- Prime Therapeutics (Washington, DC)
- …It fuels our passion and drives every decision we make. **Job Posting Title** Physician Clinical Reviewer- GI- REMOTE **Job Description Summary** Key member of ... the utilization management team, and provides timely medical review of service requests that do not initially meet the applicable medical necessity guidelines.… more
- STG International (Washington, DC)
- STGi is seeking an Internist to perform medical review work and provide consultation and guidance to the Department of Labor (DOL) for a variety of workers' ... compensation cases. Each physician will receive work on a case by case...mission. STGi offers a competitive benefits package which includes Medical , Dental, Vision, 401k with company match and a… more
- CareFirst (Baltimore, MD)
- …and related medical policies **Licenses/Certifications:** + MD or DO - Physician - State Licensure Upon Hire Salary Range: $183,200 - $ 297,700 **Salary ... patients. While providing mainly virtual primary care services, the physician will be working with the CloseKnit team to...care team members working with patient panel such as Medical Assistants and non clinical support staff. + Serve… more
- Wolters Kluwer (Annapolis, MD)
- **LOCATION:** Remote in the US (home-based) **OVERVIEW** The ** Physician Editor (Gastroenterology)** position requires an 80 to 90% FTE commitment, a broad ... the practice of medicine throughout the United States and around the world. Physician Editors ensure that topics address the important clinical questions that arise… more
- HCA Healthcare (Sterling, VA)
- …Medicine **Job Summary:** CareNow Urgent Care is recruiting an Urgent Care Medical Director to oversee the telehealth program with demonstrated leadership qualities ... of providing telehealth patient care either in clinic or remote (70%) and administrative duties to support the growth...duties require time spent in office. As the lead physician for this team under the direction of executive… more
- Highmark Health (Washington, DC)
- …the APP, RN and SW as needed to interact/ communicate with the primary care physician as necessary for appropriate medical care. The role will provide oversight ... of physician services by complementing the primary care physician , acting as a medical resource to the interdisciplinary group, assuring continuity of care,… more
- Deloitte (Rockville, MD)
- …standardized medical information needed for data management and billing by translating physician and medical reports into uniform medical codes on both ... industry-driven solutions. Work You'll Do + This role is remote with up to 10% travel. + Coding lead...Coding lead will oversee contract support for coding of medical records for patients. + All coders will update… more
- Highmark Health (Washington, DC)
- …**Job Description :** **JOB SUMMARY** This job, as part of a physician team, ensures that utilization management responsibilities are performed in accordance with ... current clinical standards. The incumbent reviews escalated cases electronically and using Medical Policy criteria sets to evaluate the medical necessity and… more
- Sutherland Global Services (Washington, DC)
- Have you kept up with the changes in medical coding, physician practices, and the healthcare industry in general? Are you proficient with ICD-10, CPT and HCPCS ... with some of the country's largest healthcare systems and physician practices to help support their coding organizations in...in these efforts, we're looking for Multispecialty Pro Fee Medical Coders to join us on a **work from… more
- Prime Therapeutics (Washington, DC)
- …every decision we make. **Job Posting Title** Infusion Referral Nurse- REMOTE **Job Description Summary** Under supervision, is responsible for performing referral ... services to support independent physician offices with maintaining member drug infusions in office...development of effective teams. + Comprehensive clinical knowledge of medical specialty drugs and the management of those drugs.… more
- Huron Consulting Group (Washington, DC)
- …internal processes and deliver better consumer outcomes. Health systems, hospitals and medical clinics are under immense pressure to improve clinical outcomes and ... clinical outcomes, create a more consumer-centric healthcare experience, and drive physician , patient and employee engagement across the enterprise. Join our team… more
- Huron Consulting Group (Washington, DC)
- …internal processes and deliver better consumer outcomes. Health systems, hospitals and medical clinics are under immense pressure to improve clinical outcomes and ... clinical outcomes, create a more consumer-centric healthcare experience, and drive physician , patient and employee engagement across the enterprise. Join our team… more
- Sutherland Global Services (Washington, DC)
- Have you kept up with the changes in medical coding, physician practices, and the healthcare industry in general? Are you proficient with ICD-10, CPT and HCPCS ... ask about our new Global Flexible Vacation Policy!) + Medical , dental, and vision benefits, EAP - and 401K...religion, sex, national origin, age, marital or veteran status, medical condition or handicap, or any other legally protected… more
- Huron Consulting Group (Washington, DC)
- …internal processes and deliver better consumer outcomes. Health systems, hospitals and medical clinics are under immense pressure to improve clinical outcomes and ... clinical outcomes, create a more consumer-centric healthcare experience, and drive physician , patient and employee engagement across the enterprise. Join our team… more
- Intermountain Health (Washington, DC)
- **Job Description:** A Medical assistant has accountability for providing care to patients in an ambulatory clinic setting. This will involve caring for patients ... a job where the work you do matters? At Intermountain Health, we are looking for Medical Assistants who are patient-focused and engaged. _What does it mean to be a … more
- TEKsystems (Linthicum Heights, MD)
- …accounts using ICD-10-CM/PCS coding systems. + Deciphers operative reports and other physician medical record documentation to appropriately select codes and ... of permanent conversion) Location: East Coast or Central, USA ( Remote ) Why Join? + 401k & Medical Insurance - Dental, Vision, Health + Flexible work schedule… more
- Humana (Washington, DC)
- …The Medical Director may speak with contracted external physicians, physician groups, facilities, or community groups to support regional market priorities, ... caring community and help us put health first** The Medical Director actively uses their medical background,...protect member PHI / HIPAA information This is a remote position \#LI- Remote **Scheduled Weekly Hours** 40… more
- TEKsystems (Linthicum Heights, MD)
- …some coding of specific clinical procedures. Deciphers operative reports and other physician medical record documentation to appropriately select codes and ... direct supervision ensures charges are coded appropriately from the medical record as necessary and are entered into the...medical terminology required. * Ability to work in remote setting with little to no training and supervision.… more
- TEKsystems (Annapolis, MD)
- Description: The Medical Lead Coder under the supervision of the Manager of Coding and Data Quality In accordance with coding guidelines, ICD-10-CM Official Coding ... research on coding issues. Essential Job Duties: 1. Review Outpatient medical records, including patient histories, examination findings, diagnoses, and treatment… more
- Cardinal Health (Washington, DC)
- …This role's primary focus is to work diligently to ensure optimal reimbursement for physician services and physician satisfaction as it relates to managed care ... to the VP, Operations for Navista. This is a remote , work from home role with travel up to...reimbursement rates for clinical procedures. Develop and communicate with physician and executive leadership teams, payer specific Managed Care… more