evidence-based criteria sets. Consults with PHP medical directors and refers for medical director decision on cases not meeting...Location Address: Remote Office , Santa Fe, New Mexico 87501, United States of America Compensation Pay Range...
that high-performing teams drive groundbreaking medical discoveries and invite all applicants to join us and experience what it... Assistant will provide high-quality, collaborative care within the inpatient and outpatient settings at Brigham and Women...
efficient, appropriate, and cost-effective inpatient care by reviewing medical records against guidelines for necessity...: Conduct/oversee concurrent review of inpatient stays for medical necessity, appropriateness, and length of stay, using tools...
utilization management (UM) coordinator to join the remote UM team. As an inpatient UM coordinator, you will assist with managing... but saving them. Together. Alignment Health is seeking an organized, detail-oriented and customer service oriented inpatient...
of the Medical Director. This position is part of the Massachusetts Nurses Association Bargaining Unit at Cooley Dickinson...-performing teams drive groundbreaking medical discoveries and invite all applicants to join us and experience what it means...
practices under the supervision of the Medical Director. This position is part of the Massachusetts Nurses Association...-performing teams drive groundbreaking medical discoveries and invite all applicants to join us and experience what it means...
medicine patients on floors of the organization's hospital network. This job works under the supervision of the Medical... Director or approved staff physician and in association with the PCCs, staff nurses, and discharge coordinator in the planning...
, cultures, and languages. Department: Medical Services Location: This is a remote position requiring MD or DO license... Leadership Team meetings. Supervises: Medical Directors, Director of Nursing Services, Prescribers, including Psychiatrists...
Shift/Schedule : Days This is a remote role, but the ideal candidate will be required to come into the office occasionally... is responsible for performing clinical reviews of medical records and other documentation to evaluate issues of coding accuracy...
medical information from Inpatient and/or Outpatient charts into the organization billing/abstracting systems to complete the...Position Summary: In this role, the successful candidate analyzes medical records, extracts clinical, pathological...
cases to the medical director for denial if the member no longer needs care. Essential Skills Associate or bachelor..., in compliance with policies, procedures, clinical criteria (MCG), and member coverage. This role requires remote interfacing...
and MCG criteria. Route cases to the medical director for denial if the member no longer needs care. Essential Skills..., in compliance with policies, procedures, clinical criteria (MCG), and member coverage. This role requires remote interfacing...
director and medical director opportunities. Practice Setting 120-bed inpatient behavioral health hospital Adult patient... Indiana medical license and DEA Inpatient psychiatry experience preferred About TeamHealth and Maple Heights Behavioral...
Professional Coding Auditor and Educator - Remote Job Profile Summary This role focuses on activities related.... Job Description Minimum Qualifications: 1. Associates degree in medical record technology. 2. Completion of Certified Medical Coding...
, ICD-10 and HCPCS codes for inpatient, outpatient and physician's office/clinic settings. Adheres to all coding...(s)/division(s) based on medical record documentation. Adheres to all coding and compliance guidelines. Utilizes appropriate...
Director and physician reviewers for concerns applicable to medical necessity arise or request does not meet necessity... 900 medical providers in 65 medical specialties. Take on a rewarding opportunity to help drive higher quality, higher...
, ICD-10 and HCPCS codes for inpatient, outpatient and physician's office/clinic settings. Adheres to all coding...(s)/division(s) based on medical record documentation. Adheres to all coding and compliance guidelines. Utilizes appropriate...
Director and physician reviewers for concerns applicable to medical necessity arise or request does not meet necessity... 900 medical providers in 65 medical specialties. Take on a rewarding opportunity to help drive higher quality, higher...
, ICD-10 and HCPCS codes for inpatient, outpatient and physician's office/clinic settings. Adheres to all coding...(s)/division(s) based on medical record documentation. Adheres to all coding and compliance guidelines. Utilizes appropriate...
Medical Director to discuss cases as needed Identification of internal or community-based program support or resources... with other key clinical care team members. The DCM will also follow the member while in the acute inpatient setting...