A healthcare solutions provider is in need of a Remote Physician Enterprise Solutions Analyst. Must be able to: Obtain data and conduct mapping exercises. Resolve exceptions or key variances. Identify opportunities to enhance business intelligence products.
Communicating with physicians and hospital staff. Completing any other duties as assigned. Skills and Requirements Include: Ability to attend 2 weeks of training onsite. MSN, BSN, RN, and CCDS or CDIP credentials. 5 years registered nursing acute care experience. 5 years CDI experience.
Qualifications Include: Must be able to travel up to 20% of the time. 5 + years coding and auditing experience. C. C. S. , RHIT, or RHIA. Ability to use coding references such as (Coding Clinic, CPT assistant, etc. ) Understanding of physician query processes.
10+ years of experience of senior executive level experience within a physician BPO or medical group. 10+ years in a leadership capacity leading and motivating a diverse workforce. In-depth knowledge of various healthcare / ambulatory revenue cycle models and the current healthcare market.
Must be able to: Analyze patient medical records to identify procedures and physician diagnoses. Discern relevant patient details from the medical record. Initiate communication regarding ambiguous or conflicting patient information. Position Requirements Include:
1-3 years of experience in account management. 6-8 years of experience in health plan or physician practice operations. Advanced Microsoft Office skills (e. g. , Excel formulas and pivot tables) Knowledge of risk adjustment methodologies and models.
Interface with Medical Directors and Physician Advisors on the development of care management treatment plans. Coordinate internal and external resources to meet identified needs. Position Requirements Include: BA/BS in a health related field. 5 years of clinical experience.
10+ years experience working in cross functional matrixed organizations. Bachelor's Degree required. Demonstrated strategic and consultative approach. Experience managing IPAs and/or working with physicians and hospitals.