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

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 Data Analyst to join our team. This position

Assigns appropriately sequenced and compliant ICD 10 CM/PCS codes as documented in the electronic medical record (EMR). Applies definition of principal diagnosis for proper assignment of MS DRGs, APR DRGs, and POA indicators using a designated encoder/grouper, while ensuring compliance with nationally established coding guidelines. Utilizes selected encoder and/or compute

CARE works around the globe to save lives, defeat poverty and achieve social justice. We seek a world of hope, inclusion and social justice, where poverty has been overcome and all people live with dignity and security, with a specific focus on the empowerment of women and girls. CARE has also established a platform for scaling solutions both internally and externally, wi

The Referral Coordinator is responsible for coordinating internal and external specialty care referrals for patients as requested by the primary care physician. The Referral Coordinator will also be responsible for scheduling, tracking, referral case management and providing reports. The Referral Coordinator will be professional and promote the core values and mission of

The CSR I interacts extensively with our customers to develop relationships; ensuring ultimate customer satisfaction and returning customers. RESPONSIBILITIES Proactively communicate to all internal and external related parties to exceed customer's expectations. Respond timely and accurately to all incoming customer correspondence along with thorough documentation. Receiv

The CSR I interacts extensively with our customers to develop relationships; ensuring ultimate customer satisfaction and returning customers. RESPONSIBILITIES Proactively communicate to all internal and external related parties to exceed customer's expectations. Respond timely and accurately to all incoming customer correspondence along with thorough documentation. Receiv

The CSR I interacts extensively with our customers to develop relationships; ensuring ultimate customer satisfaction and returning customers. RESPONSIBILITIES Proactively communicate to all internal and external related parties to exceed customer's expectations. Respond timely and accurately to all incoming customer correspondence along with thorough documentation. Receiv

The CSR I interacts extensively with our customers to develop relationships; ensuring ultimate customer satisfaction and returning customers. RESPONSIBILITIES Proactively communicate to all internal and external related parties to exceed customer's expectations. Respond timely and accurately to all incoming customer correspondence along with thorough documentation. Receiv