medical claims that have been denied and resubmitted by providers for reconsideration. Review medical documentation...-specific reimbursement policies, competitor specific medical policies, reimbursement policies, and editing rules, as well...
Jobs Job Description Apply now Start Please wait... Job Title: Medical Coders - QA/SME Specialist City: Tampa State/Province: Florida Posting... & E&M services for medical coding who will be responsible for conducting quality reviews, ensuring compliance with CMS...
activities will occur under the direction of the WellMed Senior Medical Director and in accordance with Company protocols... elements Conduct weekly touchpoints with the medical director dyad partner to review admissions and determine escalations...