Utilizes technical coding expertise to assign appropriate ICD 10 CM and ICD 10 PCS codes to complex inpatient visit types. Complexity is measured by a Case Mix Index (CMI) and Coder II's typically see average CMI's of 2.2609. This index score demonstrates higher patient complexity and acuity. Utilizes expertise in clinical disease process and documentation, to assign Pres

Coordinates office procedures with medical staff, and billing office to ensure smooth flow of information within departments. Participates in the completion of month end close checklist for all assigned items to ensure meeting or exceeding corporate timelines. Implements and complies with Company Reimbursement Policies and Procedures to maximize efficiency. Reviews all at

Utilizes technical coding expertise to assign appropriate ICD 10 CM and ICD 10 PCS codes to complex inpatient visit types. Complexity is measured by a Case Mix Index (CMI) and Coder II's typically see average CMI's of 2.2609. This index score demonstrates higher patient complexity and acuity. Utilizes expertise in clinical disease process and documentation, to assign Pres

Utilizes technical coding expertise to assign appropriate ICD 10 CM and ICD 10 PCS codes to acute rehab cases and inpatient OB and Newborn discharges. Complexity is measured by a Case Mix Index (CMI) and IP Coder Associate's typically see average CMI's of 0.5759 with the OB and Newborn population. This index score demonstrates lower patient complexity and acuity. Utilizes

Utilizes technical coding expertise to assign appropriate ICD 10 CM and ICD 10 PCS codes to complex inpatient visit types. Complexity is measured by a Case Mix Index (CMI) and Coder II's typically see average CMI's of 2.2609. This index score demonstrates higher patient complexity and acuity. Utilizes expertise in clinical disease process and documentation, to assign Pres

As a valued member of the DRG Review Team, the DRG Integrity Specialist performs a secondary level review of medical records and code assignment using knowledge of Accuity technology and client systems with a physician in accordance with federal coding regulations and guidelines as well as client specific coding guidelines to ensure accurate DRG assignment. This function

KLDiscovery, one of the largest national eDiscovery providers, is currently seeking attorneys who are actively licensed in any U.S. jurisdiction, including recently admitted attorneys, who desire an engaging work environment where they are valued and respected. We have an ongoing need for document reviewers. Responsibilities include reviewing documents for complex litigat

Utilizes technical coding expertise to assign appropriate ICD 10 CM and ICD 10 PCS codes to inpatient acute care visit types up to 6 days length of stay across all Medical and Surgical service lines.. Complexity is measured by a Case Mix Index (CMI) and Coder I's typically see average CMI's of 1.4 with this mix of the acute care population. This index score demonstrates m

Imagine a workplace that encourages you to interpret, innovate and inspire. Our employees do just that by helping healthcare payers manage the cost of care, improve competitiveness and inspire positive change. You can be part of an established company that helps our customers thrive by interpreting our client's needs and tailoring innovative cost management solutions. We

Performs review of the medical record including documentation, reports, flowsheets, and test results, applying evidence based criteria related to DRG and clinical validation denials Creates appeal letters utilizing the relevant information from the medical record; supported by current clinical standards and facility guidelines, evidence based medicine, professionally reco

OF MINIMUM QUALIFICATIONS Education and/or experience equivalent to a bachelor's degree in science, or related field. Four (4) years of clinical data management experience. Knowledge of clinical trials data processing concepts. Demonstrated knowledge of data management processing systems. Demonstrated experience in all areas of data management database build, database main

The role of the admissions rep is to reach out to individuals via phone, take incoming calls and place outbound calls to prospective students in a call center team environment. Admissions representatives interview prospective students to determine their motivation for attending college, understand their career goals and the obstacles that might prevent them from starting

The Assistant Claim Specialist is an entry level position for claim processing. This person will use independent judgement and discretion to review, analyze, and make determinations regarding payment, partial payment, or denial of medical and dental claims, as well as various types of invoices, based upon specific knowledge and application of each client's customized plan

The HIM Coordinator, assembles, analyzes, and abstracts medical records. Data entry of deficiencies. Backup person for ICD 10 coding of inpatient records. Codees partial/IOP records. Coordinates and processes incoming and in house requests/correspondence as assigned. Retrieves.copies records as requested.Works closely with Utilization Review requests. Answers Department t

Relying on clinical background, reviews health claims providing medical interpretation and decisions about the appropriateness of services provided by other healthcare professionals in compliance with Concentra Physician Review policies, procedures, and performance standards and URAAC guidelines and state regulations. Responsibilities MAJOR DUTIES AND RESPONSIBILITIES Rev