A healthcare company is in need of a Telecommute Orthopedic Surgeon Utilization Review Physician in Sacramento. 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 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.
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.
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.