Preparing and presenting at Investigator meetings. Assisting with the management of medical device distribution, receipt, use and return. Developing and approving study-specific documents, tools, presentations and processes. Must meet the following requirements for consideration:
Conduct clinical reviews of medical records. Process and/or review claims in a timely manner. Document clinical review findings within case tracking system. Required Skills: RN required, with related clinical review experience. Minimum of 5 years clinical experience.
Abstracting medical record documentation. Ensuring accurate code assignment in support of guidelines. Analyzing, entering and manipulating database. Required Skills: CPC or CCS Certification. 3+ years work experience. 6+ months medical coding and 6 months general clerical experience.
Knowledge of official guidelines for coding and reporting. Knowledge of MS-DRGs and reimbursement methods for Medicare, CHAMPUS, Medicaid, other payers. Familiar with charge master and use of CDM for reference. Knowledge of medical terminology, anatomy, physiology, and pharmacology.
Must be able to: Conduct coding reviews of medical records. Process and/or review claims in a timely manner. Document coding review findings within investigative case tracking system. Required Skills: 3+ years’ experience in coding with primary focus in facility and pro fee coding.
Qualifications Include: High school diploma or equivalent. 3-5 years of experience in medical billing, collections, appeals, legal department and/or contract interpretation. Intermediate Microsoft Word and Excel skills. Ability to coordinate accounts and record detailed information.
A health management solutions company has a current position open for a Remote HEDIS Medical Record Review Nurse. Candidates will be responsible for the following: Entering record review results into NCQA certified software.
A staffing firm is seeking a Telecommute Inpatient CCS Medical Coder in Phoenix. Core Responsibilities of this position include: Performing a complete chart review. Assigning ICD-9 CM and/or CPT codes in accordance with guidelines.
Conducting coding reviews of medical records. Processing and/or reviewing claims in a timely manner. Monitoring, tracking, and reporting on all case work. Position Requirements Include: 3+ years’ experience in coding with primary focus in facility and pro fee coding.
Must be able to: Call to obtain insurance authorizations for medical procedures. Analyze the patient's clinical record to find the information needed. Must meet the following requirements for consideration: Ability to work within an EMR - specific training provided, but experience needed.