- CenterWell (Columbia, SC)
- …be the ambassador for value-based, senior care model in the primary care network. The Associate Director , Clinical Coding Education (RN) will develop, ... addition to managing a team of role-based trainers and training facilitators. The Associate Director , Clinical Coding Education (RN) role will report to… more
- Conviva (Columbia, SC)
- …Clinical Excellence team under the CenterWell Primary Care Organization. This role reports to Associate Director of coding education and has a dotted line ... reporting to divisional clinical educators. Clinical Coding Educator...(collectively, 'Humana') offers competitive benefits that support whole-person well-being. Associate benefits are designed to encourage personal wellness and… more
- Humana (Columbia, SC)
- …these may require conflict resolution skills. Some roles include an overview of coding practices and clinical documentation, grievance and appeals processes, and ... community and help us put health first** The Medical Director relies on medical background and reviews health claims....is assisted by diverse resources which may include national clinical guidelines, CMS policies and determinations, clinical … more
- Humana (Columbia, SC)
- …these may require conflict resolution skills. Some roles include an overview of coding practices and clinical documentation, grievance and appeals processes, and ... of our caring community and help us put health first** The Medical Director actively uses their medical background, experience, and judgement to make determinations… more
- BayCare Health System (SC)
- …AM to 3:30 PM + **Days:** Monday through Friday The **Advanced Inpatient Coding Specialist** is a full-time remote position. Team members must reside in Florida, ... or North Carolina. This position requires 3 years' Inpatient Coding experience and a CCS ( Coding ) Certification....monitors bill hold reports. Serves as a liaison to Clinical Documentation Specialist Team and Quality Department for ICD-10… more
- US Tech Solutions (Columbia, SC)
- …if the procedure can be approved or denied. Some may need sent to the medical director . They will also need to be flexible to help others in their queue from time ... + Reviews and evaluates medical or behavioral eligibility regarding benefits and clinical criteria by applying clinical expertise, administrative policies, and… more
- US Tech Solutions (Columbia, SC)
- …+ Reviews and evaluates medical or behavioral eligibility regarding benefits and clinical criteria by applying clinical expertise, administrative policies, and ... service requests or provides health management program interventions. Utilizes clinical proficiency, claims knowledge/analysis, and comprehensive knowledge of healthcare… more
- US Tech Solutions (Columbia, SC)
- …of contract language and application. Thorough knowledge/understanding of claims/ coding analysis/requirements/processes. **Education:** + Associate Degree - ... + Reviews and evaluates medical or behavioral eligibility regarding benefits and clinical criteria by applying clinical expertise, administrative policies, and… more
- CenterWell (Rock Hill, SC)
- …calls from the field staff and assisting with weekly case conferences. Refers clinical questions to Branch Director as necessary. + Maintains the client ... productivity / geographic issues and forwards schedule to Branch Director for approval prior to distribution to staff. +...internal transfer of patients between branch offices. + If clinical , receives lab reports and assesses for normality, fax… more
- CenterWell (Anderson, SC)
- …expertise with the care team through daily huddles. + Helps Regional Medical Director and Center Administrator in setting a tone of cooperation in practice by ... manner working with a quality- based coder to optimize coding specificity. + Follows policy and protocol defined by... specificity. + Follows policy and protocol defined by Clinical Leadership. + Meets with RMD about quality of… more
- CenterWell (Greenville, SC)
- …expertise with the care team through daily huddles. + Helps Regional Medical Director and Center Administrator in setting a tone of cooperation in practice by ... manner working with a quality- based coder to optimize coding specificity. + Follows policy and protocol defined by... specificity. + Follows policy and protocol defined by Clinical Leadership. + Meets with RMD about quality of… more