Company : Allegheny Health Network Job Description : GENERAL OVERVIEW: Senior auditor responsible for clinical or physician compliance topics. Assigned the most complex clinical/documentation/coding/billing reviews. Provides guidance ...
Company : Highmark Inc. Job Description : JOB SUMMARY This role involves support of Highmark’s diversified businesses, including dental, vision, and pharmacy lines of business. This position involves investigating factual situations...
Company : Allegheny Health Network Job Description : GENERAL OVERVIEW: Senior auditor responsible for clinical or physician compliance topics. Assigned the most complex clinical/documentation/coding/billing reviews. Provides guidance ...
Type of Requisition: Regular Clearance Level Must Currently Possess: None Clearance Level Must Be Able to Obtain: None Public Trust/Other Required: None Job Family: IT Infrastructure and Operations Job Qualifications: Skills: Ci...
Company : Highmark Inc. Job Description : JOB SUMMARY This job has primary ownership and oversight over a specified panel of members that range in health status/severity and clinical needs. The incumbent assesses health management nee...
Company : Highmark Inc. Job Description : JOB SUMMARY This job provides personalized support and guidance to customers through an omni-channel experience, leveraging knowledge of healthcare administration and integrated partnerships t...
Company : Allegheny Health Network Job Description : GENERAL OVERVIEW: This job performs thorough medical record review to abstract medical and demographic data, interpret and apply diagnoses and procedures utilizing ICD and CPT codin...
Company : Highmark Inc. Job Description : JOB SUMMARY This job captures all inbound phone inquires for utilization management review from providers and pharmacies. The incumbent assesses the verbal request, critically thinks through t...
Company : Highmark Inc. Job Description : JOB SUMMARY This job has primary ownership and oversight over a specified panel of members that range in health status/severity and clinical needs. The incumbent assesses health management nee...
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