COC, CIC or CIRCC certification.
Must be able to: Investigate, review, and provide clinical and / or coding expertise for medical reimbursement. Perform clinical coverage review of current service claims. Perform clinical coding review to ensure accuracy of medical coding. Qualifications Include: