Required Skills: 2+ years recent experience in medical-oriented scheduling environment. Bilingual in any of the following languages: Spanish, Mandarin, Polish and/or Cantonese. Adept at handling large call volumes, preferably with use of VOIP call systems.
A health insurance company needs applicants for an opening for a Remote Medicare Corporate Medical Director. Individual must be able to fulfill the following responsibilities: Provide insight and feedback to Group Medicare clients and leadership regarding claims experience.
Must be able to: Review medical records for the determination of accurate assignment of all documented diagnoses. Review medical records to determine accurate required abstracting elements. Demonstrate ability to achieve accuracy and consistency in the selection of principal.
Handle all medical information and reports as confidential information. Required Skills: Graduate of an accredited school of nursing. Valid state-appropriate RN or LVN license in good standing with no restrictions. Possesses and can demonstrate the professional and technical skills needed.
Suggesting treatment plan changes, including medication recommendations. Qualifications Include: Licensed psychiatrist or psychiatric nurse practitioner. Demonstrated ability to collaborate effectively in a team setting. Ability to quickly synthesize medical and psychiatric data.
Abstracting clinical information from a variety of medical records and assigning appropriate ICD 10 CM and/or CPT codes. Analyzing, entering and manipulating database and confirming appropriate DRG assignments. Providing Profee/Physician coding. Qualifications for this position include:
Reviewing medical records to determine accurate required abstracting elements. Assigning diagnostic and procedural codes to patient charts of moderate to high complexity. Responding to audits, conducting coding or providing consultation on projects. Qualifications for this position include: