Medical Review Jobs in Pasadena, TX

Optum - Houston, TX, United States

Director provides physician support responsible for the initial clinical review of service requests for Enterprise Clinical Services. The Medical Director collaborates with Enterprise Clinical Services

from: linkedin.com - 13 days ago

Amerit Consulting - Houston, TX, United States

, and regulations regarding utilization review and discharge planning functions of government programs such Medicare, Medi-Cal, and CCS. · Clinical experience sufficient to understand and communicate medical

from: linkedin.com - 15 days ago

UnitedHealth Group - Houston, Texas

+ Current board certification in Radiation Oncology + 5+ years of clinical practice experience (inclusive of radiation oncology) + Demonstrated accomplishments in the areas of medical care delivery systems

from: HealtheCareers.com - 4 days ago

Workrise - Houston, TX, United States

. Review medical files for completion, Enter relevant medical data into electronic health record system, and ensure that records are reviewed and approved. Respond timely to questions and redirect enquiries

from: linkedin.com - 6 days ago

Medasource - Houston, TX, United States

by the protocol. Screen patients for protocol eligibility through personal interviews and/or medical record review in inpatient and outpatient settings. Perform protocol-specific duties under the direct supervision

from: linkedin.com - 12 days ago

CommonSpirit Health - Houston, Texas

evaluation process uniformly to all initial appointment and reappointment applications to ensure compliance with St. Luke’s Health credentialing policies, procedures and applicable Medical Staff Bylaws

from: resume-library.com - 3 days ago

Johnson Law Group - Houston, TX, United States

, executing training, performing quality audits, doing annual performance reviews, etc. Make filing decisions based on legal strategy decided on by the partners Collaborate on medical record ordering guidelines

from: linkedin.com - 14 days ago

Amerit Consulting - Houston, TX, United States

importance of job responsibilities. Skill in abstracting and interpreting medical information from patient records. Working knowledge of laws, rules, and regulations regarding utilization review and discharge

from: linkedin.com - 15 days ago

Maximus - Houston, TX

). -Support the development of training materials for panel physicians and appeals officers. -Perform quality reviews as requested by the client. -Serve as the medical expert in ISO and URAC audits 104 USD

from: Maximus - 3 days ago

Memorial Healthcare System - Houston, TX, United States

responsibilities: • Reviews inpatient medical records to assign and sequence all appropriate diagnosis and procedure codes utilizing encoder software and following official coding guidelines. Reviews Medicare

from: linkedin.com - 12 days ago