Compliance Services Specialist II
expert) and support development of new process and/or system enhancements for improvement Monitor and manage outlier...
expert) and support development of new process and/or system enhancements for improvement Monitor and manage outlier...
expert) and support development of new process and/or system enhancements for improvement Monitor and manage outlier...
expert) and support development of new process and/or system enhancements for improvement Monitor and manage outlier...
expert) and support development of new process and/or system enhancements for improvement Monitor and manage outlier...
expert) and support development of new process and/or system enhancements for improvement Monitor and manage outlier...
expert) and support development of new process and/or system enhancements for improvement Monitor and manage outlier...
, programmatic, and clinical outliers utilizing the outlier management database and established agency protocols. Analyze the outlier... with each affiliate in a manner that seeks to build collaborative relationships with each provider. Analyze the outlier data to identify...
cost outlier monies requests the medical records and copies all info from imaging UB04 itemized bills copy of EOB medical... cost outlier review mdash;identifies encounter # and copies IPRO letter and faxes letter to vendor handling the cost...
cost outlier monies requests the medical records and copies all info from imaging UB04 itemized bills copy of EOB medical... cost outlier review mdash;identifies encounter # and copies IPRO letter and faxes letter to vendor handling the cost...
. As such, we are a leading authority in payment integrity solutions including DRG Validation, Cost Outlier and Readmission reviews. Under the... standards required. Knowledge of DRG Validation Review, Cost Outlier Review and Readmission Review. Knowledge of claim...