Performing continued stay medical necessity reviews. Communicating patient status, concurrent denials and medical necessity concerns. Qualifications Include: B. S. in Business Administration, Nursing or Healthcare or equivalent work experience. Registered Nurse (RN) with multistate license.
Must be able to communicate effectively in the English language. Experience in a medical records or health care setting would be beneficial. Medical Terminology class is strongly encouraged. Required to take and pass a 90-day ROI Certification course with a score of 85% or higher.
Skills and Requirements Include: Candidates must reside in Alabama, Georgia, or Florida. Two years of academic facility experience. Three years of outpatient coding experience. Certified Coding Specialist is required. Two years Trauma level 1 or 2 experience.
Candidates will be responsible for the following: Reviewing medical records for the determination of accurate assignment of all documented diagnoses and procedures. Demonstrating ability to achieve accuracy and consistency in the selection of principal and secondary diagnoses.
A provider of medical services has an open position for a Telecommute Case Manager Registered Nurse. Core Responsibilities Include: Conducting evaluations of member's needs and benefit plan eligibility. Reviewing prior claims to address potential impact on current case management.
Ability to travel locally as required. Minimum of 2+ years experience in medical social work or case management. LMSW/LCSW required. Complies with all state requirements in the state where job duties are performed. Bachelor's degree or equivalent experience.
Minimum 2 years recent experience in medical-oriented scheduling environment. Must be adept at handling large call volumes, preferably with use of VOIP call systems. Working knowledge of the following systems: EPIC/Cerner and/or PHS.
A medical device company has a current position open for a Telecommute Medical Oncology Product Support Specialist. Candidates will be responsible for the following: Providing regular customized onsite/remote software upgrades. Preparing and delivering internal training classes.
A medical benefits company is in need of a Telecommute Account Manager in Atlanta. Candidates will be responsible for the following: Lead the implementation of large employer customers, owning project management, and maintaining key documentation.
Reviewing medical records and assigning accurate codes for diagnoses and procedures. Assigning diagnostic and procedural codes to patient records. Applicants must meet the following qualifications: Experience with various software including EMR, Encoder and Auditing software.