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.
Individual must be able to fulfill the following responsibilities: Utilize clinical nursing skills to support the coordination, documentation and communication of medical services. Work assignments are varied and frequently require interpretation and independent determination.
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 healthcare company is in need of a Remote HEDIS Medical Records Review Nurse. Individual must be able to fulfill the following responsibilities: Contact provider offices to establish appointment times. Complete comprehensive and thorough medical record reviews.
Core Responsibilities Include: Reviewing documentation in inpatient medical records. Assigning the most accurate DRG/APC as appropriate. Abstracting demographic information into the information system. Applicants must meet the following qualifications:
Review, analyze, and code documentation for hospital inpatient medical records. Select and sequence the appropriate codes. Must meet the following requirements for consideration: High School Diploma/GED. 5 years of Inpatient Coding experience in an Acute Care hospital setting.
Reviewing medical records as assigned for complete and accurate documentation. Adhering to guidelines as set forth by AAPC and AHIMA. Maintaining strict confidentiality of all patient information in accordance with HIPAA. Skills and Requirements 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:
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: