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Highmark Health
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Charleston, West Virginia
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This job performs thorough medical record review to abstract medical and demographic data, interpret ... medical information, physician treatment plans, course, and outcome to determine appropriate ICD-10 CM/CPT
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Highmark Health
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Charleston, West Virginia
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Hierarchical Condition Category (HCC) Coding, medical coding, clinical terminology and anatomy/physiology ... in various coding applications and electronic medical record systems to support departmental goals
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Highmark Health
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Charleston, West Virginia
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Company :
Endorsed
Job Description :
GENERAL OVERVIEW
The Medical Director will provide qualified medical direction and consultation for care delivery and complex case
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Highmark Health
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Charleston, West Virginia
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:**
This job performs thorough medical record review to abstract medical and demographic data, interpret ... medical information, physician treatment plans, course, and outcome to determine appropriate ICD-10 CM/CPT
...
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Highmark Health
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Charleston, West Virginia
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responsible for using medical cost analytics to provide fact based insights into emerging medical cost trends ... analytical foundation of medical cost trends that can be used to develop analytical insights and facts
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Highmark Health
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Charleston, West Virginia
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members with mental health, substance use, and co-morbid chronic medical conditions. Behavioral health ... medical conditions including pregnancy to provide intensive case management interventions. Provide members
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Highmark Health
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Charleston, West Virginia
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members with mental health, substance use, and co-morbid chronic medical conditions. Behavioral health ... medical conditions including pregnancy to provide intensive case management interventions. Provide members
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Highmark Health
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Charleston, West Virginia
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guidelines and medical policies.
Promote quality and efficiency in the delivery of care management ... **
Working knowledge of pertinent regulatory and compliance guidelines and medical policies
Ability to
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Highmark Health
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Charleston, West Virginia
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course within twelve months in either Life Office Management Association (LOMA) Certified Employee
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Highmark Health
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Charleston, West Virginia
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prior experience processing 1st dollar health insurance claims
3 years of experience with medical
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Highmark Health
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Charleston, West Virginia
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Company :
Highmark Inc.
Job Description :
JOB SUMMARY
The Medical Economics Consultant is responsible for the development, coordination and management of medical economics
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Highmark Health
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Charleston, West Virginia
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responsible for using medical cost analytics to provide fact based insights into emerging medical cost trends ... analytical foundation of medical cost trends that can be used to develop analytical insights and facts
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Highmark Health
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Charleston, West Virginia
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position will help drive success of the strategic program relative to improving medical cost which is ... medical economics and/or healthcare analytics
Strong understanding of financial drivers of health
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Highmark Health
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Charleston, West Virginia
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process, and consult with the Organization's Associate Medical Directors and Medical Directors when ... medical policy review and development, member facing outreach initiatives
Develop and implement
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Highmark Health
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Charleston, West Virginia
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appropriate.
Adherence to Allegheny Health Network policies and procedures regarding medical record
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Highmark Health
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Charleston, West Virginia
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appropriate.
Adherence to Allegheny Health Network policies and procedures regarding medical record
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Highmark Health
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Charleston, West Virginia
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appropriate.
Adherence to Allegheny Health Network policies and procedures regarding medical record
...
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Highmark Health
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Charleston, West Virginia
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appropriate.
Adherence to Allegheny Health Network policies and procedures regarding medical record
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Highmark Health
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Charleston, West Virginia
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development, compliance with accepted medical standards, and practitioner/provider education. The incumbent is ... care based on medical necessity. The incumbent acts as a liaison for Highmark Wholecare with
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Highmark Health
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Charleston, West Virginia
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accessing virtual/physical medical and behavioral care in tight collaboration with our Experience, Strategy
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