Job Description SummaryThe Outpatient CDI Specialist is a hybrid role that combines the expertise of clinical documentation improvement (CDI) and outpatient Hierarchical Condition Category (HCC) coding. This position will report to the Outpatient CDI Program Manager.
Summary Performs medical reviews using clinical/medical information provided by physicians/providers and established criteria/protocol sets or clinical guidelines. Documents decisions using indicated protocol sets or clinical guidelines. Provides support and review of medical claims and utilization practices.
Job Description SummaryMUSC Community Physicians (MCP) is an entity within the Medical University of South Carolina (MUSC) that provides healthcare to patients within the rural health network throughout the state of South Carolina. Under the direct
Job Description SummaryManages full‑cycle credentialing and reappointment processes and provides administrative and operational support to department, medical staff governance and committees, exercising independent judgment within established bylaws and policies. Preferred Qualifications: •CPCS and/or CPMSM certification preferred.
Job Description SummaryManages full‑cycle credentialing and reappointment processes and provides administrative and operational support to department, medical staff governance and committees, exercising independent judgment within established bylaws and policies. Preferred Qualifications: •CPCS and/or CPMSM certification preferred.
Become a part of our caring community The Quality Compliance Professional 2 completes annual quality reviews and research. The Quality Compliance Professional 2 work assignments are varied and frequently require interpretation and independent determination of the
Licensed Medicare Sales Agent *Work Remotely in the comfort of your own home * *Must have active health insurance license in the state that you reside* *You will be a captive agent* HealthPlanOnes mission is to
Mtm Pharmacist Help patients optimize medications | remote options | strong work-life balance Looking for clinical impact with better schedule flexibility? Join our growing medication therapy management (mtm) team. Conduct comprehensive medication reviews, coach patients on
Day in the Life of a RCM Senior Manager Provide senior-level leadership and oversight for assigned RCM teams, including Accounts Receivable, Cash Posting and Charge Entry teams. Manage, monitor, and track team productivity on a daily,
RN Care Coordinator- Transplant (REMOTE) Charleston, South Carolina REMOTE POSITION, ROTATING NIGHTS/WEEKENDS/HOLIDAYS, REQUIRES HIGHLY MOTIVATED INDIVIDUAL The Transplant RN Coordinator II reports to the Transplant Programs Manager of the Transplant Center. Under general supervision, the Transplant
Customs Brokerage Specialist II Explore your next opportunity at a Fortune Global 500 organization. Envision innovative possibilities, experience our rewarding culture, and work with talented teams that help you become better every day. We know what
Remote Patient Monitoring (RPM) Coordinator Schedule: Full-Time, Flexible Options Available, Office-Based Position Compensation: $55,000 to $65,000+ Base Salary, negotiable depending on experience, Annual Bonus, Medical / Dental / Vision Insurance, Paid Time Off Package, 401k, Full
A health services firm in Pawleys Island seeks a candidate to perform compliance audits, focusing on CMS, CPT, and ICD-10 guidelines. This role involves reviewing records for accuracy, conducting educational summation conferences with clients, and maintaining communication
Part-Time/Hybrid Registered Dietitian Position RD Nutrition Consultants LLC is seeking a Registered Dietitian Nutritionist to join our network of exceptional clinicians. You will have the ongoing support of our dedicated team, allowing you to focus on