necessity, medical policy, benefits, and clinical coding. Post-Service Clinical Review is accountable for the initial review...) department is BSC Federal Employee Program (FEP) retrospective clinical review program that entails detailed claims review...
and clinical best practice standards Orders diagnostic testing based on clinical findings and clinical best practice standards... coding and update EMR documentation for each patient encounter consistent with clinic procedure; records physical findings...
and refer to Medical Director any referral that requires additional expertise. 2. Utilizes CMS guidelines (LCD, NCD) to assist.... Verifies accuracy of ICD 10 and CPT coding in processing pre-certification requests. 8. Contacts requesting provider...
hospitals through roles in supply chain, IT and cybersecurity, clinical engineering, capital procurement, medical coding... Director, the Applications Trainer (AT) will serve as the point-of-contact for Lawson ERP application support...
. Here’s a sample job description for a Hospice Office Manager: Job Title: Hospice Office Manager Reports to: Director of Nursing... staffing levels. Provide support for care staff and ensure communication between clinical teams, families, and patients...
and supervision of the Operational and/or Medical Director, the Lead Medical Assistant operates in a team with other clinic healthcare... performance feedback and acts as a key communicator between the clinical staff and Site Coordinator. The Lead serves as a primary...
), and the hospital's medical staff to facilitate accurate and complete documentation for coding and abstracting of clinical data... of care with supporting documentation of regulatory compliance and accurate coding. The Physician Advisor (PA) conducts...
, under the direction and supervision of the Operational and/or Medical Director, the Lead Medical Assistant operates in a team... staff, provides ongoing performance feedback and acts as a key communicator between the clinical staff and Site Coordinator...
Clinical Biomechanics Laboratory at Naval Medical Center San Diego (Director: Trevor Kingsbury) will support this project... (OSHA), Good Clinical Practices (GCP), Good Laboratory Practices (GLP), infection control procedures and rules...
and training to physicians and clinical staff on documentation to ensure compliance with coding guidelines. Performs an in-depth... will also assign codes based on review of clinical charts, resolve coding issues based on denials, and identify areas of improvement...
Cardiology Supervisor/Director. Must be able to demonstrate the knowledge and skill necessary to provide care appropriate to the... patient with general procedure information/instructions, refers to clinical staff appropriately. If appropriate, provides...
clinical personnel in patient care, patient flow and equipment maintenance. May supervise any combination of the following... I/II. Reports to: Clinic Administrator and Dental Director Supervises: May supervise any combination of the following...
of the Supervisor, Professional Billing & Coding and Director, Professional Billing & Coding, this position operates... development of procedural coding for clinical services following Federal & State guidelines. Coordinate & delegate workflows...
information required by clinical staff to render decisions, assists the Manager and Director of the Utilization Management.... Knowledge of HMO/UM functions. Knowledge of ICD-10/CPT coding. Proficient utilizing electronic medical records...
Management (BH UM). In this role you will conduct clinical review of mental health and substance use authorization requests... at various levels of care for medical necessity, coding accuracy, medical policy compliance and contract compliance...
of analysts to support chart chase creation for medical records retrieval and coding of retrieved charts and ensure complete.... This oversight is done through reviewing 500K+ medical encounters for chart chase (through a chart retrieval/coding vendor...
or Manager or Director of Care Coordination in each facility. The RN Case Manager has frequent contact with patients, families... strongly preferred. Experience with clinical assessment for patient with complex medical, emotional and social needs...
of Directors as needed. Fiscal Accountability/Productivity In collaboration with Director: Analyzes statistics and takes... clinical and management skills and expands knowledge base through participating in conferences and seminars. Performs...
Safety. Functions as a PV advisor to Ascendis Clinical Development Organizations, Medical Affairs, Commercial Organizations... coding and global safety reporting regulatory requirements. Working knowledge of FDA safety regulations, ICH Guidelines...
or for a specific line of business such as Medicare Conducts clinical review of claims for medical necessity, coding accuracy... Review RN will report to the Manager, Post Service. In this role you will perform accurate and timely clinical review of post...