A healthcare company is in need of a Telecommute Utilization Review Ortho Surgical Physician in Tampa. Must be able to: Telephonically contact providers and interact with other health professionals in a professional manner.
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.
A healthcare company is searching for a person to fill their position for a Remote Orthopedic Surgery Utilization Review Physician in Greenwood Village. Individual must be able to fulfill the following responsibilities:
A consumer product company is seeking a Remote Physician Coding and HIS Nosology Services Analyst. Core Responsibilities Include: Respond to inbound customer support requests for medical coding, editing and grouping problem resolution.
Negotiating physician agreements. Working in a fast-paced environment. Skills and Requirements Include: Healthcare industry experience. 5+ years of contract negotiation experience. Admission to the state bar in which the candidate is located. Extremely comfortable with technology.
Ensuring that all cases in compliance with CMS policies and procedures. Implementing medical centers physician query processes when code assignments are not straight forward. Qualifications for this position include: Participates in orientation training activities.
Greet patients, family members, and physicians in a positive manner. Return phone calls to customers and follows up with requests. Qualifications Include: High School or better. Must be available to work weekends, holidays and weekdays. Proficient in MS Office programs.
Exceptional client-facing skills. Minimum of 3-5 years of experience working with physician practices. Demonstrated change management expertise. Extensive knowledge of the U. S. healthcare system. Strategic and entrepreneurial outlook with strong collaborations skills.
Qualifications for this position include: At least 5 years' Industry experience. Experienced with FDA submissions. Experienced in clinical development. Physician, must have a medical degree with some bench strength. Phase I – III (II Essential)
One to three years’ experience performing medical record coding in an acute care setting. High school graduate or equivalent. AHIMA or AAPC approved credential. Knowledge of MS-DRG classification and reimbursement structures. Proficient at writing AHIMA complaint physician queries.