A staffing company is filling a position for a Telecommute Physician Coding Auditor in Dayton. Core Responsibilities of this position include: Performing audits and evaluating compliance-related activities and services provided. Interacting directly with physicians and other clinical staff.
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.
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)
1-2 years of progressive experience in E/M and mulit specialty physician medical coding/reimbursement. Strong conceptual, as well as quantitative and qualitative analytical skills. Completion of a formal coding program with preference given to AAPC approved coding credential.
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:
Performing product demonstrations and in-services to physicians and other clinical personnel. Planning, coordinating and participating in local and regional meetings and trade shows. Applicants must meet the following qualifications:
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:
A healthcare advisory company has an open position for a Virtual Physician Advisory Services Appeals Author. Core Responsibilities of this position include: Conducting detailed review of patient medical records and payer denial information submitted by clients.