Physician Coding Review Specialist - Oak Brook, IL

We are seeking a Physician Coding Review Specialist to review assigned codes and ensure accuracy according to established CPT, HCPCS, and ICD-10-CM coding guidelines. The successful candidate will have advanced knowledge of medical terminology, anatomy, and physiology. · Review a ...

We are looking for a Utilization Review Specialist to join our team The Utilization Review Specialist bridges between a Utilization Review Nurse and Pre-Clinical Coordinator providing coverage for both teams. · The full UR function can be performed in applicable jurisdictions. UR ...

This position is responsible for ensuring the audit and review of electronic clinical records to ensure they accurately reflect medical record documentation to meet regulatory and accrediting compliance mandates. · This position will be responsible for oversight and review of the ...

We are looking for a Utilization Review Specialist to join our team The Utilization Review Specialist bridges between a Utilization Review Nurse and Pre-Clinical Coordinator providing coverage for both teams. · Initiate and maintain appropriate verbal and/or written contacts with ...

+ Utilization Review Specialists bridge between a Utilization Review Nurse and Pre-Clinical Coordinator + Facilitate and schedule appointments as needed + Maintain appropriate electronic and paper files + Interface with inter-disciplinary providers + Basic invoicing at completion ...

We are looking for a professional who is ready to take their career to the next level in a rewarding environment with an established and respected firm that cares about the happiness and wellbeing of their employees. · The Engineering Review Specialist position earns a competitiv ...

This role supports the end to end appeals process to ensure timely accurate and compliant resolution of member and provider appeals. You will collaborate across multiple operational teams uphold regulatory and accreditation standards and contribute to continuous improvement initi ...

This role supports the end to end appeals process to ensure timely accurate and compliant resolution of member and provider appeals. · Responsibilities Collaborate across operational teams including the Full Service Unit FSU Provider Telecommunication Center PTC and Medical Manag ...

Review and analyze referrals and supporting documentation to determine medical necessity of medical and dental services. Compose approval and denial letters as deemed appropriate. · ...

This position involves reviewing and analyzing referrals and supporting documentation to determine medical necessity of services. The job requires composing approval and denial letters as needed. · Review urgent referrals and Plan renewals to determine Medical Necessity · ...

This Medical Review Specialist role reviews and analyzes referrals and supporting documentation to determine medical necessity of medical and dental services. · Responds to inquiries sent to the department by other departments and from vendors. · Determines medical necessity on i ...

The RN Utilization Specialist reflects the mission, vision, · and values of NM, adheres to the organization's Code of Ethics and Corporate Compliance Program, · and complies with all relevant policies, procedures, guidelines and all other regulatory · and accreditation standards. ...

We are seeking a detail-oriented Operations Specialist - Intermodal to support our growing transportation operation.This role will work cross-functionally with terminals accounting and operations teams to ensure accurate billing cost reconciliation and timely invoice processing. ...

+We are seeking an Operations Specialist - Intermodal to support our growing transportation operation. · +Review toll authority invoices and reconcile chargesPrepare owner-operator toll deductions and settlement support documentationSubmit invoices for payment and support account ...

This position is an excellent opportunity for a data-driven marketer to own the end-to-end email lifecycle, · from template building to performance analysis, · while contributing to both B2B and B2C marketing environments. · ...

The Graduate Medical Education Contract and Finance Specialist is responsible for negotiating and preparing medical education affiliation agreements. · ...

The Marketing Strategist is a hands-on, creative individual responsible for developing and executing high-quality marketing content and brand consistency. · Create, review, and finalize external-facing content including social media posts. · Develop and execute regional marketing ...

The Marketing Strategist is a hands-on, creative individual responsible for developing, executing and maintaining high-quality marketing content and brand consistency. · This role focuses on creating content, building messaging optimization of technology execution digital physica ...

We are seeking a Senior Talent Acquisition Specialist who reflects our core values and thrives in a fast-paced, high-impact environment.In this role, you'll be a key partner in helping us meet ambitious growth goals by identifying, engaging, and hiring top talent across the organ ...

You will join one of our 45 offices in the US and be part of a committed team of over 1500 professionals working in teams and directly with our clients doing work that is shaping the world around us. · You'll work individually and in teams to support capital projects and implemen ...