Providing essential and effective communication with physicians and ancillary clinical providers. Ensuring accurate classification of the severity of illness and risk of mortality level of the patient is achieved. Applicants must meet the following qualifications:
Ensuring timely, accurate and complete charge capture. Clarifying any coding questions with physicians. Qualifications Include: 2-3 years medical coding experience required in a physician setting. Basic computer, word processing, and 10-key skills. High School Diploma or GED required.
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.
Perform an in depth review of hospital and physician medical records. Perform a detailed review of medical records to assign ICD-10-CM code(s) that map to the HCC or RxHCC payment structure. Document captured codes in database and/or MS Excel. Qualifications for this position include:
Communicating denial status to the facility and physician. Communicating medical necessity and responder criteria to the facility Case Manager. Position Requirements Include: Registered Nurse (RN) or Licensed Practical Nurse (LPN) B. S.
A company that offers healtchare services is seeking a Telecommuting Emergency Medicine Physician. Core Responsibilities Include: Treating patients remotely from home or other HIPAA compliant (private with wifi) location.
Active, unrestricted physician license. Current board certification in ABMS or AOA specialty. 5+ years of clinical practice experience after completing residency training. 5+ years hands-on experience in utilization and coverage review in a health plan with Commercial membership.
Support consumers in selection of best physician and facility to maximize access, quality, and cost. Must meet the following requirements for consideration: Ability to work one of the evening shifts noted in the job description. Active, unrestricted RN license in your state.
Expertise in Physicians at Teaching Hospitals ( PATH ) requirements and guidelines. Must hold at least one of the following certifications RHIA, RHIT, CCS, CCS-P, CPC, and/or COC. Expertise in Cardiothoracic surgery coding and documentation requirements.
Consulting with physicians for clarification of clinical data when encountering conflicting or ambiguous information. Qualifications for this position include: Must have one of the following certifications: CCS, CPC, CPC-H. Minimum of two years of documented coding experience.