Average salary: $82,300 /yearly
More stats ...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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...staff to ensure contractual compliance. Reports to the Manager, Retrospective UM. Supervises staff who conduct retrospective review of medical claims for appropriate DRG or non-DR coding and processing. Performs independent research and in-depth evaluation of complex medical...
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...Experienced Document Review Attorney Remote
Great opportunity for l icensed attorneys with document review experience interested in quality focused e-Discovery. We have some projects anticipated to start soon and others in the pipeline. Please apply to get on our...
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...Role: Purchase Reviewer-1153
Estimated Duration: 6+ months
Location: Phoenix, AZ
Position Description
The purpose of this position is to provide support to constituents, including education administrators and staff, community members, education partners...
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Monday to Friday
...everything for our 28 million members as a clinical professional on our Medical Management/Health Services team. Centene is a diversified,... ...of medical care.
+ Performs medical necessity and clinical reviews of authorization requests to determine medical appropriateness...
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...all documentation is timely and meets all Federal and State requirements.
+ Ensure second-level reviews have been performed and documented and may confer with medical directors, Health Plan Manager(s), Inpatient Care Coordinators (ICC’s), Skilled Inpatient Care...
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...Job Description
Job Description
General Purpose
To review and bill Loss Control Inspections and ensure they meet Afirm/Davies quality control standards, customer specific requirements, and industry standards.
Essential Duties and Responsibilities:
~ Reviews...
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...Custard Insurance Adjusters, Inc.
Property Claims Reviewer/QA
Phoenix, AZ
We are growing our company and looking for highly skilled team members to grow with us! We are looking for motivated individuals who are passionate about quality work and providing superior...
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...every decision we make.
Job Posting Title
Physician Clinical Reviewer, MRx – Oncology – REMOTE
Summary
Key member of the utilization management team, and provides timely medical review of service requests that do not initially meet the applicable medical...
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...Role: Purchase Reviewer (Resource)
Estimated Duration: 6+ months
Location: Phoenix, AZ (hybrid)
Position Description
The purpose of this position is to provide support to constituents, including education administrators and staff, community members and...
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...caring community and help us put health first
The Claims Review Representative 2 makes appropriate claim decision based on strong... ...+ Associate’s or Bachelor’s Degree
+ Familiarity with medical terminology and/or ICD -10 codes
+ Interpretation of provider...
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...Role: Penalty Review Specialist
Estimated Duration: 6+ months
Location: Phoenix, AZ (hybrid)
Position Description
The Penalty Review Specialist plays a vital role in evaluating and analyzing data submitted by customer applicants for penalty abatement...
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...required
Bachelor’s degree in nursing preferred
Minimum three (3) years of clinical nursing and/or Care Management experience is required
Orthopedic experience required.
Clinical review, utilization review, or quality assurance review experience preferred...
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...others to healthcare appointments in your own vehicle around Phoenix! At Veyo, we help people get to and from their non-emergency medical appointments. We're looking for drivers to partner with us in your area. When you sign up to drive with Veyo, you will drive your own...
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...statutes, rules, and compliance with policies and procedures.
The primary duties for this position include the following:
Review account expenses and complete account closures
Conduct audits on randomly selected accounts to assess program compliance...
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Overview:
Location: Sonoran Crossing Medical Center, 33400 N 32nd Ave, Phoenix
Hours: PRN, Nights
Looking to be part of something... ..."Top 150 Places To Work in Healthcare" by Becker's Hospital Review! As a member of the HonorHealth team, you will work...
Full time
Temporary work
Part time
Relief
Shift work
Night shift
...Posted On: 4/8/2024
Position Summary
The primary role of the Medical Scribe is to relieve the practitioner of clerical and... ...Electronic Health Record (EHR) and may locate information for review as requested by the practitioner (i.e., previous notes, reports...
Relief
...with the NPs practice to ensure the quality and efficiency of medical care for patients and residents of the NPs practice.
ESSENTIAL... ..., pharmacy recommendations, nursing concerns, etc. for NP to review
Develop and prioritize a daily rounding schedule for the NP...
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...Description
Position at Fingerpaint Marketing
Medical Editor (West Coast)
Reset your expectations of a health and wellness... ...digital projects, and how their unique needs affect editorial reviews
~ General proficiency in digital/remote work communication...
Remote job
...procedures, and activities. Quality Program Nurse, RN enforce DHCS regulatory requirements as pertaining to Facility Site Review (FSR) and Medical Record Review (MRR) criteria.
Additional Benefits
Perks
IEHP is not only committed to healing and inspiring the...
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...Come join our dynamic and dedicated team.
Investigative Medical Coder
Office of Inspector General (OIG)
Job Location:
Address... ...as the SME for the OIG in all coding matters; to include case review, testimony, in depth coding analysis and determinations....
Holiday work
Full time
Part time
Internship
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Flexible hours
...comprehensive network encompasses six acute-care hospitals, an extensive medical group with primary, specialty and urgent care services, a... ...room for examination of patients. Prepares patient charts and reviews for completeness. Escorts patient to examining room, obtain...
Permanent employment
Full time
Part time
Relocation bonus
Shift work
Monday to Friday
...child matters too! Safe Kids, Strong Families
ESSENTIAL FUNCTIONS
Interviews patient about current problems, medications, and allergies and reviews medical record for pertinent previous and current information
Participates in patient treatment regimen,...
Hourly pay
Full time
Flexible hours
Shift work
...to share an exciting and rewarding opportunity for a Certified Medical Coder w orking at our Central Avenue Location (possibility... ...Cycle Management (RCM) department with claims coding and billing review, best practices, coding recommendations and policy setting, and...
Full time
Part time
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Flexible hours
Monday to Friday
...Description
Psych Medical Assistant
Job Purpose: This position serves to provide care to patients under the direction of a medical... ...upcoming visits and ensures all necessary forms are completed, reviewed, and accepted into patient's chart
Greets and rooms patients...
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...Summary
This position is located at the Phoenix Indian Medical Center in Phoenix, AZ. This position serves as a Medical Technician... ...concurrently under Delegated Examining Plan (DE) procedures. Please review vacancy announcement number IHS-24-PI-12372806-DE; for...
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Work experience placement
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Relocation
Trial period
...e.g., CLIA ’88, JCAHO, CAP, OSHA). Personnel report to department supervisor.
MINIMUM QUALIFICATIONS
Associate’s Degree in medical laboratory science, OR
Bachelor's Degree in chemical, physical or biological science, OR
Have successfully completed military...
Shift work
...Microbiology-BUMCP
Work Shift:
Evening
Job Category:
Lab
Evening Shift generalist needed for Banner University Medical Center in Phoenix.
POSITION SUMMARY
This position performs waived and non-waived tests as defined by CLIA ‘88 in an...
Shift work
Afternoon shift
...regulatory requirements (e.g., CLIA ’88, JCAHO, CAP, OSHA).
MINIMUM QUALIFICATIONS
Bachelor’s Degree in clinical laboratory science/medical technology, OR BS degree in chemical, physical or biological science and a certificate of completion of a Categorical equivalent of...
Shift work
Afternoon shift
Overview:
Hello humankindness Located conveniently in the heart of Phoenix ArizonaSt. Josephs Hospital and Medical Center is a 571-bed not-for-profit hospital that provides a wide range of health social and support services. Founded in 1895 by the Sisters of Mercy St....
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