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Explore live opportunities across Home, West Virginia. 11 open roles • 8 newly posted in the last 14 days.
Open jobs
11
Posted in 14 days
8
Silver Cross Hospital
Overview
The coder will accurately code and sequence inpatient medical records to meet reimbursement and statistical requirements. They will also collaborate with clinical documentation specialists to ensure physician documentation is clear and specific.
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Compensation
$26 - $39 / HOUR
Posted
8 days ago
Prime Therapeutics
This role involves providing timely medical review for service requests that do not initially meet medical necessity guidelines, often interacting with requesting physicians and providers. Responsibilities include discussing determinations, providing clinical rationale for appeals, and ensuring documentation accuracy according to established guidelines.
$91 - $154 / HOUR
This role involves providing timely medical review for service requests that do not initially meet medical necessity guidelines, requiring interaction with physicians and providers to discuss determinations and provide clinical rationale for appeals. The reviewer also assists in maintaining consistency by utilizing clinical review guidelines and participating in training and research activities related to utilization management.
This role involves providing timely medical review for service requests that do not initially meet medical necessity guidelines, often interacting with physicians and management staff. Responsibilities include discussing determinations with requesting providers and providing clinical rationale for standard and expedited appeals.
The Physician Clinical Reviewer provides timely medical review of service requests that do not meet initial medical necessity guidelines, routinely interacting with physicians and staff. Responsibilities include discussing determinations with requesting providers, providing clinical rationale for appeals, and ensuring consistency using medical review guidelines.
The Physician Clinical Reviewer conducts timely medical reviews of service requests that do not meet initial necessity guidelines. They also provide clinical rationale for appeals and act as a resource for the utilization management team.
This role involves providing timely medical review for service requests that do not initially meet medical necessity guidelines, requiring routine interaction with physicians and management staff. Responsibilities include discussing determinations with requesting providers within regulatory timeframes and providing clinical rationale for standard and expedited appeals.
The Physician Clinical Reviewer provides timely medical review of service requests that do not initially meet medical necessity guidelines, interacting with providers and staff as needed. Responsibilities include reviewing complex cases, discussing determinations with requesting physicians, providing clinical rationale for appeals, and ensuring compliance with various guidelines and policies.
The Physician Clinical Reviewer provides timely medical review of service requests that do not initially meet medical necessity guidelines, interacting with providers and staff as needed. Responsibilities include discussing determinations with requesting physicians, providing clinical rationale for appeals, and ensuring documentation accuracy according to established guidelines.
3 months ago
This role involves providing timely medical review for service requests that do not initially meet medical necessity guidelines, often interacting with requesting physicians and providers. Responsibilities include discussing determinations, providing clinical rationale for appeals, and assisting Initial Clinical Reviewers.
Davies
The role involves independently managing medical claims for injured workers in a Workers' Compensation environment, focusing on coordinating care to ensure quality medical outcomes and timely, cost-effective return-to-work.
$75,000 - $83,000 / YEAR
