- Intermountain Health (Oklahoma City, OK)
- …provides advanced training to hospital coding staff, compliance, CDI, physicians, and clinical staff. This Coordinator serves as a subject matter expert for all ... ICD-10 CM/PCS and CPT coding practices, conventions, regulatory, and reimbursement guidelines for...of hospital coding. The coordinator works with providers and clinical staff to make critical coding decisions based on… more
- Prime Therapeutics (Oklahoma City, OK)
- …every decision we make. **Job Posting Title** Medication Therapy Management (MTM) Specialist - Remote **Job Description** Evaluates and authorizes approval of prior ... from prescribers received by telephone and/or facsimile using client clinical criteria. **Responsibilities** + Determines appropriateness for medications. Communicates… more
- Prime Therapeutics (Oklahoma City, OK)
- …our passion and drives every decision we make. **Job Posting Title** SIU Specialist - Remote in the California market **Job Description** Responsible for the intake ... related issue and activities to external departments (Cost Containment, Networks, Clinical ) for handling. + PACKAGING OF FINDINGS AND RECOMMENDATIONS: + Organize… more
- Highmark Health (Oklahoma City, OK)
- …staff, physicians and appropriate individuals. (20%) + Validates the ICD-CM, ICD-PCS, CPT and HCPCS Level II code and modifier systems, missed secondary diagnoses ... appropriate payor specific groups consisting of ICD-CM ICD-PCS and CPT codes for diagnoses and procedures and calculates the...processes as it relates to the DRG/APC and other clinical data quality management factors. With technical direction and… more
- Evolent (Oklahoma City, OK)
- …financial scope within Evolent Specialty Services. Reporting to the Director, Clinical Informatics, this role is responsible for acquiring, synthesizing, and ... (UM) agreements. This important work is achieved through collaboration across the clinical , operations, product and technical teams. **What You Will Be Doing:** This… more