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

Assigns appropriately sequenced and compliant ICD 10 CM/PCS codes as documented in the electronic medical record (EMR). Applies definition of principal diagnosis for proper assignment of MS DRGs, APR DRGs, and POA indicators using a designated encoder/grouper, while ensuring compliance with nationally established coding guidelines. Utilizes selected encoder and/or compute

This position is responsible for billing, follow up, and resolving issues that delay or prevent payment of the patient's account within Intermountain's policies and procedures. Scope 1.Greets patients. Answer phones, takes messages, returns calls and provides neededinformation, while documenting all phone calls accurately and completely in the electronic medical r

At HCSC, we consider our employees the cornerstone of our business and the foundation to our success. We enable employees to craft their career with curated development plans that set their learning path to a rewarding and fulfilling career. Come join us and be part of a purpose driven company who is invested in your future! Job Summary Under supervision, this position is

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

Under supervision, this position is responsible for researching and analyzing the medical records when there is a discrepancy in coding. Validating the coding and supporting the department in the reporting of findings. This position audits medical records to ensure compliance with the organizations coding procedures and standards according to the cms coding guidelines and

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

Providence is calling a Senior Pre Service Specialist who will work remotely within our footprint states, AK, CA, OR, WA, TX, NM, or MT. Under the direction of the Pre Service Supervisor/Manager/Director, the Senior Pre Service Specialist has a clear understanding and knowledge of all functions performed by Pre Service. They are responsible for, but not limited to, schedu

Senior Coder Remote. Most States Eligible. Applies ICD 10/CM/PCS and CPT 4 codes to medical records based on documentation provided by physicians. Adheres to strict federal coding rules and guidelines in selecting codes that appropriately reflect the condition, which the patient had, severity of illness and the care that was provided. Abstracts clinical and statistical in

Frequent travel among facilities is required. Occasional travel among PSJH regions is required. A valid driver's license, care license, and a reliable vehicle for transportation throughout the region is required. Employee may be required to work on call, after hours and variable shifts and weekends. Demonstrate compliance with all system and departmental policies and proc

Coverage for 1700 0100, variable. Occasionally, 0800 1700. Weekends/holidays prn. Under the direction of nursing leadership, the Health Unit Coordinator facilitates unit organization and patient care by assisting in the coordination of patient, nursing, physician, and other health care provider office and clerical activities. Scope 1.Greets patients/residents/families/com

The House Supervisor is responsible for supervision of hospital activities and coordination between patient care areas and other departments for the delivery of safe and appropriate patient care for a specific shift. Scope Maintains competency to deliver patient care to a variety of patient populations. Capable of fulfilling the requirements outlined in the RN position de

Coding Quality Auditor 100% Remote, Most States Eligible. The Coding QI Compliance Auditor and Trainer II is critical to the coding compliance program. By performing audits of hospital coding, training new coding staff, preparing and presenting educational sessions for the coders and staying current with official coding guidelines and regulations, the incumbent ensures th

Providence is offering up to a $2,000 hiring bonus for eligible external candidates who meet all conditions for payment this is in addition to the fantastic benefits and compensation package offered by Providence that begin on your first day of employment. Credentialing Coordinator in MED STAFF ADMIN MSLA Unit at Providence St. Patrick Hospital, Missoula, MT Coordinates c

Providence St. Joseph Health is calling a Senior Coder, Inpatient to work remotely within our footprint states AK, CA, MT, OR, TX and/or WA. Applies ICD 10/CM/PCS and CPT 4 codes to medical records based on documentation provided by physicians. Adheres to strict federal coding rules in selecting codes that appropriately reflect the condition, which the patient had, and th