- Ascension Health (Tulsa, OK)
- …claims, qualityindicators and other risk-related data. + Coordinate the medical staff's professional performance evaluation and peer review programs in a ... standards related to performance improvement, professional practice evaluation and peer review activities. + Collaborate with Quality/Risk Management to… more
- Veterans Affairs, Veterans Health Administration (Oklahoma City, OK)
- …of quality assurance such as peer review , protocol review , appropriateness criteria and performance improvement. Image Interpretation and Consultation: ... clinical practice other duties include contributions to quality assurance and performance improvement, oversight of technical quality, education of staff and… more
- Evolent (Oklahoma City, OK)
- …for the mission. Stay for the culture. **What You'll Be Doing:** As a Physician Clinical Reviewer, Interventional Pain Management, you will be a key member of the ... and management staff, other Physicians, and staff whenever a physician `s input is needed or required. Aids and acts...completed by the subject matter expert. + Discusses determinations ( peer to peer phone calls) with requesting… more
- Evolent (Oklahoma City, OK)
- …interacts with leadership and management staff, other Physicians, and staff whenever a physician `s input is needed or required. **What You Will Be Doing:** + Serve ... as the Physician match reviewer in Imaging cases, that do not...completed by the subject matter expert. + Discusses determinations ( peer to peer phone calls) with requesting… more
- Evolent (Oklahoma City, OK)
- …interacts with leadership and management staff, other Physicians, and staff whenever a physician `s input is needed or required. **What You Will Be Doing:** . Serve ... as the Physician match reviewer in Advanced Imaging cases, that do...completed by the subject matter expert. . Discusses determinations ( peer to peer phone calls) with requesting… more
- Evolent (Oklahoma City, OK)
- …interacts with leadership and management staff, other Physicians, and staff whenever a physician `s input is needed or required. **What You Will Be Doing:** + Serve ... reviews to be completed by the subject matter expert. + Discusses determinations ( peer to peer phone calls) with requesting physicians or ordering providers,… more
- Evolent (Oklahoma City, OK)
- …interacts with leadership and management staff, other Physicians, and staff whenever a physician `s input is needed or required. As well as, aids and acts as ... + Provides clinical rationale for standard and expedited appeals. + Discusses determinations ( peer to peer phone calls) with requesting physicians or ordering… more
- Cognizant (Oklahoma City, OK)
- …+ Review ICD-10 inpatient patient records for accuracy and compliance + Review physician documentation to verify diagnosis and procedures + Communicate with ... and mentoring to Company's clients in coding, billing and compliance + Perform Peer Reviews of Company Health Information Management coding auditors and coders +… more
- Lincoln Financial (Oklahoma City, OK)
- …clinical facts and answers questions in collaboration with benefits specialists and physician consultants. * Act as a clinical resource to Group Protection claim ... Make appropriate referrals to internal and external clinical resources (ie IME, FCE, Peer Reviews) * Discuss complex medical issues with health care providers as… more