, and other payors for initial reviews, continued stay reviews and discharge planning. Assists in the promotion and maintenance of high...

and administrative needs. Track deadlines, follow up on pending reviews, and maintain organized records. Support office operations...

reviews, documentation updates, training support, operational research, reconciliations, reporting, and other special... monthly reviews and recommend changes of draw procedures and terminal messaging. Maintain adjustment records to ensure the...

: Perform assigned coding quality reviews for all coding professionals (e.g., Lifepoint employed coders and contract coders... appropriate education for the coding professionals based on the findings of the coding quality reviews. Prepare audit summaries...

, Medicaid, and/or other claims. Reviews beneficiary, provider, and/or pharmacy cases for potential overpayment, fraud, waste...

, judgment, jurisdictional rules, and medical treatment guidelines to review workers' compensation medical necessity reviews. The..., and jurisdictional rules. Conduct prospective, concurrent, and retrospective medical necessity reviews. Apply standardized...

, NC, TN, or TX) 🕒 FTE: Full-Time (1.0 FTE) Reviews and audits all inpatient and outpatient pre-transplant charges... within transplant-related revenue cycle activities. Responsibilities Key Responsibilities Reviews charge work queues...

review analytical and/or microbiological testing following SOPs. Reviews and verifies analytical and/or microbiological...

. Perform independent loan reviews to evaluate the creditworthiness of the borrower. Analyze financial statements...

and necessary. Negotiate bills and conduct re-evaluation reviews as required All while maintaining a human touch, demonstrating...

in design reviews. Represents the engineering community from initial build through the production and post-production..., Design reviews participation, Supplier compliance, Build partner compliance, Customer correspondence development, Disabled...

experienced Psychiatrists to perform: Independent Medical Examinations (IMEs) Peer Reviews Or both Primary demand... cases Perform comprehensive peer reviews of medical records Provide detailed, timely written reports Maintain compliance...

experienced Otolaryngologists to perform: Independent Medical Examinations (IMEs) Peer Reviews Or both Primary demand... cases Perform comprehensive peer reviews of medical records Provide detailed, timely written reports Maintain compliance...

experienced Audiologists to perform: Independent Medical Examinations (IMEs) Peer Reviews Or both Primary demand... cases Perform comprehensive peer reviews of medical records Provide detailed, timely written reports Maintain compliance...

experienced Otolaryngologists to perform: Independent Medical Examinations (IMEs) Peer Reviews Or both Primary demand... cases Perform comprehensive peer reviews of medical records Provide detailed, timely written reports Maintain compliance...

experienced Audiologists to perform: Independent Medical Examinations (IMEs) Peer Reviews Or both Primary demand... cases Perform comprehensive peer reviews of medical records Provide detailed, timely written reports Maintain compliance...

experienced Audiologists to perform: Independent Medical Examinations (IMEs) Peer Reviews Or both Primary demand... Perform comprehensive peer reviews of medical records Provide detailed, timely written reports Maintain compliance...

pull requests, identify bugs, security vulnerabilities, and code style issues. - Post contextual feedback on code reviews...

experienced Orthopedic Surgeons to perform: Independent Medical Examinations (IMEs) Peer Reviews Or both Primary demand... cases Perform comprehensive peer reviews of medical records Provide detailed, timely written reports Maintain compliance...

experienced Otolaryngologists to perform: Independent Medical Examinations (IMEs) Peer Reviews Or both Primary demand... Perform comprehensive peer reviews of medical records Provide detailed, timely written reports Maintain compliance...