Position Summary: The Registered Nurse Assessment Coordinator (RNAC, MDS), under the direction of the Director... experience (focus on MDS) Proficiency in ICD 10 coding experience required Reliable transportation required Benefits...
Compensation Design and dotted line to the Director of Compensation, the Senior Analyst, Sales Compensation Design, MedTech Surgery... on deliverables. Partner closely with Director Compensation – MedTech Surgery, Compensation Analysts, and Data Integrity Analysts...
, team lead and/or medical director to discuss requests/care inconsistent to criteria and determine the appropriateness... by our recruitment and hiring teams. What You Will Do The CMI performs clinical/medical necessity reviews and authorizes medical...
patients meet home health eligibility and medical necessity guidelines as defined by payer source, accurately determines... and OASIS data sets, coding requests, schedule home visits, to coordinate care with other clinicians, Communicates timely...
information. Communicate with Medical Director, Attending Physician, branch leadership and IDG regarding findings from the visits... regarding patients, families, staff and the organization. Collaborates/Communicates with Medical Director, attending physician...
PATH BEHAVIORAL HEALTHCARE TITLE: Nurse Practitioner RESPONSIBLE TO: Medical Director/Regional Leadership WORK... Providing client education and appropriate referrals Collaborating with the Medical Director and other physicians or NPs...
Health Information Management Clerk Department: Health Information Management Reports To: HIM Director Location... records? Join our team as a Health Information Management (HIM) Clerk! In this role, you’ll support the HIM Director and play...
, and retrospective review) for medical necessity referring to Medical Director as needed for additional expertise and review. Utilize... of medical claims disputes, records, and authorizations for billing, coding, and other compliance or reimbursement related issues...
and coding experience in a physician practice Certified by Certified Medical Office Manager (CMOM) Licensed Practical Nurse... will have direct supervisory and managerial functions of the clinic's practice. This role will report to the Director of Regional...
Documentation Improvement Program. Provides Hospital Coding Specialists and CDI Specialists with clear guidance on coding and DRG... assignment. Oversees education to this group no less than twice a year on coding and DRG updates. Reviews CDI monthly statistics...
PATH BEHAVIORAL HEALTHCARE TITLE: Nurse Practitioner RESPONSIBLE TO: Medical Director/Regional Leadership WORK... Providing client education and appropriate referrals Collaborating with the Medical Director and other physicians or NPs...
visits as needed. Other duties, as assigned. This role reports to the Center Medical Director and works closely... composed of a physician, nurse practitioner or physician assistant, medical assistants, a dedicated medical scribe, and support...
visits as needed. Other duties, as assigned. This role reports to the Center Medical Director and works closely... composed of a physician, nurse practitioner or physician assistant, medical assistants, a dedicated medical scribe, and support...
medical records, and interview members, providers, and other third parties. Apply laws, regulations, plan policies... and guidelines, contract provisions, coding rules, coverage rules, and industry standards to information gathered during the...
understanding of ICD-9 and CPT coding - Preferred Work Shift Day (United States of America) Location NE Columbia Medical Park... patient registration, pre-certification, charge capture and accurately coding diagnoses given by physicians. Responsible...
Completes appeal process for denied days for medical necessity that meets Interqual criteria or appear to be clinically... justified. Completes evaluation of all external denials for medical necessity received by the hospital and coordinates decision...
Eligibility guidelines. Conducts clinical review of claims for medical necessity, coding accuracy, medical policy compliance... and contract compliance. Prepare and present cases to Medical Director (MD) for medical director oversight and necessity...
. Conducting home visits as needed. Other duties, as assigned. This role reports to the Center Medical Director and works... care team composed of a physician, nurse practitioner or physician assistant, medical assistants, a dedicated medical...
to the Center Medical Director and works closely with operational leadership. Required Qualifications: Master of Science... practices on a collaborative care team composed of a physician, nurse practitioner or physician assistant, medical assistants...
and payer policies. Responsible for adherence to policy and procedures with respect to auditing, billing, coding..., and documentation of compliant medical necessity. In depth knowledge of clinical operations and front end patient registration...