Retrieving appropriate medical documentation from various EMR systems. Entering the ICD-10 codes pertaining to the assessment into the agency's EMR system. Generating various reports with assessment data and merging utilizing specialized software. Position Requirements Include:
Making clinical determinations for payment supporting claims submitted to Medicare. Assessing and ensuring services/items billed are reasonable and necessary. Adapting to a wide variety of medical review topics and multiple Medicare lines of business. Qualifications for this position include:
Collaborating with the Medical Writer on clinical regulatory documents. Must meet the following requirements for consideration: 20-30% travel required. BS with 7+ years’; or MS with 5+ years’; or PhD with <2 years’ relevant career experience. Oncology experience required.
Occasionally may be asked to do an onsite review. Experience in a variety of clinical audits. Strong working knowledge of Home Health and/or Hospice regulations. Excellent computer skills. Ability to quickly learn new electronic medical records.
Keeping up with the changing oncology landscape in terms of trends, local and regional influences. Qualifications Include: Ability to travel as necessary or required. Bachelor’s degree. At least five years of pharmaceutical, biotech, medical, dental or diagnostic selling experience.
Provide medical and wellness education. Diagnose and treat patients via our online platform. Position Requirements Include: Certified by the Board of Nursing and has an active California license to practice. Minimum of 5 years primary care and comfortable with differential diagnosis.
CCS for Inpatient and CCS, CCS-P, CPC, or CPC-H for Outpatient. Experience working in an HIM department. At least two years of medical coding experience. Excellent interpersonal teamwork skills. Strong analytical skills. Must be able to use standard office equipment and information systems.
5+ years clinical experience in an acute care or an outpatient setting. 1+ year Utilization Review, Case Management or Medical Appeal Review experience. Strong Microsoft Office (Word, Excel & Outlook) Must have access to high speed internet.
Ability to travel as necessary, include overnight and/or weekend travel. Valid driver's license. A Bachelor's degree. 5 years of pharmaceutical, biotech, medical, dental or diagnostic selling experience. Ability to sell in competitive markets. Excellent negotiation skills.
Work with the physicians and therapists to set up medical assessments. Position Requirements Include: Valid driver’s license. Meets all vocational case management eligibility requirements of the state/jurisdiction of hire. C. R. C. , C. C. M. , C. D. M. S. , L. R. C. or C. V. E. eligibility.