Coding Indian healthcare with a physician office component. Applicants must meet the following qualifications: All candidates must be credentialed through AHIMA or AAPC. Acceptable score on the company's Coding Assessment Test. Ability to maintain standards in productivity and quality.
Must be able to: Analyze patient medical records to identify procedures and physician diagnoses. Discern relevant patient details from the medical record. Initiate communication regarding ambiguous or conflicting patient information. Position Requirements Include:
3 years experience as business analyst or relevant education. Strong grasp of Six Sigma DMAIC and Lean methodologies. Understands Third Party reimbursement for physicians and/or hospitals. Experience in other healthcare areas listed by company. Proficiency in Microsoft Office applications.
Submit health records for physicians to approve. Position Requirements Include: In-depth understanding of medical terminology, anatomy, physiology, procedures, and treatment. Able to translate abbreviations and to reference terms through printed and electronic reference materials.
Providing information regarding physician referral, product line and seminar programs. Performing caller education and conducting confirmation calls. Having frequent contact with hospital personnel, physician offices, their staff. Skills and Requirements Include:
Position Requirements Include: Must be an MD or DO. Board certified. Managed care experience as a provider and a manager of care. Utilization Review or Physician Advisor experience. Complex case management experience. Must meet all other listed company requirements.
Interface with Medical Directors and Physician Advisors on the development of care management treatment plans. Coordinate internal and external resources to meet identified needs. Position Requirements Include: BA/BS in a health related field. 5 years of clinical experience.
Ability to interact effectively with peers, management, physician office staff, vendors, and other customers. Ability to hear and communicate with others in a clear, understandable, and professional manner. Current Epic PB/Claims certification required.
Minimum 2 years recent experience in medical-oriented scheduling environment - preferably large physician practice or central scheduling. Bilingual in any of the following languages: Spanish. Adept at handling large call volumes, preferably with use of VOIP call systems.
Managing a caseload of short term disability claims focused on early duration, diagnosis specific return to work opportunities. Developing effective return to work plans with employee, employer, and attending physician when necessary. Position Requirements Include: Travel Yes, 10% of the Time.