Physician reviewer jobs in Montebello, CA

 ...and accuracy Health Information Management Department related reviews such as, concurrent and retrospective pre-bill coding audits. Performs...  ...related to hospital medical coding, medical documentation, physician queries, electronic health record abstracting and data... 

 ...in the public sector. Acentra seeks a Utilization Clinical Reviewer to join our growing team. Job Summary As a Utilization Clinical...  .... Determine approval or initiate referrals to the physician consultant, processing decisions and providing detailed denials... 

 ...Collect requirements for business rules leading to DQ rules.Implement Collibra Data quality monitoring & Alerts.Draft Reference Data for review by steward and governance FTE.Develop a deep understanding of systems and processes to extract insights from existing data... 

 ...journeys of recovery. We are actively seeking a utilization review specialist to work in our corporate office in Pasadena, CA....  ...company policies and procedures and criteria. • Interacts with Physician Advisors to discuss clinical and authorization questions and concerns... 

 ...requirements of producing required design models, calculations, reports, specifications, and drawings. Duties: Performs technical review of proposed electrical plans and specifications submitted by District personnel, consultant staff, or commissioned architects and... 

 ...Clip 1 Video Clip 2 Video Clip 3 Learn more about us at cathaybank.com GENERAL SUMMARY Responsible for managing the loan review function, including detailed loan file and/or on-site reviews of all lending units using a risk-based approach to determine review... 

 ...organization has over 100 employees in Washington DC and Los Angeles/Inglewood, CA. ROLE SUMMARY The role will perform independent loan reviews of the credits held in the Bank's Commercial Lending portfolio including lines of credit, loans to churches, loans secured by... 

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 ...meetings agendas, documentation of meeting minutes, and project-related activities may also be required. This role will coordinate reviewers across the business to meet company timelines. This role will work with leadership across all functions (including, but not... 

 ...by applying clinical acumen and applicable policies and guidelines in the issuance of adverse organization determinations. You will review for appropriate care and setting while working closely with denial coordinators and other staff to ensure the accurate processing... 

 ...comprehensive, competitive and generous providing room for potential growth and position/compensation advancement. Responsibilities: · Review search data provided by customers/abstractors for completeness and accuracy. · Type and/or review all products offered within... 

 ..., competitive and generous providing room for potential growth and position/compensation advancement. SUMMARY: Capable of reviewing moderate to difficult title documentation and preparing title products. ESSENTIAL FUNCTIONS: Review and organize search... 

 ...coding based on AMAs CPT, ICD-9-CM, HCPCS II, and OMFS guidelines.Reviews claim fields in accordance with the Gold Standards set forth by...  ..., Certification, Registration Coding Specialist Certificate - Physician Based OR Professional Coder Certificate Certified Coding... 

Apply here Directly: Candidates applying on the above link will be considered. Click on the link and apply . Our company is looking for qualified candidates to participate in paid national and local focus groups, clinical trials, and also market research studies. ...

 ...in the public sector. Position Overview As a Utilization Reviewer, you involves reviewing medical records against appropriate...  ...requirements. Determine approval or initiate referrals to the physician consultant, processing decisions and providing detailed... 

Job Description Come live and work in Los Angeles, one of the most dynamic and diverse cities with incomparable weather, ocean access and beaches, and innumerable shopping experiences for every budget and taste. CompHealth has employed positions, partnership-track...

 ...mxdwn is an online music and entertainment magazine with news, reviews and features about the latest and best in modern entertainment. Job Description mxdwn is a news site bringing “all that matters in entertainment” to its readers. In the mxdwn Television... 

 ...certification, out of network and appropriateness of treatment setting reviews within scope of licensure by utilizing appropriate medical...  ..., benefits and contract. Develops relationships with physicians, healthcare service providers, and internal and external customers... 

 ...Responsibilities Utilization Review (UR) Coordinator Opportunity.  Position: PRN (as needed)  This position is on-site...  ...facilities and ambulatory care access points, an insurance offering, a physician network and various related services located in 37 U.S. states,... 

 ...Contract Attorneys for Document Review Project Location: Remote Hourly Rate: $40-$50/hour We are currently seeking two contract attorneys to assist with a significant document review project. This opportunity offers competitive hourly rates ranging from $40 to...