Search Results: 27,072 vacancies
...Job Description
Job Description OVERVIEW
Hendall is seeking an experienced Medical Review Specialist to perform Medicare claims review for payment accuracy determinations. The successful candidate will have a knowledge and understanding of ICD-10-CM, CPT-4, and...
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Full time
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Job Description:
PURPOSE:
The Clinical Medical Review Nurse handles day to day review of professional and institutional claims and provider appeals that require medical review to determine if the claim is eligible for benefits and to support claims processing and/or...
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Permanent employment
Immediate start
...Job Description OVERVIEW
Hendall is seeking an experienced Medical Review Manager with experience and subject matter expertise with... ...Licensure
Certified Professional Coder (CPC) or Certified Coding Specialist (CCS) Certification or coding knowledge and experience with...
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Full time
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...Qualifications**
**PURPOSE:**
Ensures alignment with the overall Corporate Strategic Plan through direction of the Clinical Medical Claims Review, Medical Underwriting, Medical Policy, Clinical Appeals and Analysis programs and Quality of Care Complaint Unit. May lead...
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Local area
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...Sr. Biodefense Regulated Quality Review Specialist
Location MD - Fort Detrick
Job Code 11615
# of openings 1
Apply Now (
The... ...enjoy competitive salaries; a 401K plan with company match; medical, dental, disability, and life insurance coverage; tuition reimbursement...
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...The Clinical Trial Reviewer is a full-time physician position with the FDA. It is a hybrid... ....
You will consult with other specialists to address complex issues and stay up to... ...Requirements:
Education:
US or Canadian Medical Degree: MD, DO, or equivalent from an accredited...
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Full time
Local area
Weekend work
1 day per week
...Job Description
Job Description Salary:
Position Purpose:
Medical Reviewer II performs complex (senior-level) work. Provides dissatisfied patients/beneficiaries and/or providers the opportunity to present documentation to demonstrate why an appeal/dispute...
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...UTILIZATION REVIEW NURSE
~Sign On Bonus Potential: $15,000
~ Baltimore, MD
~SINAI HOSPITAL
~UTILIZATION REVIEW
~Full... ...payment.
Essential Functions -
Chart Review Reviews the medical record by applying utilization review criteria, to assess...
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Full time
Relocation bonus
Weekend work
Day shift
...Internal Medicine Group is looking for a Risk Adjustment Coding Specialist.
Qualifications Include:
* Certified professional coder (... ...insurance
Schedule:
* Day shift
Work setting:
* Medical office
Application Question(s):
* Do you currently hold certification...
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Full time
Relocation
Day shift
...DETAILS.*
ABOUT THIS JOB
***THIS POSITION REQUIRES AN ENLISTMENT IN THE U.S. ARMY OR ARMY RESERVE***
As a Combat Medic Specialist, you'll administer emergency medical care in the field in both combat and humanitarian situations. Your training will allow you...
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Part time
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Relocation bonus
...6. Authorizes prescription refills according to practice guidelines and documents the patient's chart accordingly.
7. Retrieves medical records related to correspondence, telephone calls and appointments.
8. File correspondence and a variety of related materials....
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...Job Description
Job Description Currently hiring for a Medical Billing Specialist to work for a healthcare organization.
This opportunity... ...this position.
Responsible for the accurate pre-billing review, billing, follow up, and cash posting of charges within their...
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Work from home
Currently hiring
1 day per week
...MEDICAL ASST/ORTHOPEDIC SPECIALIST-RIAO
Baltimore, MD
SINAI
RIAO TOTAL JOINT FPP
Full-time - Day shift - 8:00am-4:30pm
Allied Health
83137
Posted:
May 9, 2024
Summary
JOB SUMMARY: Under the direct supervision of a physician, applies, adjusts and removes...
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Permanent employment
Full time
Day shift
...Description
Utilization Review Analyst
Job Summary
This position helps to ensure clinical documentation integrity... ...to diagnostic documentation and coding.?
Reviews concurrent medical record for compliance including completeness and accuracy for severity...
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Shift work
...are interested in expanding your reach to include a global stage, then there are no greater opportunities than those at the FDA.
Medical officers at FDA perform duties that:
Ensure all human drugs manufactured for interstate sale are safe and effective with...
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...Who you are:
As a Medical Economics Specialist, you tell your story best with data, supporting a myriad of business units throughout Johns Hopkins Health Plans. You are a problem-solver and can be counted on to be organized, detail-oriented, and able to communicate...
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...UTILIZATION REVIEW NURSE (RN) - PRN
~ Baltimore, MD
~SINAI HOSPITAL
~UTILIZATION REVIEW
~PRN - As Needed - 8:00am-4:... ...Hospital, Levindale Hebrew Geriatric Center and Hospital and Grace Medical Center, as well as our Community Physician Enterprise, Center...
Relief
...identify corrective / preventive actions, present to management and close investigations in the Quality Management System (QMS).. The Reviewers in this role will be responsible for executing root cause investigations, owning/authoring deviations, driving continuous...
...motivated individual looking to develop their skills as a Medical Records Administration Specialist or Health Information Management Professional? The... ...part of a rewarding work environment.
~ Benefits Review our benefits
How You Will Be Evaluated
You will...
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Monday to Friday
...for processing all release of information (ROI), specifically medical record requests, in a timely and efficient manner ensuring accuracy... .... Any requests to be exempted from these requirements will be reviewed by Ciox Human Resources and determined on a case-by-case basis....
Holiday work
Full time
Work experience placement
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