- Evolent Health (Annapolis, MD)
- …Join Evolent for the mission. Stay for the culture. **What You'll Be Doing:** As a Cardiology , Physician Clinical Reviewer you will be a key member ... Will Be Doing:** + Serve as the specialty match reviewer in Cardiology cases, that do not...within the regulatory timeframe of the request. + Utilizes medical/ clinical review guidelines and parameters to assure… more
- Johns Hopkins University (Columbia, MD)
- …the healthcare team. + Function under the direct supervision and authority of the physician when performing clinical tasks during patient care. + Report to the ... insurers or managed care providers. + Register patients for clinical appointments using computerized database. + Inform patients of...the patient may go directly to the floor. + Review patient charges and extract chargeable items. + Collect… more
- Humana (Annapolis, MD)
- …specificity and appropriateness of procedure codes based on services rendered + Review medical documentation for clinical indicators to ensure specific ... guidelines and provide reports as needed + Maintain strict patient and physician confidentiality and follow all federal, state and hospital guidelines for release… more