Medical Coding Specialist Under direct supervision, assigns accurate ICD-10 diagnoses, CPT-4 procedure coding and appropriate modifiers derived from medical record documentation for complex and multi-specialties that include Emergency Room (ER), ER E/M charging, OP Trauma, Hospital and ASC Surgeries,
Job Description: PG County Cityblock’s Transition of Care (TOC) program helps members safely navigate their post-discharge journey from acute care and hospital settings back into the community. The TOC Registered Nurse Care Manager (RNCM) coordinates with
Job Description: Cityblock’s Transition of Care (TOC) program helps members safely navigate their post-discharge journey from acute care and hospital settings back into the community. The TOC Registered Nurse Care Manager (RNCM) coordinates with hospital case
Conducts such activities as account investigation, follow-up and collections on unusual and complex accounts. Serves as lead worker and trainer for junior level staff; and other duties as assigned. EDUCATION and/or EXPERIENCE High school diploma or
Utilization Management Coordinator Pay Range: $20.24hr - $24.24hr The Utilization Management Coordinator will provide administrative and operational support for utilization management activities, including authorization processing, benefit verification, claims inquiries, and coordination with members and providers. The
Essential Duties and Responsibilities: - Audit medical records to ensure compliance with the Medicare Advantage Risk Adjustment standards including abstraction and assignment of appropriate codes based on clinical data. - Enter coded data into a system
