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:
Core Responsibilities Include: Assisting with the education of and coordinating training and development to physicians/providers. Providing continuing education and regulatory updates. Completing any other duties as assigned. Applicants must meet the following qualifications:
Implement medical centers physician query process when code assignments are not straight forward or documentation in the medical record is inadequate, ambiguous, or unclear. Applicants must meet the following qualifications:
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.
Follow guidelines for coding and documentation to ensure physicians and hospital compliance. Complete initial review of patient records within 24-48 hours of admission. Review and clarify clinical issues in the health record with the coding professionals. Position Requirements Include:
Providing timely expert medical review for requests. Reviewing appeals for denied services related to current relevant medical experience. Providing timely peer-to-peer discussions with referring physicians. Required Skills: Current clinical experience of at least 5 years in Medical Oncology.
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)
At least 1-3 years of medical coding in an acute care setting. Knowledge of MS-DRG classification and reimbursement structures. Understanding of appropriate level of care orders. Working knowledge of Value Based Purchasing. Proficient at writing AHIMA complaint physician queries.