Duties: Performs medical reviews using established criteria sets and/or performs utilization management... sets or clinical guidelines. Provides support and review of medical claims and utilization practices. May provide...
are you looking to conduct interviews Onsite training and onsite position A typical day would like in this role: reviewing claims for medical... necessity/reviewing cam policies for non-covered procedures. Team: We process Medical and Dental claims for Federal Employees...
Duration: 3+ month’s Contract Job Description: Performs medical reviews using established criteria sets... decisions using indicated protocol sets or clinical guidelines. Provides support and review of medical claims and utilization...
Collaborates with physician, physician extender, nurse, case manager/utilization reviewer and Medical Records coder to identify...CDI Full Time Day Shift 8-5 M-F Consistently named best hospital, Lexington Medical Center dedicates itself...
Essential Functions Collaborates with physician, physician extender, nurse, case manager/utilization reviewer and Medical...CDI Full Time Day Shift 8/5 Consistently named best hospital, Lexington Medical Center dedicates itself...
Project Reviewer. Requirements: Bachelor's degree in Engineering. Minimum 3-5 years' experience. Master's degree... programs including medical, dental, vision, life insurance, 401(k) plan, paid time off and holidays, education reimbursement...
Inspire health. Serve with compassion. Be the difference. Job Summary Performs concurrent medical record reviews... to facilitate the highest level of accuracy, quality, and completeness of clinical documentation. This is accomplished by medical...
for all projects. Serves as a Subject Matter Expert on projects in preparation of becoming an Authorized Project Reviewer. Begin... documented mentoring and application process for Terracon Authorized Project Reviewer certification. Performs other duties...