Clinical Healthcare Specialist

Company DescriptionStemz Healthcare, established in 2015, is dedicated to revolutionizing global healthcare services. We leverage cutting-edge technology, including Machine Learning (ML) and Artificial Intelligence (AI), to provide the highest quality patient care with exceptional efficiency. Our global presence allows us to quickly penetrate markets and...

Access Healthcare is looking for highly skilled and detail-oriented Clinical Documentation Improvement (CDI) Specialists to join our dynamic pioneer medical coding team. The ideal candidate will play a pivotal role in enhancing the quality and accuracy of clinical documentation to support optimal patient care and compliance with regulatory standards. Key...

About this roleThis Clinical Nurse Case Manager position involves working with patients to ensure they receive the best possible care in a cost-effective manner. The successful candidate will be responsible for conducting medical management reviews and collaborating with clinical reviewers and medical directors to provide high-quality, medically appropriate...

Access Healthcare is looking for REGISTERED NURSE to join our growing team.You'll be ensuring the completion of assigned patient cases by doing roll calls, processing concurrent and retro clinical reviews, work processing surgery authorizations, as needed.Responsibilities :Perform advanced level work related to clinical denial and utilization...

Access Healthcare is looking for REGISTERED NURSE to join our growing team.You'll be ensuring the completion of assigned patient cases by doing roll calls, processing concurrent and retro clinical reviews, work processing surgery authorizations, as needed.Responsibilities :Perform advanced level work related to clinical denial and utilization...

Job Title: Clinical Documentation SpecialistJob Description:A clinical documentation specialist works closely with healthcare providers to document clinical interactions in real time, ensuring accurate and detailed patient records. This role allows medical professionals to focus more on patient care by handling the documentation side of the...

Access Healthcare is looking for REGISTERED NURSE to join our growing team.You'll be ensuring the completion of assigned patient cases by doing roll calls, processing concurrent and retro clinical reviews, work processing surgery authorizations, as needed. Responsibilities :Perform advanced level work related to clinical denial and utilization...

Job Title:A data-driven professional sought to support clinical and coding operations through accurate analysis of healthcare claims, focusing on Hierarchical Condition Categories (HCC) and Risk Adjustment Factor (RAF) scoring.Key responsibilities include analyzing clinical data to identify opportunities for accurate HCC coding and RAF optimization,...

Job Role OverviewCare account specialists serve as key representatives for clients in assigned regions, ensuring exceptional delivery of clinical services across onsite and virtual channels.Key ResponsibilitiesClient Management & Reporting: Serve as the main point of contact, own delivery and quality of monthly reports, track SLAs, and attend client-facing...

Role OverviewAs a senior outreach specialist, you will be responsible for designing and executing targeted campaigns to activate clinical trial sites. You will work independently to research, filter, and identify the right doctors to reach out to.Your primary objective will be to create effective targeting frameworks using CPT, ICD-10, and claims logic to...