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

Reviews, processes and audits the medical necessity for each patient chemotherapy treatment and documentation of regimen and pathway adherence. Works as a patient advocate and functions as a liaison between the patient and payer to answer routine and complex inquires reimbursement questions and avoid insurance delays. Obtains insurance authorization and pre certification

About Ping Identity At Ping Identity, we believe in making digital experiences both secure and seamless for all users, without compromise. We call this digital freedom. And it's not just something we provide our customers. It's something that inspires our company. People don't come here to join a culture that's built on digital freedom. They come to cultivate it. Our inte

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

Analysis Complete ad hoc analyses and build comprehensive reporting to inform strategic questions Present findings and actionable recommendations to leadership Critical thinking Quickly gain an understanding of principal growth drivers and key metrics Understand the healthcare landscape and changing policies and conditions and their implication on the business Technical D

Overview Fully On Site Role Utilization Review Specialist Salary/Hourly $23 $31.00/hour Members of our team Enjoy Working with a highly engaged staff Healthy staffing levels Flexible scheduling Career growth Competitive compensation Health, Vision, Dental, 401k, and Paid Time Off UKG Wallet We've partnered with UKG Wallet, a voluntary Earned Wage Access benefit, to offer

This position is responsible for billing, follow up, and resolving issues that delay or prevent payment of the patients account within Intermountain policies and procedures. Practice Details Hours are M F 8 5pm 1.Greets patients. Answer phones, takes messages, returns calls and provides needed information, while documenting all phone calls accurately and completely in the

Schedules all follow up appointments in the practice management system following the provider order and/or office protocol in a high volume clinic setting. Cancels/reschedules appointments according to patient or physician scheduling changes; notifies appropriate clinic personnel. Arranges for patients to have financial counseling as needed. Demonstrates an understanding

CENSUS ASSOCIATE Job Locations US CO LONGMONT ID 2024 142166 Line of Business PharMerica Position Type Full Time Pay Min USD $18.50/Hr. Pay Max USD $22.00/Hr. Our Company PharMerica Overview Join our PharMerica team! PharMerica is a closed door pharmacy where you can focus on fulfilling the pharmaceutical needs of our long term care and senior living clients. We offer a n

Centennial Peaks Hospital has been providing psychiatric services to the Denver metro area for more than 30 years. Located in beautiful Louisville, CO, our 104 bed facility provides a peaceful setting for those seeking treatment for mental illness including chemical dependency. Centennial Peaks offers unique and individualized programming for adolescents and adults that s

This position is responsible for transcribing patient medical reports, correspondence, and other related documents as dictated by authorized physicians and personnel. Posting Specifics Benefits Eligible Yes Shift Details Monday Friday 6am to 2 30pm, no weekends or holidays Scope As an Administrative Assistant, you need to know how to Answer and transfer phone calls, scree

The Data Specialist coordinates the process of collecting, entering, and submitting data. This position may support a department or program and may interact with internal and external resources to read, interpret, and electronically enter data into various applications. Reviews patient charges for errors. Collects and enters Physician charges. Assists withpatient charge i

In this role, you will perform complex analyses and develop solutions based onthorough and comprehensive research and technical expertise. You will interpret spend and clinical data to include, but not limited to, identifying cost and clinical opportunities, preparing statistical and ad hoc reporting, and drafting presentations. You will also provide reporting to verify a

Under general supervision, reviews medical record documentation to abstract and assign diagnoses, procedures, and modifiers for statistical classification and reimbursement purposes. Performs various coding assignments under the direction of Coding Management. Provides feedback regarding documentation and coding issues. Utilizes software applications and coding references

POPULATION SPECIFIC CARE No direct patient care. ESSENTIAL FUNCTIONS An employee in this position may be called upon to do any or all of the following essential functions. These examples do not include all of the functions which the employee may be expected to perform. Installs or implements, configures, tests and monitors application system workstations and servers. Sche