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The Clinical Documentation Specialist performs record review (quantitative and qualitative) and assesses the level of compliance with stated regulatory requirements by area of job focus. A minimum of 3 years of experience in Utilization Review, Coding, or Case Management experience preferred.
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H. Provides a resource for co-workers in other areas on inpatient and outpatient charge document review, and on coding. Additionally, the dates of service, CPT codes, place of service and diagnostic codes billed must be corroborated in the medical record.
$48 - $50.2ExpandApply NowActive JobUpdated Today - UpvoteDownvoteShare Job
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Correctly identify non-medical records and make appropriate decision on the need for further review of these documents. Essential Duties and Responsibilities: - Provide coverage rule review support to QIC project directors and medical directors, by continuously monitoring CMS and relevant contractor websites for coverage rule updates.
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Working knowledge of UCLA policies and procedures preferred, including working on projects with external funding sources, and working knowledge of Institutional Review Board. Join our dedicated team as a Program Coordinator for the Medical Home Visit Program.
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You will lead all aspects of utilization review/quality assurance, directing case management. This role expands Aetna's medical management programs to address member needs across the continuum of care.
$174,070 - $374,900Full-timeExpandApply NowActive JobUpdated Today - UpvoteDownvoteShare Job
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Verify fixesPerform exploratory testing, system level end to end testing, develop test datasets, create and execute automation scripts (to ensure application software releases are of high quality)Create verification and validation test plans, test reports, trace matrices and review with relevant stakeholders (dev and quality)Required Qualifications Bachelor's degree OR an equivalent combination of education and work experience.
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Interviews patients to obtain basic medical information and history; measures and records vital signs, height, weight and body mass index (BMI); prepares medical records for provider review.
$23.92 - $28.45 an hourFull-timeExpandApply NowActive JobUpdated 2 months ago - UpvoteDownvoteShare Job
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Review audit findings with Provider and provide any substantiating medical background to the findings. Also, review all other chart documents to identify potential conditions that Provider may not have listed.
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Foreign transcripts and degrees require official certification of equivalency to transcripts and degrees by a certified review service at the time of application. Description The Business Division is currently accepting applications for part-time vocational Instructors to teach Medical Office Administration courses.
$84.62 - $96.09 an hourExpandApply NowActive JobUpdated Today - UpvoteDownvoteShare Job
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The LVN Utilization Management Nurse (UM Nurse) will provide routine review of authorization requests from all lines of business using respective national/state, health plan, nationally recognized guidelines.
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Performs or oversees intake process (vitals, medication review, medical history, proper completion of forms and templates in eCW etc. We also provide comprehensive medical care at our 10 part-time satellite clinics hosted by our community partners throughout Downtown Los Angeles.
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Able to manage study start-up, and directs and guides study team in study execution, data cleaning, medical review, database lock, managing health authority responses. Experience in protocol development, medical review, oversight of study conduct, running trials, data quality and safety are strongly preferred.
$187,000 - $322,000 a yearFull-timeExpandApply NowActive JobUpdated 27 days ago - UpvoteDownvoteShare Job
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Assists in governing databases by: maintaining structures and data within a computerized data base of physician data for use in the credentialling and appointment process, in alignment with department guidelines, with review.
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Implement efficient document review processes to streamline case preparation and enhance overall litigation strategy. We are a premier, AV Rated law firm where excellence meets advocacy in the realm of medical malpractice defense.
$120,000 - $160,000 a yearFull-timeExpandApply NowActive JobUpdated 1 month ago - UpvoteDownvoteShare Job
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Organize educational trainings and review of the International Patient Services Program OIR processes and services to introduce/refresh/train health plan coordinators and Providers/Clinics/Hospitals on Guam and Saipan regarding services offered by the Hospital, updates on new developments and specialty services, and address medical developments of interest.
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review job Title: medical in Alhambra, CA
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