Training specialist in medical coding

the Quality Assurance (QA) Specialist is responsible in ensuring accuracy of information and quality of delivery by monitoring, auditing, reviewing, analyzing, documenting work processes that further improves clinical operations standards. Performs quality audits, validates results and communicates recommendation among responsible departments. Participates...

The Clinical Denial Specialist writes and submits professionally written appeals which include compelling arguments based on clinical documentation, third-party payer medical policies, and contract language. Appeals are submitted timely and tracked through final outcome.

the primary role of a Team Lead in Operations is to manage an assigned team of individual contributors in meeting or exceedin g customer service level agreement, completion of team projects, adherence to operating standards and enforcement of company polici es through effective people development, team engagement and performance management capabilities.

The Clinical Denial Specialist conducts comprehensive reviews of the claim denial, account/guarantor notes associated with the denial, and the medical record to make determinations if a revised claim needs to be submitted, if a retro authorization needs to be obtained, if a written appeal is needed, or if no action is .

• Offering counseling services to employees. • Assist in the creation, administration and implementation of the organization's labor and employee relations programs, policies and procedures • Coordination with DOLE regarding reports and legal requirements. • Implement and Process disciplinary actions and admin investigation. • Provide training on...

• Offering counseling services to employees. • Assist in the creation, administration and implementation of the organization's labor and employee relations programs, policies and procedures • Coordination with DOLE regarding reports and legal requirements. • Implement and Process disciplinary actions and admin investigation. • Provide training on...