Transplant Financial Counselor - Transplant Marrow To coordinate and manage the financial aspect of the transplant program. To maximize financial reimbursement for transplant services rendered. Serves as a resource and financial counselor for transplant candidates and
Job Title Responsible for handling administrative and medical appeals that require clinical input or interpretation, directing and coordinating all aspects of denied claims, provide coordination of comprehensive clinical documentation to third-party payers and state agencies to
Essential Duties and Responsibilities: - Audit medical records to ensure compliance with the Medicare Advantage Risk Adjustment standards including abstraction and assignment of appropriate codes based on clinical data. - Enter coded data into a system
Essential Duties and Responsibilities: - Coordinate with the Functional Team to gather a detailed understanding of the business requirements. - Participate and provide support in the analysis of the requirements, fit- gap analysis, and the design