Review appeals for denied services related to current relevant medical experience or knowledge. Discuss with referring physicians to clarify clinical information and to explain review outcome decisions. Qualifications Include: M. D. or D. O. with a current, active, U. S. state medical license.
A healthcare company has a current position open for a Telecommuting Physician Services Coding Specialist II. Individual must be able to fulfill the following responsibilities: Assigning ICD-9, CPT-4 & HCPC codes from documentation. Problem-solving insurance rejections and denial issues.
Qualifications for this position include: High School Diploma or GED. 2-3 years medical coding experience required in a physician setting. Formal coding education completed at an accredited certificate program – 1 year minimum. Basic computer, word processing, and 10-key skills.
Core Responsibilities of this position include: Keeping member actively engaged with their primary physician. Creating a positive experience and relationship with the member. Locating members who need guidance. Skills and Requirements Include: Travel will be up to 50% of the time local.
Providing timely expert medical review for requests. Reviewing appeals for denied services related to current relevant medical experience. Providing timely peer-to-peer discussions with referring physicians. Required Skills: Current clinical experience of at least 5 years in Medical Oncology.
A healthcare company has an open position for a Telecommute Long Term Care Nurse Practitioner or Physician Assistant in the Milwaukee Area. Individual must be able to fulfill the following responsibilities: Providing direct care to chronically ill residents in long - term care facilities.
Provide instructions to patients and physician’s staff on test preparation and registration information. Qualifications for this position include: High School Diploma/GED. Ability to use a PC. Minimum of two years of customer service experience.
Assigning deficiency code to deficient record and identifies responsible physician. Assuring data quality through accuracy, consistency and completeness of coding and abstracting functions. Required Skills: One (1) year ICD-9-CM coding and abstracting experience in an acute care environment.
Doctor of Medicine or Osteopathy. Current license to practice as a physician without restrictions. Must possess an active CO license or be willing to obtain. Demonstrated understanding of the clinical application of the principles of engagement, empowerment, rehabilitation and recovery.