Average salary: $93,540 /yearly
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$18 - $19 per hour
...MUST HAVE Knowledge of CPT, ICD-9/10 and HCPCS codes along with commonly used concepts and practices in Workers Compensation medical bill review/auditing . Prepares and compiles medical provider bill data for Workers Compensation clients.
The successful candidate...
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Full time
...Description
Healthcare Administrative Assistant - Medical Review/Program Integrity Coordinator
Dallas, TX
(Hybrid schedule with 2 days onsite)
@Orchard LLC is retained by a not-for-profit corporation that partners with public and private sectors to create high...
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...Position Summary
Working from instructions and pre-established guidelines, under general supervision, assigns medical necessity requests to a qualified reviewer and follows-up to ensure timely determination is delivered based on state/URAC guidelines in accordance with...
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...Responsible for review, auditing and data-entry of medical bills for multiple states and lines of business.
ESSENTIAL FUNCTIONS & RESPONSIBILITIES:
* Responsible for auditing medical bills to ensure that they are appropriate and adhere to the State Fee Schedules,...
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Local area
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...and abuse in government programs. Results are achieved through data analytics, technology solutions, audit, investigation, and medical review.
At IntegrityM, we offer a culture of opportunity, recognition, collaboration, compassion and supporting our community. We thrive...
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Full time
Remote job
Flexible hours
...Radiation Oncology Preservice Review Nurse RN - Remote
Optum is a global organization that delivers care, aided by technology to... ...notification, using applicable benefit plan documents, evidence-based medical policy and nationally recognized clinical guidelines and...
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Description
Gaggle is seeking Independent Contractors for temporary, non-renewing contract positions monitoring online student activity. This contract work allows you the flexibility to work within the constraints of your own schedule. The choice is yours, work...
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Title: RN Utilization Review II
Description: The RN Utilization Review II is responsible for determining the clinical appropriateness... ...of clinical information and treatment plans and apply medical necessity criteria in order to determine appropriate level of care...
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We are seeking a dedicated and detail-oriented individual to join our team as a Medical Bill Review Specialist. In this role, you will play a crucial part in ensuring the accuracy and efficiency of medical provider bills while maintaining high standards of quality assurance...
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...balance? We are seeking flexible and experienced physicians for our medical reviewstream division. This telecommute role provides the... ...contractor.
JOB SUMMARY:
Relying on clinical background, reviews health claims providing medical interpretation and decisions about...
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Portuguese Document Reviewer
Contact Review - Washington, DC
Location: Remote
Start Date: Negotiable
EXPERIENCE & QUALIFICATIONS:
Fluency in Portuguese
Familiarity with document review workflows
Examples: Privilege/Responsiveness Review, Redactions...
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Remote job
ezURS.com Inc., has an ongoing need for Physician Consultants to perform a wide variety of world-class utilization review, disability, peer reviews products in multiple lines of business including health, workers compensation,and auto and liability\
\
Opportunity to...
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...Job Description
Job Description The Professional Review Nurse provides analysis of medical services to determine appropriateness of charges on multiple types of medical bills and review of medical reports to determine appropriateness of medical care. Clinical and/or...
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Full time
Local area
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...Elevate is searching for additional remote contract review staff to assist with commercial and residential claims quality file reviews. Hours are flexible within certain time parameters.
There are part time and full time contract positions. Compensation is on a 1...
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...TRS Healthcare is seeking a travel nurse RN Utilization Review for a travel nursing job in Irving, Texas.
Job Description & Requirements
~ Specialty: Utilization Review
~ Discipline: RN
~ Start Date: 06/03/2024
~ Duration: 12 weeks
~40 hours per week
~...
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...JOB SUMMARY:
Under general supervision, performs all title review functions in support clearing titles for AL, GA, MS, and TX. This person will perform tasks that require knowledge/skill to identify curative issues. The position requires substantial coordination with...
Work experience placement
Remote job
...coding/quality/ billing / reimbursement issues as a second level reviewer. Assesses accuracy, quality, and compliance of diagnosis,... ...of prebill/post bill reviews and pending accounts
* Performs medical record reviews to determine coding accuracy of diagnosis codes,...
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Local area
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...Description
Job Description POSITION SUMMARY
The Demand Review Nurse Auditor is responsible for conducting a comprehensive... ...documentation to ensure that all services billed are supported by the medical records. The Nurse Auditor will oversee processing of the...
Local area
...Global Risk Review (GRR) provides independent, objective, reliable, valued and timely assurance to the Boards, the Committees, the Citigroup... ...awards. Citi offers competitive employee benefits, including: medical, dental & vision coverage; 401(k); life, accident, and...
Holiday work
Full time
Work experience placement
...for a non-clinical opportunity for work/life balance needs yet want to stay clinically active?
Join us as an Medical Director to conduct chart and peer reviews from your home office.
where you'll be empowered to make a difference in the lives of patients by...
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