number) certificates. Responsible for initial appointment and re-appointment to healthcare facilities, initial payer enrollments..., retaining and evaluating of staff. 4. *Oversees the Credentialing Specialist Team responsibilities to include securing initial...
, Medicaid, and commercial payer billing regulations and implements changes as related to CDM. Develops understanding of charge...), Certified Outpatient Coder (COC), Certified Coding Specialist (CCS), Certified Coding Associate (CCA), Certified Coding...
Job description How you will do it The Quality Specialist – HEDIS (RN/LPN with clinical experience) will report... Abstraction and Research during the Medical Record Review Project. Use various software applications to support HEDIS operations...
on the University's main campus in Hyde Park, ten minutes south of downtown Chicago. BSD's patient care operations... support and solves straightforward problems in projects related to revenue cycle operations, including activities related...
! Job description How you will do it The Quality Specialist – HEDIS (RN/LPN with clinical experience) will report to the Clinical Support Supervisor... Record Review Project. Use various software applications to support HEDIS operations by entering data and/or changing chase...
Specialist is responsible for credentialing compliance with each entity's Medical Staff bylaws, rules and regulations, policies... Specialist is responsible for analysis of credentialing files, membership requests and renewals for all facilities...