…as a resource to help reduce costs, enhance revenues, achieve effective utilization and quality goals and objectives, analyze and utilize information to develop

…determined by the VHA Education Loan Repayment Services program office after review of the EDRP application. Former EDRP participants ineligible to apply.

…case order for accuracy and completeness. Ensures diagnoses and procedure match. Review all OpTime case data for errors and ommissions. b. Reconciles laterality

…(Fully Remote) **Responsibilities:** + Access assignments via work queues to review insurance information registered for accuracy and completeness and places

…by the VHA Education Loan Repayment Services program office after complete review of the EDRP application. Responsibilities A. Administrative Duties: 1. Leadership

…Suite, encoder software and computer-assisted-coding software. . Demonstrated appropriate utilization of coding software and coding reference material to facilitate

…with regulatory agencies. Monitor implementation of standards throughout hospital by review of policies and procedures as they are submitted for approval

…treatments, & procedures. Makes appropriate referrals & consultations for provider review as indicated by clinical reminders requiring intervention & follow up.

…providers on the health plan's pharmacy process + Assist with the pharmacy utilization review and reporting process + Collaborate with Quality Improvement

…of eligibility (CTM, ACM, CCM or AHA). + 2 years of recent experience in utilization review , quality or care management. + Knowledge of acute care and