Include Ensure patient demographic information is accurate and complete Utilize customer hospital systems or approved vendors to research and obtain/verify patient demographic information Validate signature documents such as AOB (Assignment of Benefits), consents, CMN (Certificate of Medical Necessity) Verify patient name is consistent on all documents Verify date of servi

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

Hospital Services Technicians travel between customer healthcare facilities providing on site proactive collection and exchange of waste containers for various Stericycle programs, including but not limited to Sharps Management Service, Pharmaceutical Waste, Controlled Substances, and Document Management. This service is provided at regularly scheduled intervals for assig

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

Conduct a functional analysis of the Lesotho central Ministry of Health's current organizational structure including alignment of goals, priorities and activities; available human resources; and associated costs. The analysis will be undertaken through focus group discussions, key informant interviews, and other data collection methods. Draft a report that summarizes find

Functional Analyst Location US Job ID 2023 10355 Overview Planned Systems International, Inc. (PSI) is seeking a Functional Analyst to support our VA Enterprise Human Capital Management Modernization (VA HCM) contract. VA is modernizing its Human Capital Management (HCM) capabilities to empower and enable a diverse, fully staffed, and highly skilled workforce that consist

Scan and attach all internal and external correspondence and electronic medical reports into patient' medical record chart according to filing system. Pulls charts for scheduled appointments in advance according to guidelines. Ensure that all appropriate documentation for the scheduled patient visit is attached to the patient's chart. Prints, mails, and/or faxes patient c

Ellumen, named a three time Top Workplace by the Washington Post, is a small business headquartered in Silver Spring, MD. We are a leading IT solutions provider in information technology and ancillary services to government and commercial customers, primarily within the healthcare delivery domain. We are continuously searching for talented professionals in the areas of In

Health Information Operations Supervisor Job Locations US MD Baltimore Requisition ID 2024 35672 # of Openings 1 Category (Portal Searching) Operations Position Type (Portal Searching) Employee Full Time Equal Pay Act Minimum Range $22.00 $26.00 per hour Overview Who we are... Datavant protects, connects, and delivers the world's health data to power better decisions and

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

Senior Coding Specialist Livanta is expanding its Medicare QIO operations! Multiple full and part time openings available! Searching for qualified senior coding specialist (SCSs) with experience validating assignments of Medicare Severity Diagnosis Related Groups (MS DRGs) that are used by Medicare Administrative Contractors (MACs) to calculate pricing for Medicare inpati

Serves as the initial contact person at the medical practice or hospital department and greets patients in a courteous and professional manner. Coordinates efficient patient flow through the practice or hospital department assigned. Makes appointments, registers patients, collects co payments, Time of Service (TOS) payment processing, updates demographic and insurance info

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

Scan and attach all internal and external correspondence and electronic medical reports into patient' medical record chart according to filing system. Pulls charts for scheduled appointments in advance according to guidelines. Ensure that all appropriate documentation for the scheduled patient visit is attached to the patient's chart. Prints, mails, and/or faxes patient c

In the exam room, documents the physical examination, clinical impression and plan, as well as other relevant conversation between the patient and physician. Supports and adheres to the US Oncology Compliance Programs, to include the Code of Ethics and Business Standards. Accompanies physician into exam room with patient, entering information in electronic medical record