A medical communications company needs applicants for an opening for a Telecommute Medical Director. Core Responsibilities of this position include: Working closely with Medical Writers to ensure on-target communication, clinical accuracy, and delivery of projects on time and within budget.
A staffing firm is seeking a Telecommute Inpatient CCS Medical Coder in Phoenix. Core Responsibilities of this position include: Performing a complete chart review. Assigning ICD-9 CM and/or CPT codes in accordance with guidelines.
Perform medical record review for HEDIS and HEDIS-like measures. Perform over-read of medical records. Qualifications for this position include: 1+ year healthcare/health plan experience. 1+ year HEDIS experience and/or knowledge. Home internet is required.
Experience in a highly regulated industry - medical device or pharmaceutical. QMS and Document control experience. Four-year science or technical degree from an accredited institution. Strong ability to create and maintain relationships at all levels of an organization.
Communicating the clinical and economic benefits of the products to medical professionals. Performing as a sales leader to achieve territory sales by executing and delivering branded sales messages strategies. Utilizing internal and external relationships to service and manage accounts.
A staffing agency is filling a position for a Remote Medical Auditor in Baltimore County. Individual must be able to fulfill the following responsibilities: Perform evaluation of medical records and claims as it pertains to fraud, waste and abuse.
Reviewing medical records and charts for all HEDIS measures. Performing data collection, data collection, and data review from electronic medical record and chart review. Reviewing data to ensure compliance to performance measures. Must meet the following requirements for consideration:
Determine medical appropriateness of inpatient and outpatient services. Ensure proper utilization of health services by assessing the member's needs and identifying solutions. Required Skills: Demonstrated nursing knowledge and competency in all types of medical-necessity decisions.
Coordinating services between Primary Care Physician (PCP), specialists, medical providers, and non-medical staff. Providing patient and provider education. Must meet the following requirements for consideration: Graduate from an Accredited School of Nursing. Current state’s RN license.
Master’s degree with > 10 years of related experience in a medical device or regulated industry. ASQ certification as Certified Quality Engineer or DfSS/DMAIC Green Belt / Black Belt. Experience in appropriate global medical device regulations, requirements, and standards.