Under direct supervision, performs all collection functions on account balances within assigned financial classes. This includes assisting with the Claim's Team and claim edits, following up on insurance payments, denials, rejections and possible appeals. Being able to navigate on Insurance portals will assist with your job. Hospital Follow Up experience preferred but will

Contributes to the achievement of established department goals and objectives and adheres to department policies, procedures, quality standards, and safety standards. Complies with governmental and accreditation regulations. Provides oversight and management for the daily operations of the medical office and ensures patient access to care. Responsible for creating and mai

Clinical Documentation Improvement Specialist (remote position) Full Time Day Shift (M F, 8 00am 4 30pm) Position Objective Reviews and analyzes health records to identify relevant diagnoses and procedures for distinct patient encounters. Works collaboratively with physicians, other healthcare professionals and coding staff to ensure that clinical information in the medic

Responsible for timely retrieval and processing of appropriate patient charts from patient care areas. Preps charts for scanning and indexing. Performs quality review to ensure that all patient records and loose documents are scanned with the highest level of quality possible. Company Description The University of Maryland Medical System is a 14 hospital system with acade

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

Codes and abstracts primarily Inpatient records using ICD 10 CM and other applicable patient classification schemes. Primary Duties & Responsibilities Abstracts and ensures accuracy of diagnoses, procedure, patient demographics, and other required data elements. Contacts physician when conflicting or ambiguous information appears in the medical record. Adheres to the MedS

Under direct supervision, accurately codes hospital inpatient accounts for the purpose of appropriate reimbursement, research, statistics and compliance to federal and state regulations in accordance with established ICD 10 CM/PCS coding classification systems. II. Principal Responsibilities and Tasks The following statements are intended to describe the general nature an

Under general administrative direction, the Clinical Informaticist is accountable for the delivery of value added health care informatics and technology which supports the strategic plan of the organization and achieves clinical, financial and service quality objectives for a multi hospital system with a flagship Academic Medical Center. To achieve this objective, the Cli

The Senior Technical Advisor provides expert technical guidance and expertise to programs or portfolios. The Senior Technical Advisor spends a significant percentage of time (~40%) on business development. This may be higher or lower depending on the pipeline. This position may serve as lead writer or subject matter expert. The Senior Technical Advisor will participate in

Care Management Assistants are administrative professionals who provide direct support to ensure that patients move through the system and receive the treatment and services they require. They are responsible for interacting with Care Management staff, insurance agencies, and post acute care providers/agencies/facilities to bring all aspects of a patient's care together,

The Coding Auditor demonstrates expertise in coding and billing compliance while performing audits to determine billing integrity of professional and facility/technical fees including detection and correction of documentation, coding and billing errors and/or medical necessity of services billed. Audits consist of evaluation of the adequacy and accuracy of documentation i

The Supervisor of Coding Audits and Education supports the supervision, management, evaluation, and improvement of operations related to coding education, audits, and denials. Leads the Coding and Auditing team responsible for evaluating the appropriateness and medical necessity of services and procedures billed based on supporting documentation, as well as the appropriat

Job Description Assist with non clinical tasks associated with the UMAC Reverse Access Center (PAC) program. Work is performed under limited direction. Direct report to the Director, Performance & Business Innovation and UMROI Case Management Manager. Duties include but not limited to Monitor patients referred to PAC sites using the IT platform selected by UMMS. Coordinat

Under general supervision, performs moderately complex administrative duties including processing requests for Protected Health Information (PHI) that contain patient authorization and other noncompulsory requests that do not require a signed authorization. Providing front line customer service to attorneys, insurance companies, clinicians, patients, funeral homes in pers