Designing and implementing total care model to source medical and PD data. Leading and coordinating utilization and pricing analysis that ensures appropriate claims on contracts. Position Requirements Include:
Qualifications for this position include: Registered Nurse, CCDS or CDIP certification. 3 years CDI experience. 3 years of clinical experience in an academic medical center. Must pass a CDI skills competency assessment.
Qualifications Include: Strong understanding of Ameripath LIS systems. 5 years medical coding experience in Anatomic Pathology. High School Diploma or GED. Intermediate to advanced understanding of Oncology, Cytology, Dermatology, Molecular, Esoteric and HemOnc coding.
Current accreditation by the American Academy of Professional Coders (AAPC) or American Medical Record Association (AHIMA) Ability to maintain a 95% coding accuracy rate. Effective oral and written communication skills are required to work with medical, nursing, and other allied health staff.
Providing timely medical review of service requests. Routinely interacting with physicians and leadership. Collaborating with the utilization management team. Must meet the following requirements for consideration: DO or MD - Physician, State Licensure and Board.
Applicants must meet the following qualifications: Ability to travel. 5+ yrs. experience as Data Manager (or proven managerial experience) Medical/Nursing, Life Science/Mathematical Degree or relevant experience.
Must be able to: Review medical record documentation in HPF/MPF. Identify document(s) needing to be re scanned when image quality is poor. Recognize indexing errors at the document type and patient account levels. Position Requirements Include:
Advanced knowledge of medical insurance and the ability to communicate information to customers. Microsoft Office experience and computer savvy. Able to navigate through different carrier websites without detailed training.
Position Requirements Include: Active Full Medical License in KS or CO with willingness to license in additional states as needed. Board Certification or Eligibility in General Psychiatry. Experience or Board Certification in Psychosomatic Medicine or Emergency Medicine Psychiatry is ideal.
3-5 years of Medical Surgery, Heart, Lung or Critical Care Nursing experience required. Prior clinical experience preferably in an acute care, skilled or rehabilitation clinical setting. Previous experience in utilization management required.