...and compliance training to clinical personnel, billing, and/or other client staff. Establish effective communication with clinical staff, and/or hospital staff to address documentation, coding, and reimbursement issues. Use Coder, Analyst, Healthcare, Remote, Insurance...
Suggested
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...Job Description
Job Description 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...
Suggested
Hourly pay
Minimum wage
Full time
Local area
Flexible hours
...The Model/Anlys/Valid Sr Analyst is a seasoned professional role. Applies in-depth disciplinary knowledge, contributing to the development... ...research and consolidation of KPI/KRI for the Risk Directed Reviews and implement Tableau visualization. While working on these...
Suggested
Holiday work
Full time
...or D.O, unrestricted and active TX license to practice medicine. Must have understanding of managed care and demonstrate PC proficiency, as file review will be done via computer in most cases. (Note: Position does not provide direct patient care or medical diagnosis.)...
Suggested
Position Overview At Zelis, the Business Analyst - Expert Claims Review (ECR) is ultimately responsible for enabling high quality user stories under our ECR product umbrella. This includes Itemized Bill Review, Clinical Chart Review, Dialysis Savings Solution and DRG Validation...
Suggested
Local area
About Gartner IT:
Join a world-class team of skilled engineers and analysts who build creative digital solutions to support our colleagues... ...units.
Serve as subject matter expert and manage Risk Reviews / Risks / Risk Exception Requests
Assess our control effectiveness...
Suggested
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Worldwide
Korean Document Reviewer
Contact Review - Washington, DC
Location: Remote
Start Date: Negotiable
EXPERIENCE & QUALIFICATIONS... ...every project manager, programmer, engineer, reviewer, and analyst sees themselves as an extension of the projects' team. Here at...
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...Dallas, TX 75231
Responsible for review, auditing and data-entry of medical bills for multiple states and lines of business. This role will be remote.
ESSENTIAL FUNCTIONS & RESPONSIBILITIES:
Responsible for auditing medical bills to ensure that they are appropriate...
Suggested
Hourly pay
Minimum wage
Full time
Local area
Remote job
Flexible hours
Commercial Loan Review Analyst – Dallas, TX – Job # 3133B
Who We Are
The Symicor Group is a boutique talent acquisition firm based in Lincolnshire, IL & Rockport, TX. Our nationally unique value proposition centers around providing the very best available banking and...
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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/...
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Minimum wage
Full time
Local area
Remote job
Flexible hours
...Description
Description
Summary:
The Application System Analyst II serves as a liaison between system end-users (customers),... ...delivered to end users and leadership shows consistency and attentive review. Is a team player and able to proactively communicate issues...
Suggested
Full time
...provides the ability to customize your schedule and caseload within the week while maintaining client-mandated turnaround times. Our reviewers are compensated on a per-case basis as a 1099 independent contractor.
Preferred candidates will hold a NM, TX, MN, and/or NC...
Suggested
For contractors
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Physician medical reviewer needed for REMOTE weekend work, minimum of two weekends per month.
The pay rate is $105 per hour under a 12-month contract.
Eligible to work from any state.
This position requires an initial time commitment to undergo and complete training...
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Hourly pay
Contract work
Shift work
Weekend work
Sunday
Saturday
The Senior Lead Reviewer is responsible for independently managing all aspects of his or her assigned Review Entity in the Americas region... ...relationship-level file testing prepared by BICR Credit Risk Analysts
+ Evaluation of the appropriateness of Corrective Action Plans...
Suggested
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Full time
Work experience placement
JOB SUMMARY
This job is responsible for ensuring that all appropriate billing charges for complex service lines are being captured, documented, charged and reimbursed for the assigned department in accordance with policies and procedures, and applicable regulatory standards...
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Hourly pay
Holiday work
Work experience placement
Local area
Relocation bonus
Flexible hours
...progressively responsible experience in a hospital or health program to include five years of leadership experience in Utilization Review or Care Management.
Equivalent Education and/or Experience
* None
Certification/Registration/Licensure
* RNs Only: Must have...
Temporary work
$65 - $85 per hour
..., quality, completeness, consistency, and professionalism . (Reviews take on average 1 to 1.5 hours to complete) Each review is meant... ...to enter a Quality Review Report in the report database.
Analysts are not required to go on roofs or in attics.
No tools or ladders...
Full time
Part time
For contractors
...Job Description Description: Description
The Director position requires a self-driven individual who can complete high quality reviews while meeting strict deadlines. The individual must possess excellent written and verbal communication skills, outstanding...
...knowledge of coding and compliance guidelines to identify potential coding/quality/ billing / reimbursement issues as a second level reviewer. Assesses accuracy, quality, and compliance of diagnosis, procedure, POA, DRG, and discharge disposition assignment on Inpatient...
Remote job
Hourly pay
Holiday work
Local area
Relocation bonus
Flexible hours
...Mandarin Language Document Reviewer
Employment Type: Full Time, Mid-Level
Department: Legal
As a CGS Mandarin Document Reviewer you will play a key role in supporting various aspects of the company's litigation portfolio including eDiscovery activities, workflow...
Holiday work
Full time
Relief
Flexible hours
