- MedKoder (Mandeville, LA)
- …Description: Under the direction of the Director of Physician Coding, the Audit and Education Manager is responsible for leading and maintaining ... and productivity reviews, and conducting performance evaluations. + Develop and maintain audit and education schedules, workflows, and trackers. + Meet with… more
- MedKoder (Mandeville, LA)
- …unique needs of the client remotely and on-site; + Communicate with the Physician Audit and Education Manager on issues, trends, and audit timeline ... reviewed on customized reports, including supporting documentation; + Prepare and present audit follow-up education to clients; + Prepare and present customized… more
- Cardinal Health (Baton Rouge, LA)
- …therapies to patients who need them-faster.** **_Responsibilities_** The Case Manager supports patient access to therapy through Reimbursement Support Services ... including the insurance payers, specialty pharmacies, support organizations, and the patient/ physician to facilitate coverage and delivery of product in a timely… more
- Walgreens (Gretna, LA)
- …insurance companies as well as medical providers and conducts or participates in 3rd party audit . + Assists and supports Store Manager and Pharmacy Manager ... and verifying (where allowed by law). Completes patient and physician calls under the supervision of a pharmacist (where...efficient workflow. + At the direction of the Pharmacy Manager or pharmacist, prepares, and files reports and records… more
- Highmark Health (Baton Rouge, LA)
- …ZPIC, etc. Determine appeal action, prepare appeal letter follow up and identify education issues. (20%) + Develops audit detail summary spreadsheets and reports ... (COC), Certified Professional Medical Auditor (CPMA) + 5 years with hospital or physician coding and/or auditing, as well as, education techniques and methods.… more
- Evolent (Baton Rouge, LA)
- …for improvement. Responsible for coordinating education and findings with matrixed Physician Business Manager . + Provides medical direction to the support ... and management staff as well as health plan members and staff whenever a physician `s input is needed or required. Responsible for clinical audits for quality and … more