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.
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.
3+ years of experience with HEDIS Medical Record Review. Unrestricted Missouri/Illinois licensure as a Registered Nurse or LPN. Proficiency in MS Office applications. Knowledge of CPT codes, ICD-9 Diagnosis codes and HEDIS Technical Specification Requirements.
Reviewing and summarizing medical records and court documents. Must meet the following requirements for consideration: Must be able to provide a succinct and complete summary of a large volume of information. Must be disciplined. A background in reviewing medical records is helpful.
Completing comprehensive and thorough medical record review. Contacting provider offices to establish appointment time. Qualifications for this position include: Remote plus travel. 3+ years of experience in acute healthcare setting. Associates Degree in a healthcare related field.
A medical company is in need of a Telecommute Nurse Coordinator. Candidates will be responsible for the following: Managing patients in various areas of care. Becoming an extension of the transplant center staff.
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: