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Reviews coded health information records to evaluate the quality of staff coding and abstracting, verifying accuracy and appropriateness of assigned diagnostic and procedure codes, as well as other abstracted data, such as discharge disposition. Ensure accurate coding for outpatient, day surgery and inpatient records. Verifies all codes and sequencing for claims according

for the role will include Maintain a working knowledge and understanding of DMEOPS CPT and ICD 10 codes Utilize the company billing and collections system to identify and resolve any claims that have been unpaid, short paid and/or denied Review EOB's and other correspondence from insurance companies for correct reimbursement according to rules and regulations and contract

Utilizes technical coding expertise to review the medical record thoroughly, utilizing all available documentation to abstract and code physician professional services and diagnosis codes (inpatient admissions, bedside procedures, and/or diagnostic services). Follows Official Guidelines and rules in order to assign appropriate CPT, ICD10 codes and modifiers with a minimum

Coordination of patient requests for alteration to clinical documentation within the medical record in a timely manner. Work closely with Corporate Compliance and Integrity and physicians as the Patient Privacy Rights Coordinator in maintaining responsibility for the following patient requests Accounting of Disclosures Patient Amendments Restriction Requests Maintain up t

Position Description Every day, in ways both big and small, the Medical College of Wisconsin (MCW) is impacting lives for the better. MCW ... changemaking for a healthier Wisconsin. In the role of Manager, Coding and Charge Capture you will work independently under the direction of the Coding and Charge Capture Director, provide direction and guidance to the team to facil

Under the direction of the HIM Coding Manager, this position is responsible for organizing, planning and scheduling the daily workflow for inpatient coding. Primary supervisory responsibilities include interviewing, hiring, discipline, daily supervision for employees in the inpatient coding section. Training responsibilities include developing and presenting training prog

Health Information Specialist I Onsite Job Locations US WI Appleton Requisition ID 2024 36191 # of Openings 1 Category (Portal Searching) Customer Service 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 co

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

Join our team who is committed to the delivery of the highest quality health care service. We are seeking a full time Certified Professional Coder that is self motivated, energetic, and a take charge individual. This highly visible position reports directly to the Coding Manager. Qualified candidates will have the option to work remotely after training. Responsibilities i

Supervises the Professional Coding Team. Ensures accurate and timely coding of records to ensure compliant charging and accurate reimbursement. Thorough knowledge of medical coding and reimbursement topics and experience with electronic medical records required. Responsible for understanding and adhering to the Children's Organizational Code of Ethics and for ensuring tha

This role will have all responsibilities of coder I, II and III in addition to reviews complex inpatient documentation at a highly skilled and proficient level to assign diagnosis and procedure codes utilizing ICD 10 CM/PCS, CPT, and HCPCS. Assigns and ensures correct code selection following Official Coding Guidelines and compliance with federal and insurance regulations

Duties Basic Functions Assigns codes to documented patient care encounters (outpatient and/or inpatient professional services) covering the full range of health care services provided by the CVHCS. Patient encounters are often complicated and complex requiring extensive coding expertise. Applies advanced knowledge of medical terminology, anatomy & physiology, disease proc

This position is primarily responsible for ensuring that prior authorizations are effectively and courteously processed for patients receiving services in the Gerald L. Ignace Indian Health Center working directly with front office staff and providers. ESSENTIAL BEHAVIORS Build Trust Operate with transparency, no hidden agenda; place confidence in colleagues, give proper

Duties The full performance level of this vacancy is GS 08. The actual grade at which an applicant may be selected for this vacancy is in the range of GS 04 to GS 08. At all levels MRTs (Coder) may be assigned to a single facility or region, such as a consolidated coding unit. They select and assign codes from current versions of ICD CM, PCS, CPT, and HCPCS classification