Must be able to: Provide physician review services for utilization management, case management, and quality management. Develop maintain and assure compliance with physician review policies and procedures for utilization management.
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.
Develop, maintain and assure compliance with physician review policies and procedures. Support collaborative relationships with physicians. Required Skills: Travel: Yes, 10 % of the Time. Board Certified in an approved ABMS Medical Specialty. MD or DO degree.
Providing education and auditing related to the coding and documentation of medical records within the physician practice. Position Requirements Include: Minimum of three years' experience in CPT, HCPCS, and ICD-9/ICD-10 coding required.
Forwarding requests to the appropriate physician or medical director with recommendations for other determinations. Qualifications for this position include: Candidates must be licensed RN in Georgia, and live in the greater Atlanta metro area.
Auditing experience with Massachusetts policy. ICD 10 and CMS experience. Experience in physician coding and auditing. Extensive knowledge regarding compliance and regulatory requirements, chart auditing, CMS payment regulations, payer requirements training/education and ICD-10/CMS.
Must be a licensed physician. Experience using computerized systems. Significant clinical trial experience. Experience writing clinical study reports, poster presentations, and manuscripts for publication in a scientific journal.
Attends physician/ hospital appointments. Reliable transportation and local travel required. Must be a Registered Nurse with current unrestricted CA RN license. 3 to 5 years clinical nursing experience. Strong technology, organizational and documentation skills are a must.
Contact physicians as needed to clarify current and future abilities. Assist disabled employees in returning to work with their own or other employers. Qualifications Include: Must be able to travel 10% Master's degree in Counseling and CRC designation required.
A clinical documentation company is seeking a Telecommute Certified Physician Services Coder. Core Responsibilities of this position include: Providing coding and abstracting services for clients. Reviewing medical records to identify pertinent diagnoses and procedures.