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HEDIS Clinical Practice Consultant RN

United Health Group - Beaumont, TX map
... the health plan and reports to the Quality Management Leader * Coordinates and performs onsite medical record reviews at provider offices to determine appropriate coding and billing practices, compliance with quality metrics, compliance with service ... - Dec 22

Case Management & Utilization Director Health Plan

E-Health Jobs - Los Angeles, CA map
... Responsible for assuring that Health Plan provides high quality medical care, remains in compliance according to all ... Previous hands on experience or has knowledge of coding/billing will be very helpful 7. Excellent verbal and written ... - Dec 22

Compliance Document Improvement Specialist/ST/Clinical Case Management

Carolinas HealthCare System - Charlotte, NC map
... - Interacts with the physician and/or other designated members of the healthcare team to ensure that vague or incomplete documentation is clarified within the medical record in a timely manner. - Works with other departments such as coding, ... - Dec 22

Receptionist

Cook Children's Healthcare - Fort Worth, TX map
... * 2 years exp in medical office. * Understanding of diversified insurance plans. * Knowledge of coding and medical terminology. * Good interpersonal skills. * Maturity to withstand pressure that may arise in relation to the public. *Spanish speaking ... - Dec 22

Office Assistant

Trinity Mother Frances Hospitals and Clinics - Tyler, TX map
... general/medical office experience, ability to file charts, answer phones, verify insurance, enter office charges and receive payments. Prefer ICD-9 and CPT coding experience. Bilingual a plus. This position is located at: TC Lake Palestine - Dec 22

HEDIS Nurse

Yoh - Fairfield, CA map
... - Knowledge of EMR, HER, and medical records - Flexibility to travel required - Working knowledge of the National Committee on Quality Assurance (NCQA) HEDIS requirements preferred - Familiarity with ICD-9 and CPT coding preferred - Candidates must ... - Dec 22

Quality, HEDIS Clinical Practice Consultant RN

United Health Group - Victoria, TX map
... the health plan and reports to the Quality Management Leader * Coordinates and performs onsite medical record reviews at provider offices to determine appropriate coding and billing practices, compliance with quality metrics, compliance with service ... - Dec 22

Clinical Document Specialist

Henry Ford Health System - WY map
... HIM Clinical Documentation Weekends: No Job Family: Medical Records Job Function: Admin Support (Non-clinical) Campus ... and coordinating the clinical documentation program and serves as resource to the physicians and clinical coding staff. ... - Dec 22

Outpatient Medical Coder

Sterling Medical Corporation - San Antonio, TX map
... Federal Holidays Off Qualifications: Education: Must hold one: An associates degree in health information management OR a university certificate in medical coding, OR at least 20 quarter or 30 semester hours of university/college credit that ... - Dec 22

RN Clinical Coding Nurse

United Health Group - Orlando, FL map
... and appropriateness of diagnosis codes based on documentation reviewed * Reviews medical records information and educates providers to ensure the documentation and coding is compliant with standards set by CMS's HCC methodologies and the ICD-9-CM ... - Dec 22
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