Director, Operations and Clinical Services is accountable for supervision of the overall business management of the branch.... Provides leadership and direction of clinical services provided. Oversees the coordination, continuity, and quality of clinical...
(Medical Director, Case Manager, Preventive Services, Subrogation, Quality of care Referrals, etc.). Participates in data... accurate documentation of clinical information to support and determine medical necessity criteria and contract benefits...
around the use and execution of Data Release Consent Forms which provide ACC the legal authority to share clinical data on behalf...The Team Leader of Accreditation and NCDR Account Management Support Services is focused on providing ACC customers...
risk patients requiring case management follow up. Attends clinical in-services or required operational/clinical training... for medical necessity are issued under the direction of the Medical Director or designee. Assists with transfers, when necessary...
with Management, Compliance, Medical Records and Clinical Operations. Serves as a group leader by performing one or more of the... required. CPC, CCA, RHIA, RHIT certification in medical billing and coding or Associates degree preferred. Experience: Minimum...
with Patient Financial Services (PFS). Reports data to the Director and Operations Review Committee. Meets with attending... number and type of denials. Serves as a resource to all staff in areas of utilization review/management. Utilizes and analyzes current medical...
with Patient Financial Services (PFS). Reports data to the Director and Operations Review Committee. Meets with attending... number and type of denials. Serves as a resource to all staff in areas of utilization review/management. Utilizes and analyzes current medical...
of health benefit plans and related UM requirements preferred. Experience with CPT/ICD coding, medical record or chart auditing... Business Office, physician offices, Care Coordination, Medical Director and other hospital departments as appropriate. Serves...
or the Coding Director. Meets continuing education requirements established by American Health Information Management... for coding and abstracting outpatient medical records, including outpatient Surgeries, GI Procedures and Cardiac Catheterizations...
of medical coding, clinical documentation integrity, and reimbursement methodologies; knowledge of procedures related to the... that ensure accuracy, compliance, and integrity in medical records, documentation, and data. This role advances organizational...
-REQUIRED Preferred Qualifications 3 Years experience as an LVN in a hospital or clinical setting. 2 Years utilization/Case Management... Director or designee. * Data and documentation collection Gather relevant, comprehensive information and data according...
Under the direction of the Executive Director, Revenue Cycle, the Director of System Vendor Management is a leadership..., patient liability, and management · Ability to gather and apply regulatory requirements for collecting, coding...
direction of the Manager, Care Management and Medical Director. Interacts in a professional manner with providers, patients... and duties as assigned Qualifications Education Associate Degree Preferred Medical Terminology, Coding Experience Desired...
. Responsibilities: Purpose: Reporting to our Associate Director of Practice Operations Initiatives, the Project Management Consultant... cycle and/or medical billing/coding and collections experience. Experience with Epic. Pay Range: USD $72,603.00 - USD...
precertification requests for medical necessity, referring to the Medical Director those that require additional expertise. Review...SUMMARY Responsible for assuring the receipt of high quality, cost efficient medical outcomes for those enrollees...
software, and clinical documentation information systems to facilitate coding assignment. Knowledge of electronic medical... queries initiated by Clinical Documentation Specialists have been addressed prior to final coding. Adheres to department...
to Ascendis Clinical Development Organizations, Medical Affairs, Commercial Organizations and PV staff as applicable. Support... Medical Safety Science team with activities related to signal detection, risk management and health authority responses...
Safety. Functions as a PV advisor to Ascendis Clinical Development Organizations, Medical Affairs, Commercial Organizations... and PV staff as applicable. Support Medical Safety Science team with activities related to signal detection, risk management...
access to its diverse community. In delivering an unmatched level of clinical expertise, our medical center is committed...HIM Compliance and Data Analytics Manager Hybrid work schedule - Florida Residency Required As Mount Sinai grows...
Auditing, Cyclical Data Cleaning, Field Reimbursement Director Data Support, KPI tracking, Presentation Development. The role... team, Data/Analytics, Enablement, Government Affairs, HEOR colleagues, marketing, sales, regulatory and clinical affairs...