1 job found in white plains, new york

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    • white plains, new york
    • temp to perm
    • US$19.00 - US$20.00, per hour, $19 - 20 per hour + none
    • 8 am - 4 pm
    If you are looking to join one of the fastest growing healthcare organizations in the United States, then look no further.  This client is offering a temp to perm opportuntiy that has an hourly rate while consulting and a base salary plus benefits package when perm.  This role requires working knowledge of CPT codes and the denial process.  This opportunity is fully remote!ResponsibilitiesThe Quality Improvement Editor is also responsible for the following duties:The preparation of the clinical interrater reliability (IRR) programThe generation of “error reports.” These reports illustrate opportunities tracked for improvementThe preparation of policies and QI documents needed to meet NCQA and URAC accreditation standardsESSENTIAL DUTIES AND RESPONSIBILITIES INCLUDE THE FOLLOWING: Ensure all required documentation (e.g. client health plan documentation, policies, requested files, etc.) needed to build the denial rationale are available for use to prepare the correct denial documentation. Expand service request if needed (e.g., Pain Management: Injections lower back)Cite criteria set, criteria, number, name, and subset Interpretation of P2P language.Ensure appropriate reading level of documentation.CPT Codes and levels (like L3-4)Medical rules that the guideline is based onSkillsClaims ProcessingHIPAAMedical SoftwareICD-9CPT CodesICD-10ConfidentialityDenial ManagementEducationHigh SchoolQualificationsYears of experience: 1 yearExperience level:ExperiencedShift: FirstWorking hours: 8 AM - 4 PMRandstad is a world leader in matching great people with great companies. Our experienced agents will listen carefully to your employment needs and then work diligently to match your skills and qualifications to the right job and company. Whether you're looking for temporary, temporary-to-permanent or permanent opportunities, no one works harder for you than Randstad.EEO Employer: Race, Religion, Color, National Origin, Citizenship, Sex, Sexual Orientation, Gender Identity, Age, Disability, Ancestry, Veteran Status, Genetic Information, Service in the Uniformed Services or any other classification protected by law.
    If you are looking to join one of the fastest growing healthcare organizations in the United States, then look no further.  This client is offering a temp to perm opportuntiy that has an hourly rate while consulting and a base salary plus benefits package when perm.  This role requires working knowledge of CPT codes and the denial process.  This opportunity is fully remote!ResponsibilitiesThe Quality Improvement Editor is also responsible for the following duties:The preparation of the clinical interrater reliability (IRR) programThe generation of “error reports.” These reports illustrate opportunities tracked for improvementThe preparation of policies and QI documents needed to meet NCQA and URAC accreditation standardsESSENTIAL DUTIES AND RESPONSIBILITIES INCLUDE THE FOLLOWING: Ensure all required documentation (e.g. client health plan documentation, policies, requested files, etc.) needed to build the denial rationale are available for use to prepare the correct denial documentation. Expand service request if needed (e.g., Pain Management: Injections lower back)Cite criteria set, criteria, number, name, and subset Interpretation of P2P language.Ensure appropriate reading level of documentation.CPT Codes and levels (like L3-4)Medical rules that the guideline is based onSkillsClaims ProcessingHIPAAMedical SoftwareICD-9CPT CodesICD-10ConfidentialityDenial ManagementEducationHigh SchoolQualificationsYears of experience: 1 yearExperience level:ExperiencedShift: FirstWorking hours: 8 AM - 4 PMRandstad is a world leader in matching great people with great companies. Our experienced agents will listen carefully to your employment needs and then work diligently to match your skills and qualifications to the right job and company. Whether you're looking for temporary, temporary-to-permanent or permanent opportunities, no one works harder for you than Randstad.EEO Employer: Race, Religion, Color, National Origin, Citizenship, Sex, Sexual Orientation, Gender Identity, Age, Disability, Ancestry, Veteran Status, Genetic Information, Service in the Uniformed Services or any other classification protected by law.

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