. Evaluates and arranges appropriate referral of claims to outside vendors or physician advisor reviews, surveillance, independent... plan. Reviews and analyzes complex medical information (i.e. attending physician statements, office notes, operative...
, and complications) to identify potential over/under utilization of services Initiates appropriate referral to physician advisor... Denial Management Coordinates the P2P process with the physician or physician advisor, FCC, Revenue Cycle team when...
successful outcomes. Recognizes and acknowledges appropriate escalation and engagement of Physician Advisor during the appeal process... in collaboration with Physician Advisor/CDI CMO. Collaborates with the CDI, Inpatient Coding leadership and Physician Advisor/CMO...
and physician advisor services in the Federal space Streamlined case flow and user-friendly work portal This opportunity...Job Description: Dane Street is expanding our physician panel! Dane Street is an Independent Review Organization...
of technology-enabled revenue cycle management solutions for health systems, including hospitals and affiliated physician groups... Auditing.” Serve as a trusted advisor and subject matter expert, guiding the business unit in navigating emerging risks...