Develop a complete understanding of the Medical management Procedures.
Perform medical review assessment (MRA) on utilization of health services (eg healthcare plans, workers compensation products etc) in an accurate, efficient and timely manner while ensuring compliance with utilization management regulations and adherence to state and federal mandates.
Provide succinct negotiable points based on the submitted medical records that identify necessary medical treatment, casually related care, response or lack of response to treatment, etc.
Identify missing records and information that are necessary in the completion of the medical review assessment.
Adhere to federal, state, URAC, client, and established MediCall best practice WCUM time frames, as appropriate.
This Role is Open to Fresh Graduates with Excellent English Communication Skills.
you Pay Strong Attention to Details and are Capable of Delivering Top-quality Work
you are Goal-oriented and Thrive in Fast-paced Environments
maintains a Working Knowledge of Cpt-4, Icd-10-cm, and Icd-10-pcs Coding Principles, Governmental Regulations, Uhdds (uniform Hospital Discharge Data Set) Guidelines, Aha Coding Clinic Updates, and Third-party Requirements Regarding Coding and Documentation Guidelines
HR BHAVANI
Experience
0 – 1 Years
No. of Openings
50
Education
Graduate (BDS, B.Pharma, B.Sc, BVSC)
Role
Anaesthesia Technician
Industry Type
Hospitals / Medical / Healthcare Equipments
Gender
[ Male / Female ]
Job Country
India
Type of Job
Full Time
Work Location Type
Work from Office
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