Anticipated End Date: 2025-02-04 Position Title: Clinical Provider Auditor II Job Description: Clinical Provider... Clinical Provider Auditor II is responsible for identifying issues and/or entities that may pose potential risk associated...
Anticipated End Date: 2025-02-04 Position Title: Clinical Provider Auditor II Job Description: Clinical Provider... Clinical Provider Auditor II is responsible for identifying issues and/or entities that may pose potential risk associated...
Anticipated End Date: 2025-02-07 Position Title: Clinical Provider Auditor II - Maryland Behavioral Health... Job Description: Clinical Provider Auditor II Supports Payment Integrity & Behavioral Health Location: This is a field position expected...
and ancillary claims to ensure that all reimbursement to the provider is paid accurately. The Clinical Auditor II is a liaison... Auditor II performs detailed medical record and chart audit review of the health plan’s inpatient, outpatient, professional...
educational training and understanding to physicians, mid-levels, clinical personnel, and revenue cycle teams. The auditor... to ensure accurate and ethical coding of documentation and claims generation. The auditor/educator assists in providing...
organization structure. We offer a menu of management and business services that will leverage economies of scale across provider... pathways. Dignity Health MSO is dedicated to providing quality managed care administrative and clinical services to medical...
organization structure. We offer a menu of management and business services that will leverage economies of scale across provider... pathways. Dignity Health MSO is dedicated to providing quality managed care administrative and clinical services to medical...
. o Ensures arrangement of additional education when needed and requested. Provides guidance and support to Coder I, Coder II... and Coder Sr for any necessary education or audit explanation. Optimizes the flow of provider education across OHMG...
. o Ensures arrangement of additional education when needed and requested. Provides guidance and support to Coder I, Coder II... and Coder Sr for any necessary education or audit explanation. Optimizes the flow of provider education across OHMG...
, and clinical expertise. Our team is experienced in program, payment, provider, and patient integrity as we continue to support... advanced programs of policy, clinical requirements, and compliance measures at the commercial, State, and Federal levels. J29...
Overview: Now hiring a Utilization Management Nurse Specialist Performs clinical review to ensure that services... rendered to members meet clinical criteria and are delivered in the appropriate setting. Utilizes clinical skills...
Overview Now hiring a Utilization Management Nurse Specialist Performs clinical review to ensure that services... rendered to members meet clinical criteria and are delivered in the appropriate setting. Utilizes clinical skills...