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. Description Logistics: Palmetto
Medical Reviewer Position Join our team serving active and retired US military members and their covered family members. We strive to ensure that these dedicated individuals and their loved ones receive high-quality care administered as economically as
Business Analyst - Clinical Analyst & Coding Specialist Sunshine Enterprise USA is retained by our valued client to search and recruit for the following executive opening: Business Analyst - Clinical Analyst & Coding Specialist Location: Fully Remote Interview
Employee Type:Regular Work Shift:Day - 8 hour shift (United States of America) Join Team Tidelands and help people live better lives through better health!Clinical Documentation Specialist Are you passionate about quality and committed to excellence? Consider
Job Description SummaryThis position is a development role that supports AHEC systems and applications. EntityMedical University of South Carolina (MUSC - Univ) Worker TypeEmployee Worker Sub-TypeClassified Cost CenterCC002202 SC Area Health Education Consortium Pay Rate TypeSalary
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. This
Summary We are currently hiring for a Case Management Coordinator to join BlueCross BlueShield of South Carolina. In this role as a Case Management Coordinator, care management interventions focus on improving care coordination and reducing the
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 supervision
Claims Administrator 8:30AM-5:00PM, Monday-Friday Job Qualifications: High School Diploma Required with secondary education preferred Ability to generate and interpret reports from clearinghouse Working knowledge of medical practice operations, billing, and collections, with specific emphasis in coding of office,
Coding Specialist Inspire health. Serve with compassion. Be the difference. Responsible for abstracting and validating CPT, ICD-10 and HCPCS codes for inpatient, outpatient and physicians office/clinic settings. Adheres to all coding and compliance guidelines. Maintains knowledge of coding/billing updates
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,
Denial Management Specialist The Denial Management Specialist is responsible for denial and AR management for the department as defined by their supervisor/manager. * Only Applicants from the following states: Alabama, Arizona, Connecticut, Delaware, Florida, Georgia, Indiana,
Oncology Data Specialist Located in the heart of Anderson, South Carolina, AnMed is a dynamic, not-for-profit health system dedicated to delivering exceptional care with compassion, innovation, and integrity. At AnMed, our mission is simple yet powerful:
Day In The Life Of Practice Management Systems Analyst Revenue Cycle & Claims Integration Since 2005, Crossroads has been at the forefront of treating patients with opioid use disorder. Crossroads is a family of professionals dedicated