as providing support to non-clinical and clinical staff on coding & medical claims review processes. Serving as the Lead for Coding... projects, you will train & mentor Clinical Coders, and will conduct medical claims review for coding & pricing determinations...
Engineering Quality and Compliance: Review code changes and ensure development practices adhere to internal and external... and Communication: Excellent analytical, organization, and critical thinking skills;strong communication skills (presentations...
of care and evaluates timeliness of services. Performs admission, continued stay and discharge review utilizing medical staff... Inpatients for the purpose of performing utilization review, resource management and safe discharge planning. The RN Case Manager...
by funds managed by Apollo Global Management, our vision is to accelerate the upgrade of copper to fiber optic technologies... and their teams Creating and maintaining IT enhancement requirements for fiber design and build organization Performing User...
. Essential Job Functions Review prior authorization requests from medical professionals to ensure alignment with Preferred Drug...It takes great medical minds to create powerful solutions that solve some of healthcare’s most complex challenges...
. If you have a desire to use your talent and skills at an organization that provides critical services to millions of individuals... of Medicaid Plan Management Operations (PMO). PMO is responsible for the primary oversight of Medicaid’s managed care programs...
Compucom Systems, Inc. provides end-to-end IT managed services to enable the digital workplace for enterprise, midsize...) and Microsoft Intune environments to ensure secure, scalable, and efficient device management across the organization...
Johnson Service Group (JSG) is seeking a Data Entry Tech for a Health Plan Organization in Orange, California... year data entry experience Experience in a managed heath care environment Knowledge or background in provider data...
within prescribed guidelines: Elicits appropriate present and past medical history and review of systems. Performs appropriate... community medical and urgent care centers, nearly 80 physician practices, more than 9,000 health care professionals...
Department: 80094 Carolinas Medical Center - LC: Clinical Trials: Pediatric Oncology: Morehead Status: Full time... research studies, assuring all documentation is managed compliantly and maintained in an audit-ready manner. Maintains...