Supporting physician decision-making. Position Requirements Include: Bachelor’s degree in a relevant field, or an equivalent combination of education and highly relevant experience. Current, unrestricted license as an LPN or RN. Previous experience in Managed Care, Utilization Management.
Identify the appropriate assignment of CPT and ICD-10 Codes for physician and facility services. Perform coding duties as appropriate according to predetermined schedules. Skills and Requirements Include: High School Diploma/GED. Coding credential required (RHIA, RHIT, CCS, CPC)
Providing comprehensive physician review solutions to payer and provider organizations. Applicants must meet the following qualifications: Must be certified with ABMS (American Board of Medical Specialties) - Allergist / Immunologist.
Provide oversight and/or assist with benefit determinations. Monitor IRO and physician advisor timeliness and provide reminder communication as needed. Coordinate with the appeals team on the retrospective review process. Required Skills:
Core Responsibilities of this position include: Directing the development of training materials for nurses and physicians. Overseeing and review medical necessity determinations to ensure the consistency. Supervising, scheduling and managing internal physician team members. Required Skills:
A remote-based emergency service company is seeking a Telecommute Emergency Medicine Physician. Must be able to: Treat patients remotely. Avoid unnecessary transfers from SNFs to the hospital. Participate in QA/QI initiatives. Must meet the following requirements for consideration:
An emergency care company has an open position for a Telecommute Certified Emergency Medicine Physician. Core Responsibilities Include: Treating patients remotely from home or other HIPAA-compliant location. Avoiding unnecessary transfers from SNFs to the hospital.
A revenue management company has an open position for a Telecommute Physician Advisory Services Utilization Review Specialist. Individual must be able to fulfill the following responsibilities: Performing initial admission and continued stay reviews.
Perform physician and coder audits to verify accuracy of submitted codes. Use appropriate code books, tools, and automated coding systems. Summarize audit findings into reports. Position Requirements Include: High School Diploma. 3+ years of experience.
A provider of physician advisory and revenue cycle services to healthcare providers is filling a position for a Remote Inpatient Coding Quality Reviewer. Individual must be able to fulfill the following responsibilities: Audit records as defined in the coding audit plan.