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The Certified Coder I is responsible for all group practice coding activities, including encounter review, missing charge reconciliation, RCx Rules review and reconciliation, and communication with the providers and office staff for outstanding issues and education.
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Beneficial but not required to have:Ability to perform risk management review (HAZOP, SIL)Experience with Safety Instrumented System (SIS), Safety Instrumented Functions (SIF), DCS, BMS Compensation Range $115,000 - $180,000 The expected compensation range for this position is displayed in compliance with all local/state regulations.
$115,000 - $180,000 a yearFull-timeExpandApply NowActive JobUpdated Today - UpvoteDownvoteShare Job
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Skillfully review, validate, and process customer transactions with accuracy including check cashing, money transfer, and customer payments. Multiple coverage choices for medical insurance, all include free telemedicine and medical spending account (HSA/FSA) options.
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Enhances the quality of patient management and satisfaction, to promote continuity of care and cost effectiveness through the integration of functions of case management, utilization review and management, and discharge planning.
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Review and interpret new and proposed environmental laws and regulations, and guide managementPerform environmental compliance and due diligence audits to ensure compliance with all applicable regulatory agencies.
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Prefer prior experience in case management, utilization review, or discharge planning. Follows patients throughout the continuum of care and ensures optimum utilization of resources, service delivery and compliance with external review agencies.
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Identify and resolve parts required for repair; review repair orders, work order, and Body Shop Managers estimate notes; follow warranty guidelines; notify supervisor of any repair add-ons. Adjust, replace, and repair all series of truck and trailer equipment (e.g., sheet metal repairs, fiberglass/ panel repairs, fabrication and structural welding, installation and alignment of truck cab body components, electrical and mechanical repairs, etc.
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Include field engineering support; technical recommendations for inspection, testing, and maintenance; code analysis; systems design and specifications for project support; plans review; fire hazard assessment; system downtime response and solving; investigation, root cause and failure analysis; and general consulting on fire/life safety issues.
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Completes and/or oversees completion of monthly medical record reviews, per the Medical Record Review Policy. Completes utilization reviews, oversees primary therapist process of utilization review and assists in the process of assuring that all client stays are covered in some way (i.e. insurance, private pay, etc.
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Utilization Management Conducts medical necessity review for appropriate utilization of services from admission through discharge. Participates in interdisciplinary patient care rounds and/or conferences to review treatment goals, optimize resource utilization, provide family education and identified post hospital needs.
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Funds loans and provides basic credit review counseling for members with declined loans. including but not limited to Trusts, Estates, Power of Attorneys and Notary Public services. If you are applying for a Hybrid/Remote position, pleasenoteapplicants are required to reside within ourWescomservice areas which are defined as the following counties: Los Angeles, Orange, San Bernardino, Riverside, Ventura, Santa Barbara, San Diego, Imperial ,Fresno, Kern, Kings, Madera, Merced, Mariposa, Monterey, San Benito, San Joaquin, San Luis Obispo, Santa Cruz, Stanislaus and Tulare counties.
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This investigation includes but is not limited to a criminal, civil litigations and regulatory review, employment, education, and credit review (role dependent). Where permitted by federal or state law, Fidelity will also conduct a pre-employment drug screen, which will review for the following substances: Amphetamines, THC (marijuana), cocaine, opiates, phencyclidine.
$45,000 - $75,000 a yearFull-timeExpandApply NowActive JobUpdated Today - UpvoteDownvoteShare Job
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Review daily, weekly, and monthly work orders and projects with Transportation Manager, on site security, facilities and any other vendors involved, and ensures complete planning and oversight is developed for all work requested.
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The Senior Electrical Engineer will be responsible for the conceptual design, review, and stamping, sealing of the drawings before submission to the clients. + Develop, review, update, modify, and approve electrical design plans and work schedules.
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Under the direction of an assigned supervisor, perform a variety of technical accounting duties related to the preparation, maintenance and review of financial records and accounts in a variety of areas such as general ledger, budget, payroll, employee insurance and voluntary deductions, tax withholding, accounts payable, accounts receivable, or attendance/enrollment.
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review job Title: medical in La Palma, CA
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