Remote Medical Case Prep Specialist (Inpatient Review)
APPRISEMD LLC
- Remote job
APPRISEMD LLC is seeking a highly skilled medical professional who is not currently in practice to help prepare inpatient cases for utilization review. MD (or equivalent) level training is required but current Board Certification, USMLE completion and state licensure are not required. Foreign trained physicians are welcome; you must be eligible to work in the U.S. as we do not sponsor visas. You must reside in the U.S. This remote, part-time role focuses on weekends. #J-18808-Ljbffr APPRISEMD LLC
- ...and adults annually through inpatient crisis services, 24-hour help... ...is seeking an Utilization Review Specialist , who will be responsible for... ...portal, review patients medical record via EMR to ensure criteria... ...& follow authorization for Case Management Services...Remote workMedicalLocal area
- ...Concurrent Inpatient Coding Specialist Fairview Range is hiring a... ...Specialist in Hibbing, MN (REMOTE). As a Concurrent... ...procedural codes to medical records for purposes... ...physicians, nurses, case management, other caregivers... ...documentation review. Work with the team...Remote workMedicalFull timeWork at officeRelocation package
$26.09 - $50.8 per hour
Inpatient Reimbursement Coding Specialist - UI Health, Health Information Management... ...1 Workplace Type: Remote Illinois Residency... ...Proficient in interpreting medical documentation to... ...(CAC) software to review medical... ...that has a complex case mix index (CMI) with...Remote workMedicalHourly payWork experience placementShift work$34.84 per hour
...Inpatient Coder UW Medicine Enterprise Records... ...- Fridays ~100% Remote POSITION... ...billing Analyzes the medical record to assign... ...reimbursement Reviews patient records... ...to assure proper Case Mix Group (CMG) assignment... ...Certified Coding Specialist (CCS), Certified...Remote workMedicalHourly payFull timeTemporary workWork at officeLocal areaMonday to FridayShift workDay shift- The University of Miami is seeking a Case Manager to review medical records for admission necessity and to coordinate discharge planning for outpatient, observation, and inpatient care within a multidisciplinary team. You will secure pre-certifications, communicate with...Remote jobMedical
- ...Aptive is seeking a Medical Record Technician – Inpatient Coder to join their remote team. The role involves ensuring accurate and timely inpatient facility coding, supported by extensive review and assignment of medical codes according to VA standards. The ideal candidate...Remote workMedical
- ...ABA Utilization Review SpecialistSpectrum Billing Solutions... ...Review (UR) Specialist to our growing team. The... ...environment. This is a fully remote or office/home hybrid... ...information to ensure medical necessity and compliance... ...ongoing authorization cases.Collaborate and communicate...Remote workMedicalWork at officeFlexible hours
- ...-being. Our benefits include: Medical Coverage - Three new BCBSAL medical plans... ...About the Role: The Utilization Review Specialist plays a critical role in ensuring that... ...healthcare providers, insurance companies, and case managers to facilitate timely approvals...Remote workMedicalPart time
$50k
...Job Responsibilities) Complete pre-authorizations, concurrent reviews, and internal utilization review assessments Consult with... ...reviews and coordinate urgent/expedited appeals Staff individual cases with medical doctors as required Maintain compliance with all standard...Remote workMedical$70k - $100k
...seeking an experienced Utilization Review Specialist to join its team in Addison,... ...the flexibility of three remote workdays per week while... ...Review clinical documentation for medical necessity, level of care appropriateness... ...Collaborate with physicians, case management teams, and payers...Remote workMedicalPermanent employment2 days per week- ...Utilization Review Specialist Remote, United States About the Role The purpose of this position... ...high level to problem solve on complex cases with Manager Completes pre-certs... ...Knowledge of utilization review processes, medical necessity criteria, and healthcare...Remote workMedical
- Nationwide Children's Hospital is seeking a utilization review professional to evaluate behavioral health cases, ensuring medical necessity and guideline alignment. You will... ...90-day in-office training, the position offers remote work from home options. #J-18808-Ljbffr...Remote jobMedicalWork at officeWork from home
- UnitedHealth Group is seeking a medical coder to assign ICD-10-CM and ICD-10-PCS codes for inpatient hospital services, ensuring adherence to official coding guidelines... ...requires abstracting data elements during chart reviews. The position offers telecommuting within the...Remote jobMedical
- Capital Health is seeking an experienced coder to review inpatient medical records and assign ICD-10-CM/PCS codes for accurate reimbursement and... ...with CDI and revenue cycle teams while working remotely. The ideal candidate holds a CCS certification, has hospital...Remote jobMedical
$25 per hour
