Remote Health Insurance Professional for AI Evaluation
, pharmacy). Medical underwriting or actuarial analysis for health plans. Utilization management or care management (UM/CM...
, pharmacy). Medical underwriting or actuarial analysis for health plans. Utilization management or care management (UM/CM...
-CM, APRDRGs, DRGs Strong interpersonal, communication (verbal, non-verbal, and listening) skills. An understanding...
;prepare and submit documents for filing to federal, state, and appellate courts via CM/ECF and eCourts platforms;ensure timely...
;prepare and submit documents for filing to federal, state, and appellate courts via CM/ECF and eCourts platforms;ensure timely...
, but not required) Multiple openings due to project demand Not a traditional CM role - focused on oversight, coordination, and upfront project...
openings due to project demand Not a traditional CM role - focused on oversight, coordination, and upfront project planning...
physician and payer to prevent denials. Reviews cases for potential change in level of care with the CM and physician... with cases. Preferred: CM, UM, Quality, Coding, Risk or MCG Certification Working knowledge of MCG or Interqual PRI Certified...
physician and payer to prevent denials. Reviews cases for potential change in level of care with the CM and physician... with cases. Preferred: CM, UM, Quality, Coding, Risk or MCG Certification Working knowledge of MCG or Interqual PRI Certified...
physician and payer to prevent denials. Reviews cases for potential change in level of care with the CM and physician... with cases. Preferred: CM, UM, Quality, Coding, Risk or MCG Certification Working knowledge of MCG or Interqual PRI Certified...
(flexible) Essential Job Duties & Responsibilities: Review and assign ICD-10-CM, CPT, and HCPCS codes for outpatient...-facility or remote coding experience a plus Knowledge of ICD-10-CM, CPT, and HCPCS coding guidelines Understanding of medical...