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

Prepares patient admission packets. Processes orders, 485s, and face to face documentation. Ensures all documents are uploaded to the EMR on a timely basis. Manages and processes documentation for care center including, but not limited to, orders, paper visit notes, discharge, transfer and episode summaries and medication profiles. Responsible for security and maintenance

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

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

Answers all incoming calls, assesses callers' needs, directs to appropriate personnel. Pages clinic personnel as appropriate. Obtains and communicates messages in an accurate and timely manner. Efficiently schedules new patients, patient referrals and returning patients in computer system in accordance with physician and/or office guidelines. For new and or referred patie

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

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

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

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

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

Medical Records Specialist I Onsite Job Locations Washington | US MD Riverdale | US MD Silver Spring | US MD Takoma Park | US MD Bethesda | US MD College Park Requisition ID 2024 35084 # 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 healt

Payor Clearance Specialists are members of the Patient Access team dedicated to completing patient access workflows related to navigating insurance payor regulations. Facilitate increasing our patient's access into the care continuum. Decrease payor related barriers and increase financial outcomes for scheduled patient services for the inpatient, ambulatory , and physicia

Payor Clearance Specialists are members of the Patient Access team dedicated to completing patient access workflows related to navigating insurance payor regulations. Facilitate increasing our patient's access into the care continuum. Decrease payor related barriers and increase financial outcomes for scheduled patient services for the inpatient, ambulatory , and physicia

Lead Patient Service Specialist Job ID 285565 Location US MD Owings Mills Experience (Years) 0 Category Administrative Administrative Services Street Address 10084 Reisterstown Road, Suite 300 B Company NovaCare Rehabilitation Position Type Full Time Overview Lead Patient Service Specialist Owings Mills, MD Are you someone who absolutely loves to be of service to others?