Review pre bill cases simultaneously with a physician during each work shift excluding breaks and meetings to analyze and validate diagnosis and procedure codes for inpatient services via coding compliance and clinical knowledge to support accurate DRG assignment Utilizes Accuity technology for tracking of coding errors, query opportunities and other data collection as ne

The Credentialing Specialist will be responsible for leading, coordinating, monitoring, and maintaining the credentialing and re credentialing process. Liaise between the practitioners, health plans, hospitals, patient care facilities and all related entities regarding credentialing, malpractice coverage, and practitioner enrollment. Manage credentialing and re credential

Assess the clinical indicators and suggestions of various query requests received from the MD Reviewer/ DRG Integrity Specialist Collaborate and communicate as necessary to clarify and avoid misinterpretation to ensure the query is optimally written and distributed to the correct client provider Creates queries in a compliant manner in accordance with AHIMA and ACDIS comp

The MedInsight team develops an industry leading data warehouse and analytics suite for major healthcare companies including insurers, providers, and public entities. We are a tech healthcare data company transforming how the industry understands and consumes healthcare data. We are accelerating and looking for a Sr. Healthcare Analyst to join our team. This position focu

The Coder is responsible for reviewing outpatient clinical documentation via Epic and 3M CAC for assignment of ICD 10 CM diagnoses and CPT 4/HCPCS procedure coding systems. Through knowledge of coding conventions and guidelines. Ability to address commonly applied modifiers for hospital outpatient accounts. Extracts pertinent information from clinical notes, operative not

The Coder is responsible for reviewing outpatient clinical documentation via Epic and 3M CAC for assignment of ICD 10 CM diagnoses and CPT 4/HCPCS procedure coding systems. Through knowledge of coding conventions and guidelines. Ability to address commonly applied modifiers for hospital outpatient accounts. Extracts pertinent information from clinical notes, operative not

The Physician Coding Manager must possess a strong surgical specialty background in some of the following specialties Neurosurgery, Trauma, Ortho, Plastic Surgery, etc. The position will work closely with the Director of Revenue Cycle Coding and Operations to provide training and education for coding in a Teaching Facility. Leading research and analyses in charge review,

Outpatient Coder Remote PRN Job Locations US Remote Requisition ID 2023 32805 # of Openings 1 Category (Portal Searching) HIM / Coding Position Type (Portal Searching) PRN Equal Pay Act Minimum Range USD $30.00/Hr. Overview Datavant protects, connects, and delivers the world's health data to power better decisions and advance human health. We are a data logistics company

Responsible for coding and abstracting procedural (CPT) and diagnosis codes (ICD 10) for physician services, reviewing physician documentation in the electronic medical record for completeness and accuracy to ensure proper code assignment, providing physician feedback of discrepancies/trends, resolving edits and denials, and releasing encounters for billing. Utilizes inte

The Manager, Clinical Documentation Improvement (CDI) is responsible for the successful implementation and daily operation of the Clinical Documentation Improvement program. The leader is responsible for assuring that provider documentation in the medical record reflects the highest level of accuracy and specificity. The Manager, CDI assures daily review of medical record

You are an expert facilitator you open doors, foster communication, and bridge the gap. In this role, you will be responsible for the successful growth of patient access initiatives of our client within the assigned geographic territory. The primary focus of the Patient Access Specialist is to leverage strategic insights within targeted interconnected inpatient/outpatient

of Position Alcon is looking to hire a Global Regulatory Affairs Principal Specialist to join our Regulatory Affairs team in Fort Worth, TX, Johns Creek, GA or Lake Forest, CA location. You will be responsible for developing global regulatory strategy for new product development, directing submission development of product registration, progress reports, supplements, amend

Health Information Specialist II Job Locations US GA Fayetteville Requisition ID 2024 36008 # of Openings 1 Category (Portal Searching) Operations Position Type (Portal Searching) Employee Full Time Overview Who we are... Datavant protects, connects, and delivers the world's health data to power better decisions and advance human health. We are a data logistics company fo

The DRG Validation Nurse Reviewer will be primarily responsible for conducting post service, pre payment and post pay comprehensive inpatient DRG reviews based on industry standard inpatient coding guidelines and rules, evidence based clinical criteria plan, and policy exclusions. Conduct reviews on inpatient DRG claims as they compare with medical records ICD 10 Official

The Certified Edit Dispute Resolution Analyst will be responsible for researching and auditing medical records for complex, diverse, multi specialty provider claims to identify and determine appropriately coded billed services when compared to the Zelis Claim Edits Product. The Certified Edit Dispute Resolution Analyst demonstrates an understanding of Zelis edits as an in