Skills and Requirements Include: Travel 50% of the time. Licensed physician. Board Certified in an ABMS or AOBMS specialty. 14+ years clinical practice experience. Demonstrated knowledge of managed care industry and the Medicaid line of business (Minimum 10 years experience)
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.
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.
Communicating, coordinating, and interviewing physician members. Required Skills: Must be within commuting distance of office located on the Red Line in NW DC to attend periodic team meetings. 4-year degree. Some proven experience in project management.
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.
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.
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.
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.