Identify appropriate assignment of CPT and ICD 10 Codes for outpatient ancillary services while adhering to the official coding guidelines and established client coding guidelines of the assigned facility Apply coding knowledge to analyze/correct CCI Edits and Medical Necessity Edits Understand the Medicare Ambulatory Payment Classification (APC) codes Abstract additional

Conduct comprehensive assessments Manage members through an acute medical situation or an exacerbation of a chronic condition, including testing, diagnostics, interventions Manage members during a short term sub acute rehabilitation episode Ensure accurate and complete documentation, including ICD 10 conditions Communicate and collaborate with the interdisciplinary care t

Conduct in home assessments including an evaluation of past medical history, review of systems, medication reconciliation, vital signs, and comprehensive physical exam Perform evidence based practice screenings including point of care testing (as appropriate) Identify diagnoses to be used in care management and active medical management in the furtherance of treatment For

improving the quality, cost and experience of health care. Here, we focus on delivering the best patient care, rather than volume. Through innovation and superior care management, we support patients and your well being as a team member. Join a team at the forefront of value based care and discover the meaning behind Caring. Connecting. Growing together. Position Details

Conduct in home assessments including an evaluation of past medical history, review of systems, medication reconciliation, vital signs, and comprehensive physical exam Perform evidence based practice screenings including point of care testing (as appropriate) Identify diagnoses to be used in care management and active medical management in the furtherance of treatment For

Provide complete comprehensive testing and treatment of all pulmonary disorders within a team of highly skilled, fellowship trained Pulmonologist's. Diagnose and treat all aspects of pulmonary disease, including asthma, emphysema, chronic bronchitis, cystic fibrosis, bronchiectasis, pulmonary fibrosis, interstitial lung disease, and lung cancer. Our pulmonary specialists

Provide complete comprehensive testing and treatment of all pulmonary disorders within a team of highly skilled, fellowship trained Pulmonologist's. Diagnose and treat all aspects of pulmonary disease, including asthma, emphysema, chronic bronchitis, cystic fibrosis, bronchiectasis, pulmonary fibrosis, interstitial lung disease, and lung cancer. Our pulmonary specialists

Provide complete comprehensive testing and treatment of all pulmonary disorders within a team of highly skilled, fellowship trained Pulmonologist's. Diagnose and treat all aspects of pulmonary disease, including asthma, emphysema, chronic bronchitis, cystic fibrosis, bronchiectasis, pulmonary fibrosis, interstitial lung disease, and lung cancer. Our pulmonary specialists

Examine, assess, and document business operations and procedures to ensure data integrity, data security and process optimization. Investigate, recover, and resolve all types of claims as well as recovery and resolution for health plans, commercial customers, and government entities. Investigate and pursue recoveries and payables on subrogation claims and file management.

Develop and implement market business plans to motivate providers to engage in improving Risk Adjustment metrics Provide analytical interpretation of Risk Adjustment reporting including, Executive Summaries, HCC Ratio, Disagree and Resolution rates, and FaxBack reporting to plan and provider groups Subject Matter Expert (SME) for all Risk Adjustment related activities wit

Primary Care Delivery Deliver cost effective, quality care to assigned members Manage both medical and behavioral, chronic and acute conditions effectively, and in collaboration with a physician or specialty provider Perform comprehensive assessments and document findings in a concise/comprehensive manner that is compliant with documentation requirements and Center for Me

Support up to 2 MDs and 2 APCs at Primary Care Practice Lead back office operations to include screening / rooming patients, documentation in EMRs, quality assurance, and training of new personnel Assist in the care of the patient by following through on Provider orders for treatments Taking the patients vital signs and conducting blood draws as certified Have certificati

Directs patient to proper exam/treatment area and prepares patient for examinations and other procedures. Assists in the transportation of patients and patient flow Obtains records and reports vital signs and any other pertinent patient information to the RN or clinician Administers medication, performs various patient tests, and instructs patients on procedural preparati

Monitors and evaluates patient's physical and emotional condition during pulmonary function testing Monitors and evaluates the quality of patient's performance Performs routine pulmonary function tests including nebulizer treatment Properly identifies diagnosis and reason for testing by screening EHR. Checks for diagnostic order and reviews medical allergy list Reviews da

Complete provider orders per state and provider regulations Assists the provider with examinations, procedures, and other duties Screening and accurate detailed clinical intake of patients and updating medical records Able to prepare and administer all prescribed medications including, but not limited to, IV medications and fluid administration, IM, SQ, PO, and intraderma