Clinical documentation specialist jobs in Juneau, AK

 ...What You'll Be Doing:** As an Occupational Therapist, Initial Clinical Reviewer you will be a key member of the utilization...  ...Job Description + Reviews charts and analyzes clinical record documentation in order to approve services that meet clinical review criteria... 

 ...Doing** : + Reviews Provider request for relevant and complete supporting documentation and requests for missing or additional documentation from providers per guidelines. + Utilizing clinical guidelines approved by the Utilization Management Committee (UMC), the URN... 

 ...culture. **What You'll Be Doing:** As an Occupational Therapist, Clinical Reviewer you will be a key member of the utilization...  ...Job Description + Reviews charts and analyzes clinical record documentation in order to approve services that meet clinical review criteria... 

 ...mission. Stay for the culture. **What You'll Be Doing:** As a Clinical Reviewer, Physical Therapy you will be a key member of the...  ...Will Be Doing:** + Reviews charts and analyzes clinical record documentation in order to approve services that meet clinical review criteria... 

 ...the one who changes everything for our 28 million members as a clinical professional on our Medical Management/Health Services team....  ...practices by utilizing code auditing software, provider documentation, administrative policies, regulatory codes, legislative directives... 

 ...so, please apply today! We are seeking an Inpatient Coder to collaborate with our clients remotely. Responsibilities: + Review documentation to code diagnosis and procedures. + Communicate with physicians to obtain or clarify diagnosis and/or procedures via the query process... 

 ...representation of patient conditions for risk adjustment and reimbursement purposes. You will play a critical role in translating clinical documentation into precise codes that reflect the complexity and severity of a patient's health status. **You will:** + The certified... 

 ...codes from patient records, ensuring precision and adherence to documentation + Oversee and audit the work of Level 1 & 2 Coders, where...  ...colleagues, management, and hospital staff, while addressing clinical and reimbursement issues + Occasionally travel for professional... 

 ...will:** · Review and resolve denied or rejected medical claims due to coding errors, ensuring accurate coding and billing based on documentation. · Analyze denial reasons, correct coding errors, and manage appeals, working with various departments to prevent future denials... 

 ...and procedures such as ICD-9, CPT, ARG and ASA, among several others. + Experience in Encoder Pro is a plus + Experience in other clinical services search program management and health records is an added advantage. + Strong understanding of Claims, Appeals and Medical... 

 ...care services at all Banner hospitals. 2. Abstracts clinical diagnoses, procedure codes and documents other pertinent information obtained from the patient...  ...in a health care field. Requires Certified Coding Specialist (CCS) or Certified Outpatient Coder (COC) or Certified... 

 ...coding. Nursing experience in managed care organization or acute care hospital. For Fidelis Care only: One year of experience in a clinical setting or acute care hospital; RN, PA, MD, APRN, DO or MBBS license required. Coding Credential Required: Valid/Current CPC... 

 ...dissatisfied beneficiaries and/or providers the opportunity to present documentation or evidence to demonstrate why an appeal or rebuttal for an...  ...Skills** + One (1) year of Medicare appeals, medical review, clinical, healthcare regulatory interpretation/application, healthcare... 

 ...related law firm work. + Makes quick, sound decisions and negotiate resolution of billing issues or disputes. + Utilizes claim file and document review to obtain claim strategy information and apply during review process. + Ensures prompt, accurate and efficient auditing of... 

 ...per standard procedures and provide clear, concise, written instruction using the AWD IGO Review Template for processing. You will document exception handling notes to ensure accurate processing. You will also identify submissions that are not in good order (NIGO) and... 

 ...patients/ beneficiaries and/or providers the opportunity to present documentation to demonstrate why an appeal/dispute should be allowed. It...  ...dispute resolution or Medicare appeals, medical review, clinical, or related experience in a healthcare setting + Must have Nursing... 

**Alternate Locations:** Work from Home **Work Arrangement:** Remote : Work at home employee **Relocation assistance:** is not available for this opportunity. **Requisition #:** 74522 **The Role at a Glance** We are excited to bring on a **Licensing and Contracting Reviewer...

You could be the one who changes everything for our 28 million members as a clinical professional on our Medical Management/Health Services team. Centene is a diversified, national organization offering competitive benefits including a fresh perspective on workplace flexibility... 

 ...the culture. **What You'll Be Doing:** Job description: As a Clinical Reviewer, Nurse, you will be a key member of the utilization...  ...determination process. + Reviews charts and analyzes clinical record documentation in order to approve services that meet clinical review... 

 ...the culture. **What You'll Be Doing:** As a Pain Management Clinical Reviewer, Nurse, you will be a key member of the utilization...  ...determination process. + Reviews charts and analyzes clinical record documentation in order to approve services that meet clinical review...