...populations. As a tech-enabled medical group, we deliver whole-... ...position primarily allows for remote work; however, it includes 2... ...and Community Engagement Specialist with delegated tasks Collaborates... ...participating in systematic case reviews and consulting with nurse...Remote workMedicalFull timeWork experience placementLocal areaWork from homeFlexible hours$22 - $25 per hour
...populations. As a tech-enabled medical group, we deliver whole‑... ...position primarily allows for remote work; however, it includes 2... ...and Community Engagement Specialist with delegated tasks Collaborate... ...participating in systematic case reviews and consulting with nurse...Remote workMedicalFull timeWork experience placementLocal areaWork from homeFlexible hours$22 - $25 per hour
...populations. As a tech‑enabled medical group, we deliver whole‑... ...position primarily allows for remote work; however, it includes 2... ..., and Community Engagement Specialist with delegated tasks. Collaborate... ...participating in systematic case reviews and consulting with nurse...Remote workMedicalFull timeWork experience placementLocal areaWork from homeFlexible hours- ...Responsible completion of assigned tasks related to preadmission reviews, continued stay reviews, medical necessity requests, and chart audit requests. Supports... ...Concurrent Reviews as required by payor sources, case management company or other intermediary entity to ensure...Remote workMedicalWork at office
- ...populations. As a tech-enabled medical group, we deliver whole-... ...position primarily allows for remote work; however, it includes 2... ...and Community Engagement Specialist with delegated tasks Collaborates... ...participating in systematic case reviews and consulting with nurse...Remote workMedicalFull timeWork experience placementLocal areaWork from homeFlexible hours
- ...Utilization Review Specialist We're officially a Great Place To Work®! We've always believed... ...-being. Our benefits include: Medical Coverage – Three new BCBSAL medical plans... ...providers, insurance companies, and case managers to facilitate timely approvals...Remote workMedicalPart time
- ...Healthcare Utilization Review Specialist Join our team at Company and build a meaningful career... ...programs. You'll review claims for medical necessity, verify authorizations, and collaborate... ...assisting senior UR team members with case review activities. Conduct outreach...Remote workMedicalFull timeTemporary workFlexible hours
- ...Hospital in the United States is seeking a skilled utilization review professional to review medical records for necessity and appropriateness of care. You will collaborate with providers, staff, insurers, and case managers to ensure patients receive the right level of care...Remote jobMedicalReliefWeekend workAfternoon shift
$22 - $25 per hour
...underserved populations. As a tech-enabled medical group, we deliver whole-person care -... ...practitioner and Community Engagement Specialist with delegated tasks Collaborate on... ...Management team by participating in systematic case reviews and consulting with nurse care manager,...Remote workMedicalWork experience placementLocal areaWork from homeFlexible hours$29.62 - $45.31 per hour
...Coordinate and execute the review and research functions required... ...resources to support the review (Medical Policies, KMS, Benefit Grids,... ...Critically assess and prepare all cases for RN/MD review of coverage (... ...provider resolutions, etc.) Remote Work This position offers 1...Remote workMedicalMinimum wageFull timeWork experience placementLocal areaShift work- ...- Days (Sunday through Thursday) FTE: 1.000000 Summary: Reviews medical record documentation to assign ICD-10-CM diagnoses and ICD-10... ...indicators to accurately calculate the MS-DRG and APR-DRG for inpatient encounters. Ensures proper coding billing and compliance according...Remote jobMedicalShift work
$32.65 - $43.9 per hour
...seeking Virtual Utilization Review Specialists to join our team.... ...to third party payers Medical Necessity Determination... ...offsite location Provides inpatient and observation (if indicated... ...Abilities Required: This is a remote role which requires access to...Remote workMedicalTemporary workWork at officeLocal area- ...HealthHelp is seeking a remote Utilization Review clinician (RN/LPN/LVN) to support medical necessity determinations across client programs. You will review cases, coordinate with providers, and ensure timely decisions in line with policy and regulatory requirements....Remote workMedicalWork at office
- ...AIP is looking for a Case Processing Specialist to work in Brownsville, TX. The... ...and/or training related to reviewing law enforcement... ...paperwork, seven-day supply of medications, property, and valuables before... ...natives from one of the most remote and harshest environments...Remote workMedicalContract workFor contractorsWork at officeLocal area
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$58 - $63 per hour
A healthcare staffing agency is hiring an Inpatient Clinical Documentation Integrity Specialist for a 12-month remote contract. The role focuses on reviewing medical records for accurate coding and compliance, requiring risk adjustment coding experience and relevant certifications...Remote jobMedicalHourly payContract work
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