is assigned to the appropriate team for review (e.g., Medicare, Medicaid, Commercial) -Validate that cases/requests for services..., medical necessity) CPS_Review Existing Clinical Documentation Review/interpret clinical/medical records submitted...
in the applicable state. Individual is responsible for performing pre-service clinical coverage review of outpatient Women... Proven self-starter with the ability to handle a fast-paced production environment and multiple review types Proven solid...
in the applicable state. Individual is responsible for performing pre-service clinical coverage review of outpatient Women... Proven self-starter with the ability to handle a fast-paced production environment and multiple review types Proven solid...
description and/or job title. Positions in this function require various nurse licensure and certification based on role and grade level... team for review (e.g., Medicare, Medicaid, Commercial) -Validate that cases/requests for services require additional...