Medical Policy Specialist researches and designs criteria to determine policy guidelines used in review of patient cases to ensure only medically appropriate services are reimbursed. Recommends a policy and process that ensure alignment with company guidelines and nationally accepted medical/coding standards. Being a Medical Policy Specialist establishes the proper codes to use for claims processing. Responds to questions from medical staff and communicates details about policy and guidelines. Additionally, Medical Policy Specialist requires a bachelor's degree. Typically reports to a supervisor or manager. Requires Registered Nurse RN. The Medical Policy Specialist gains exposure to some of the complex tasks within the job function. Occasionally directed in several aspects of the work. To be a Medical Policy Specialist typically requires 2 to 4 years of related experience. (Copyright 2024 Salary.com)
Medical Records Data Entry Specialist
All the benefits and perks you need for you and your family:
Our promise to you:
Joining AdventHealth is about being part of something bigger. It’s about belonging to a community that believes in the wholeness of each person, and serves to uplift others in body, mind and spirit. AdventHealth is a place where you can thrive professionally, and grow spiritually, by Extending the Healing Ministry of Christ. Where you will be valued for who you are and the unique experiences you bring to our purpose-minded team. All while understanding that together we are even better.
The role you’ll contribute:
The Medical Records Data Entry Specialist is responsible for the preparation of the medical record for completion of the annual wellness visit for assigned patients and/or the completion of chart abstraction. The annual wellness visit preparation will require the contact of assigned patients to schedule, interview and document the Medicare Annual Wellness Visit. The chart abstraction will require the location and retrieval of information from the appropriate medical record and prepare the data for presentation to the requester.
The value you’ll bring to the team:
Annual Wellness Visit:
The expertise and experiences you’ll need to succeed:
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0 Medical Policy Specialist jobs found in Daytona Beach, FL area