Assisting with audit reviews of reports. Required Skills: High School or GED. 4 years of experience in operational support, operational auditing, etc. 2 years of experience in managed care. Intermediate Knowledge of medical terminology.
A clinical research provider has a current position open for a Telecommute Dermatology Medical Director in Princeton. Individual must be able to fulfill the following responsibilities: Offer medical monitoring and/or drug safety support when appropriate.
A medical coder database is seeking a Telecommute DRG Team Coach. Candidates will be responsible for the following: Reviewing medical record documentation to determine appropriate DRG assignment. Ensuring strict confidentiality of patient medical records.
Skills and Requirements Include: Bachelor’s Degree. 5+ years’ experience in the medical device industry. Certified Lead Auditor. Knowledge or experience of medical device regulatory requirements. Ability to analyze information. Ability to analyze information.
Auditing inpatient and outpatient medical coding. Completing any other assigned tasks. Skills and Requirements Include: Must have 5+ years’ Inpatient/Outpatient auditing experience. Must have at least 3 years’ experience in Teaching Level I or Level II Trauma.
Working knowledge of administrative claims data and medical coding systems. Experience with project and/or product management and lifecycles. Solid PC computer skills with proficiency in MS Office applications. Understanding of data inputs, outputs, relational database concepts.
A software company needs applicants for an opening for a Telecommute Risk Adjustment MedicareMedicaid Commercial Coding Auditor. Core Responsibilities Include: Performing audits of medical records. Providing formal report(s) on audit findings and conducting education.
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.
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.
Reviewing and analyzing reports, records, and medical documents/charts. Collaborating with appropriate department to document, investigate and resolve formal or informal member complaints. Must meet the following requirements for consideration: