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Highmark Health
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Des Moines, Iowa
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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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Des Moines, Iowa
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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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Des Moines, Iowa
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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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Des Moines, Iowa
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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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Des Moines, Iowa
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electronically and using Medical Policy criteria sets to evaluate the medical necessity and appropriateness of ...
ESSENTIAL RESPONSIBILITIES
Conduct electronic review of escalated cases against medical policy
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Highmark Health
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Des Moines, Iowa
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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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Des Moines, Iowa
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synthesizes and simplifies complex needs such as business capability, operational efficiency, medical device ... Architecture Framework Certification (TOGAF), Certified Information Security Professional (CISSP), Certified
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