STATEMENT Under the direction and supervision of the UM Assistant Manager, the Case Management Coordinator receives urgent, rountine, pre service and retro authorization requests and processes them through the referral and authorization procedures as established by the medical group utilization department. Responsible for prepping and processing referrals according to DOFR

Providence is calling a Claims Specialist who will work remotely within our footprint states in, AK, CA, MT, OR, TX, or MT. The Research Claims Specialist will support the Clinical Research billing and account review needs of the Providence Health System. This position reports to the Research Claims Manager and includes collaboration with several research entities within

Providence is calling a Coder who will work remotely within our footprint states, AK, CA, OR, WA, TX, NM, or MT. Under the direction of the Coding Manager, the Coder appropriately assigns MS/DRG's, ICD, and CPT codes to all account types according to American Hospital Association (AHA) and Uniform Hospital Discharge Set (UHDDS) guidelines. This individual abstracts clinic

Under direction of both the Director and CDI Manager, the Clinical Documentation Specialist independently prioritizes and performs assigned duties and tasks. Clinical Documentation Specialists are responsible and accountable for the day to day management and success of the Continuous Documentation Improvement Project to include all modalities, acting as a liaison with spe

Under the direction of the SUD Services Director, the Quality Improvement/URA Clinical (QI/URA) Supervisor is responsible for the supervisory oversight of the clinical and technical accuracy of the clinical records. The Quality & Utilization Clinical Supervisor is also responsible for implementing and monitoring data collection and aggregation of the data as related to th

Senior Coder Remote. Most states eligible. Applies ICD 10/CM/PCS and CPT 4 codes to medical records based on documentation provided by physicians. Adheres to strict federal coding rules in selecting codes that appropriately reflect the condition, which the patient had, and the care that was provided. Abstracts clinical and statistical information for outcome measure and m

Senior Pre Service Specialist \ Remote\ Under the direction of the Pre Service Supervisor/Manager/Director, the Senior Pre Service Specialist has a clear understanding and knowledge of all functions performed by Pre Service. They are responsible for, but not limited to, scheduling, Pre Registration, estimates and collections, authorization verification and notice of admis

This position is responsible for discharge processing, accounting for all records received into the department, prepping, and scanning records for processing the electronic medical record, document distribution, assisting customers with requests for information, answering telephones, assisting physicians with chart completion and general office duties. This position repor

of Position Alcon is looking to hire a Global Regulatory Affairs Principal Specialist to join our Regulatory Affairs team in Fort Worth, TX, Johns Creek, GA or Lake Forest, CA location. You will be responsible for developing global regulatory strategy for new product development, directing submission development of product registration, progress reports, supplements, amend

Combine two of the fastest growing fields on the planet with a culture of performance, collaboration and opportunity and this is what you get. Leading edge technology in an industry that's improving the lives of millions. Here, innovation isn't about another gadget, it's about making health care data available wherever and whenever people need it, safely and r

Senior Charge Description Master Specialist Remote. Most state eligible. As a member of the PSJH System Revenue Integrity Chargemaster (RICDM) team, the CDM Specialist shall ensure that the Chargemaster (CDM) is consistent with all coding and billing regulations and accurately represents services provided. The CDM Specialist acts as the liaison between the Hospital minist

Providence is calling a Senior Pre Service Specialist who will work remotely within our footprint states, AK, CA, OR, WA, TX, NM, or MT. Under the direction of the Pre Service Supervisor/Manager/Director, the Senior Pre Service Specialist has a clear understanding and knowledge of all functions performed by Pre Service. They are responsible for, but not limited to, schedu

Senior Coder Remote. Most States Eligible. Applies ICD 10/CM/PCS and CPT 4 codes to medical records based on documentation provided by physicians. Adheres to strict federal coding rules and guidelines in selecting codes that appropriately reflect the condition, which the patient had, severity of illness and the care that was provided. Abstracts clinical and statistical in

Clinical Informatics IS Clinical Research Full Time 8 Hour Day Shift (Exempt)(Non Union) Apply Keck Medicine of USC Hospital Los Angeles, California The Clinical Informaticist is responsible for communicating, collaborating and working with leadership, staff and IT teams to design and continuously improve Cerner build and related IT endeavours. Applicant will work closely

Combine two of the fastest growing fields on the planet with a culture of performance, collaboration and opportunity and this is what you get. Leading edge technology in an industry that's improving the lives of millions. Here, innovation isn't about another gadget, it's about making health care data available wherever and whenever people need it, safely and r