Insurance Clinical Reviewer - Fort Worth

Jet Health Inc is seeking a home health clinical reviewer to review clinical documentation for compliance with medicare guidelines company policies and regulatory standards. · ...

Jet Health, Inc is seeking an experienced Home Health Clinical Reviewer.Review OASIS assessments, · validate appropriate ICD-10 coding and ensure documentation supports medical necessity and skilled services. · Review OASIS assessments, · Validate appropriate ICD-10 coding and en ...

Jet Health, Inc is seeking an experienced Home Health Clinical Reviewer to review clinical documentation. This role supports quality improvement efforts by verifying the accuracy of documentation submitted by field clinicians. · ...

The Diagnostic Related Groups (DRG) Clinical Auditor will be responsible for performing DRG validation (clinical/coding) reviews of medical records and/or other documentation to determine correct DRG/coding and clinically supported as defined by review methodologies specific to t ...

The Diagnostic Related Groups (DRG) Clinical Auditor will be responsible for performing DRG validation (clinical/coding) reviews of medical records and/or other documentation. This role will determine correct DRG/coding as defined by review methodologies specific to the type of r ...

CERIS is seeking a DRG Coder/Clinical Auditor. The Diagnostic Related Groups (DRG) Clinical Auditor will be responsible for performing DRG validation (clinical/coding) reviews of medical records and/or other documentation to determine correct DRG/coding and clinically supported a ...

Jet Health Inc seeks an experienced Home Health Clinical Reviewer to ensure compliance with Medicare guidelines and company policies reviewing clinical documentation. · ...

The US Oncology Network is looking for an Clinical Insurance Reviewer to join our team at Texas Oncology.Reviews chemotherapy regimens in accordance to reimbursement guidelines. · Obtains necessary pre-certifications and exceptions to ensure no delay in reimbursement of treatment ...

Jet Health Inc is seeking an experienced Clinical Reviewer to review clinical documentation ensuring compliance with Medicare guidelines company policies and regulatory standards. · Review OASIS assessments Plan of Care and clinical documentation for accuracy consistency and comp ...

The US Oncology Network is looking for an Clinical Insurance Reviewer to join our team at Texas Oncology. This full-time remote position will support the Central Imaging Scheduling Department at our 500 South Henderson Suite 400 clinic in Fort Worth, Texas. · ...

The US Oncology Network is looking for an Clinical Insurance Reviewer to join our team at Texas Oncology. · This full-time remote position will support the Central Imaging Scheduling Department at our 500 South Henderson Suite 400 clinic in Fort Worth, Texas. · We deliver high-qu ...

The Diagnostic Related Groups (DRG) Clinical Auditor will be responsible for performing DRG validation (clinical/coding) reviews of medical records and/or other documentation. · This role will determine correct DRG/coding as defined by review methodologies specific to the type of ...

The Diagnostic Related Groups (DRG) Clinical Auditor will be responsible for performing DRG validation (clinical/coding) reviews of medical records and/or other documentation. · ...

CERIS in Fort Worth, TX is seeking a DRG Quality Control/Clinical Auditor. The Diagnostic Related Groups (DRG) Clinical Auditor will be responsible for performing DRG validation (clinical/coding) reviews of medical records and/or other documentation. This role will determine corr ...

This position allows you to telecommute from anywhere in the U.S., working on challenging tasks. · You'll enjoy flexibility while taking on some tough challenges. · At UnitedHealthcare,we're simplifying the health care experience,creating healthier communities,and removing barrie ...

+Job summary · At UnitedHealthcare,+we're+making+the+healthcare+experience+simpler.+We're+helping+millions++of people... ...

This position is National Remote. You'll enjoy the flexibility to telecommute* from anywhere within the U.S. as you take on some tough challenges. · At UnitedHealthcare, we're simplifying the health care experience, creating healthier communities and removing barriers to quality ...

Summary · The Clinical Case Review Specialist is responsible for ensuring excellence in documentation, compliance, and data integrity across STA's clinical and operational workflows. This role performs routine and targeted reviews, supports internal and external compliance activi ...

We are seeking two Clinical Review Nurses (Prior Authorization) to analyze prior authorization requests. You will provide recommendations to support quality, compliance, and cost-effective care. · Review and process prior authorization requests. · Ensure compliance with turnaroun ...

Job Title & Specialty Area: Perioperative Services Clinical Reviewer · Department: Perioperative Services · Location: Dallas · Shift: Day, Mon - Fri · Job Type: Hybrid (The schedule will be reviewed at time of the interview) · Why Children's Health? · At Children's Health, our mi ...