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.
Two to three years of experience with physician interaction and customer service or account management experience. Two to three years HIM, CDI or Coding, EMR/EHR implementation or other physician supporting roles. Proficient in Microsoft Office, including MS Word, Excel and PowerPoint.
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.
A revenue management company has an open position for a Telecommute Physician Advisory Services Utilization Review Specialist. Individual must be able to fulfill the following responsibilities: Performing initial admission and continued stay reviews.
Working closely with the patient, caregiver, physician, RN care coordinator, care team, and acute care facilities to ensure the patient's individual needs are met. Applicants must meet the following qualifications:
Participating in telephonic discussions with emergency department physicians. Reviewing electronic medical records of emergency department admissions. Entering clinical review information into system for transmission to insurance companies. Required Skills:
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.
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.
Excellent and proven ability to communicate, problem-solve, and negotiate. Proven ability to work successfully within multidisciplinary teams as well as independently. Able to resolve difficult clinical and social issues with patients, patients families and physicians efficiently and effectively.