The School of Medicine Department of Medicine is seeking a highly motivated, engaged, and committed Reimbursement Consultant who is interested in joining a fast paced, highly productive team. Job Duties Perform reviews of provider documentation to identify deficiencies. Review billing codes for accuracy. Suggest areas of improvement for increased revenue streams. Maintain

#upjobs Review complex clinical documentation and diagnostic results timely to accurately assign codes for diagnoses (ICD 10 CM), procedures (CPT), and applicable modifiers for services provided to assure maximum reimbursement and regulatory compliance. Assist in the audit of medical records in order to identify potential problems with the coding and reimbursement process

Responsible for the administrative duties required in the credentialing verification process. Reviews, enters, and maintains specialized applicant information in a complex database and coordinates the credentialing process for the Medical Staff offices of the respective entities. Ensures the credentialing process complies with organizational as well as an accrediting agen

Create and maintain documentation related to technical integration implementation and support Examples include o Blueprint/Discovery o Design o Testing o Epic Build o Conversions o Cutover o Post Live Support o Upgrades Serve as a resource for problem solving Assist with activities related to troubleshooting, supporting, developing, testing and delivering an integration s

SUPERVISOR, CLINICAL CARE SPECIALIST Job Locations US CO ENGLEWOOD ID 2024 144325 Line of Business Amerita Position Type Full Time Pay Min USD $45,000.00/Yr. Pay Max USD $55,000.00/Yr. Our Company Amerita Overview The Clinical Care Specialist (CCS) Supervisor will monitor and provide staffing direction in their specific workflow vertical. They are responsible for oversigh

Collector, MSO CBO USC Care MSO CBO Full Time 8 Hour Days (Non Exempt) (Non Union) Apply Keck Medicine of USC Hospital Alhambra, California The Collector Appeal Specialist is responsible for accurately processing inpatient and out patient claims to third party payers and private pays, following all mandated billing guidelines. Responsible for ensuring timely filing and gu

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

Under direct supervision from a leader on the Leadership Salary Plan grade up to and including M07, provides medical operations support to appropriate clinical department(s) utilizing knowledge of medical terminology and procedures in a hospital, clinic or laboratory environment and conducts special projects as defined and assigned by department(s). EDUCATION/EXPERIENCE R

The Documentation & Coding Education Development Specialist is responsible for researching, developing, and implementing educational programs that adhere to Instructional Design and Adult Learning best practices, for employed providers about documentation and coding, both hospital and professional. The Development Specialist is a subject matter expert in documentation & c

Reviews various internal and external computerized systems and reports to determine correct patient identifying information for Northwestern Medicine Master Patient Index (MPI) and CIS. Utilizes technical expertise to analyze system related changes and participates in testing of various software modifications. Monitors report creation, electronic transfer and disseminatio

Consistently practices Patients First philosophy and adheres to high standards of customer service. This includes setting an example to peers, coworkers, etc. by fostering a team atmosphere. Responds to questions and concerns. Forwards, directs, and notifies Team Lead or Operations Coordinator of extraordinary issues as necessary. Maintains patient confidentiality per HIP

The Care Management Assistant supports the licensed social worker or the nurse case manager with their transition planning activities. The Care Management Assistant is an integral member of the care management team and will work directly with patients, families, and vendors to set up services for implementing the plan of care. These activities include referrals and data e

Medical Records Clerk Entry Level Requisition ID 2024 10303 # of Openings 1 Category Operations Location US WI Madison Overview Are you looking to get your foot in the door? ExamWorks is looking for an organized, detail oriented and highly motivated candidate to join our team as an Entry Level Medical Records Clerk (internally known as Document Management Technician) in M

Responsibility for coordination of employees and processes in assigned areas of HIM Clinical Coding, and Coding Audit; Inpatient, Outpatient , Emergency and Professional Coding Performs quality and compliance audits. Reviews medical record documentation to determine coding accuracy. Essential Functions Oversees variety of duties which can include serves as an expert codin

Unit Clerk team members assist with ensuring the health and well being of our residents by providing administrative support. This position is responsible for coordinating proper placement of documents in Medical Record; performing secretarial duties for assigned unit; assist with inventory and requisitioning of nursing supplies, forms and stock medications; schedule vario