Review medical charts. Apply coding to appropriate charges. Ensure high quality standards are achieved. Required Skills: RHIA, RHIT, or CCS. 5+ years inpatient facility coding with concentration on cardiology, orthopedic, general surgery, etc. experience.
Entering data into appropriate medical management services. Skills and Requirements Include: Experience in clinical practice with experience in appeals & grievances. Understanding of Utilization Review Guidelines.
A medical center is searching for a person to fill their position for a Telecommute Inpatient Coder III in Fort Meyers. Must be able to: Provide ongoing coding/systems education and training of staff. Ensure compliance with all applicable federal, state and local regulations.
Coordinating medical and long term care services. Completing assessments with members, caregivers, or providers. Qualifications for this position include: Bachelor’s degree, Registered Nurse License, or LPN and 2+ years of care management experience.
Experience with basic insurance guidelines. Minimum 2 years recent experience in medical-oriented scheduling environment. Adept at handling large call volumes, preferably with use of VOIP call systems. Working knowledge of the following systems: EPIC, Cerner, and/or PHS.
A provider of healthcare business and operational services needs applicants for an opening for a Telecommute Medicaid Clinical Review Manager in Tampa. Core Responsibilities of this position include: Applies inpatient InterQual criteria to Medicaid inpatient admissions.
Local travel of up to 40% may be required. 1-3 years in case management, disease management, managed care or medical or behavioral health settings. Social Worker, MSW - Master's Degree. Must have valid driver's license with good driving record.
Occasional travel required. 2+ years related work experience to include 1+ years of related experience in health insurance industry. High school diploma or equivalent. Knowledge of ICD-9, ICD-10, CPT, and HCPCS coding. MS Outlook Experience. Knowledge of medical terminology.
Skills and Requirements Include: Medical Transportation Billing and Coding Experience a must. High School Diploma or equivalent. Must be able to type 35 wpm. Must be able to bill a minimum of 60 pre-billed claims per day. Working knowledge of Microsoft Outlook and Word.
Bachelor's Degree in medicine, science or equivalent degree. qualification in Project Management or equivalent (PMI certification. Specific therapeutic experience in In-Vitro Diagnostics, Orthopedic/Spine, Cardiovascular devices and comprehensive knowledge of medical device GCP is essential.