Medical Review Specialist jobs

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Clinical Documentation Specialist
Swedish American Health System 6 reviews - Rockford, IL
In collaboration with physicians, nurses, coding staff and members of the Health Care Team, reviews and evaluates medical record documentation assuring that...
Sponsored by Swedish American Health System - 30+ days ago
Auditor, Medical Claims
Connolly iHealth Technologies, LLC - Braintree, MA
Medical Claims Auditor (Claim Resolution Specialist). Medical Claims Auditor – Claim Specialist – Healthcare Audit. Medical, Dental and Vision Insurance....
Sponsored by Connolly iHealth Technologies, LLC - 26 days ago
Revenue Specialist: Fulltime Days
Northwest Hospital & Medical Center 7 reviews - Seattle, WA
Support internal and external reviews, assisting in business development, reimbursement, and charge capture processes....
Sponsored by Northwest Hospital & Medical Center - 30+ days ago

Pharmacist Medical ICU Clinical Specialist Full Time (12hr)

Community Regional Medical Center 47 reviews - Fresno, CA
Pharmacist - Medical ICU Clinical Specialist - Full Time (12hr). Community Regional Medical Center. Provides quality assurance review of drug utilization...

Medical Review Analyst (DRG Auditor – Remote)

Connolly iHealth Technologies, LLC - Atlanta, GA
Other Medical Review Analyst. The Medical Review Analyst is a coding & auditing expert who reviews medical records to determine compliance of coding and...

Medical Review Specialist III (Coder)

Performant Financial Corporation 2 reviews - San Angelo, TX
2+ years of direct experience in medical chart review for all provider/claim types for inpatient/outpatient. Objectively and accurately conduct coding reviews...

Medical Review Specialist

EmblemHealth 68 reviews - New York, NY
Review all medical records submitted for retrospective review and specific kick out codes. Proficient in medical terminology, medical practices and claims...

Temporary Full-time Utilization Review Specialist

Wellstone Regional Hospital 5 reviews - Jeffersonville, IN 47130
Utilization Review Coordinator PRN available. Reviews the progress of all appeals activity. Review Coordinator is responsible for executing the UR function,....

Intake Specialist - Health Care Services

Medical Associates 28 reviews - Dubuque, IA
Provide consistent triage and support in the areas of prior authorization, case management, and utilization review....

Medical Collector - Claims Resolution Specialist

Florida Cancer Specialists 31 reviews - Fort Myers, FL
Review all medical insurance claims for resolution and payment. The Medical Collector – Claims Resolution Specialists must have excellent knowledge of insurance...

Case Management Resource Specialist

St. Helena Hospital 23 reviews - Saint Helena, CA
Point preferred Basic knowledge of medical terminology. Reviews post hospital benefits with case manager and as necessary arrange and coordinate post hospital...

Clinical Nurse Reviewer, LPN

Unum 77 reviews - Chattanooga, TN - +3 locations
Detailed medical knowledge. Participate in training and mentoring to Disability Claims Specialists and/or claims professionals to update their knowledge/skills...

Chart Review Specialist

Integrated Health Associates (IHA) - Ann Arbor, MI
Medical Assistant preferred; Proficient knowledge of medical terminology, standard medical abbreviations, and pharmacy terms sufficient to identify proper...
Regulatory Filing Specialist
Aetna 466 reviews - Hartford, CT
Supports State Consultants with regulatory review activities including:. Click here to review the benefits associated with this position....
Sponsored by Aetna - 4 days ago
Clinical Data Specialist
Ocular Therapeutix, Inc. - Bedford, MA
Review CRF against protocol and create edit check specifications. Responsibilities include ongoing data review, cleaning and discrepancy management on...
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Sponsored by Ocular Therapeutix, Inc. - 10 days ago

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Company with Medical Review Specialist jobs
6 reviews
Swedish American is a not-for-profit, locally governed, healthcare system.