Clinical Data Specialist

Healthcare Analyst PositionOverview: We are seeking a detail-oriented and analytical Healthcare Analyst to join our team remotely. This role focuses on supporting clinical and coding operations through accurate data analysis, specifically involving Hierarchical Condition Categories (HCC), Risk Adjustment Factor (RAF) scoring, and healthcare claims review.Job...

Healthcare Utilization Management SpecialistWe are seeking a skilled and experienced Healthcare Utilization Management Specialist to join our team.Job Description:This is an exciting opportunity to work as a clinical resource, reviewing inpatient and outpatient services for medical necessity and appropriateness.Requirements:Must have active PHRN and USRN...

Senior Clinical Operations SpecialistWe are seeking a skilled and experienced Senior Clinical Operations Specialist to join our team. As a key member of our operations team, you will be responsible for ensuring the exceptional delivery of clinical services across onsite and virtual channels.Your primary focus will be on client management and reporting,...

**Job Title:** Clinical Peer Review SpecialistWe are seeking a detail-oriented Clinical Peer Review Specialist to support our Residential, PHP, and IOP levels of care. This role involves conducting peer reviews, case consultations, and interfacing with insurance payers to obtain continued authorization.Main Responsibilities:Conduct comprehensive peer reviews...

Medical Coding Specialist Role OverviewJob Summary:This medical coding specialist role is responsible for researching and identifying Medicare, Medicaid, and other medical coding and billing documents to identify claim denial or covered criteria for our automated claims editing solution. The solution is utilized by medical insurance payers across the United...

Medical CoderWe are seeking a skilled Medical Coder to join our team. As a Medical Coder, you will be responsible for conducting research and identifying Medicare, Medicaid, and other medical coding and billing documents to identify claim denial or covered criteria for our automated claims editing solution.Conduct research and identify relevant documents to...

Clinical Outreach Specialist plays a vital role in our fast-paced clinical research company. As we work on high-impact diagnostics trials, we are seeking an individual who can own and run site outreach campaigns.We need someone who is systems-minded, able to build precision-targeted lead lists, and run outreach end-to-end. You will also manage and coach a...

Recruitment Specialist for Clinical TrialsSupport medical research by attracting and screening volunteers for studies at a remote location.",

Senior Clinical Outreach SpecialistWe are seeking an accomplished systems-minded professional to lead and execute site outreach campaigns for clinical trial site activation. The ideal candidate will have expertise in researching and filtering doctors using various tools, as well as building targeting frameworks using CPT, ICD-10, and claims logic.

Medical Documentation SpecialistThis role enables medical professionals to focus more on patient care by handling documentation and administrative tasks.Key Responsibilities:Documenting real-time patient encounters during virtual or recorded consultations using Electronic Medical Records (EMRs)Accurately capturing patient histories, physical exam findings,...