The DRG Validation Nurse Reviewer will be primarily responsible for conducting post service, pre payment and post pay comprehensive inpatient DRG reviews based on industry standard inpatient coding guidelines and rules, evidence based clinical criteria plan, and policy exclusions. Conduct reviews on inpatient DRG claims as they compare with medical records ICD 10 Official

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

Outpatient Audit Specialist Job Locations US Remote Requisition ID 2024 35954 # of Openings 3 Category (Portal Searching) HIM / Coding Position Type (Portal Searching) PRN Equal Pay Act Minimum Range $36.00 $40.00 per hour Overview Datavant protects, connects, and delivers the world's health data to power better decisions and advance human health. We are a data logistics

Communicates with co workers, management, and hospital staff regarding clinical and reimbursement issues Function in a professional, efficient and positive manner Adhere to the American Health Information Management Association's code of ethics Must be customer service focused and exhibit professionalism, flexibility, dependability, desire to learn, commitment to excellen

The Certified Edit Dispute Resolution Analyst will be responsible for researching and auditing medical records for complex, diverse, multi specialty provider claims to identify and determine appropriately coded billed services when compared to the Zelis Claim Edits Product. The Certified Edit Dispute Resolution Analyst demonstrates an understanding of Zelis edits as an in

Remote Inpatient Coder III Job Locations US Remote Requisition ID 2024 35939 # of Openings 1 Category (Portal Searching) HIM / Coding Position Type (Portal Searching) Employee Full Time Equal Pay Act Minimum Range $32.00 $42.00 per hour Overview Minimum 3 years Production Coding Experience Datavant protects, connects, and delivers the world's health data to power better d

The CSR I interacts extensively with our customers to develop relationships; ensuring ultimate customer satisfaction and returning customers. RESPONSIBILITIES Proactively communicate to all internal and external related parties to exceed customer's expectations. Respond timely and accurately to all incoming customer correspondence along with thorough documentation. Receiv

The CSR I interacts extensively with our customers to develop relationships; ensuring ultimate customer satisfaction and returning customers. RESPONSIBILITIES Proactively communicate to all internal and external related parties to exceed customer's expectations. Respond timely and accurately to all incoming customer correspondence along with thorough documentation. Receiv

The CSR I interacts extensively with our customers to develop relationships; ensuring ultimate customer satisfaction and returning customers. RESPONSIBILITIES Proactively communicate to all internal and external related parties to exceed customer's expectations. Respond timely and accurately to all incoming customer correspondence along with thorough documentation. Receiv

The Resilient Infrastructure and Supply Chain (RISC) Unit is looking for a Graduate Research Assistant (GA) for the Fall 2024 semester. The job duties include serving as a teaching assistant for Vertically Integrated Projects (VIP), as well as a research assistant for ongoing projects. For the VIP, the student will be required to actively engage with the research projects

JOB DESCRIPTION Make your mark for patients. We're here because we want to build the future and transform patients' lives for the better. At UCB, our people are our experiences and achievements, our passion and drive. That's why we're looking for talented individuals with diverse backgrounds and experiences not just the best and brightest, but those who care about making

of Position Alcon is looking to hire a Global Regulatory Affairs Principal Specialist to join our Regulatory Affairs team in Fort Worth, TX, Johns Creek, GA or Lake Forest, CA location. You will be responsible for developing global regulatory strategy for new product development, directing submission development of product registration, progress reports, supplements, amend

The Coder is responsible for reviewing outpatient clinical documentation via Epic and 3M CAC for assignment of ICD 10 CM diagnoses and CPT 4/HCPCS procedure coding systems. Through knowledge of coding conventions and guidelines. Ability to address commonly applied modifiers for hospital outpatient accounts. Extracts pertinent information from clinical notes, operative not

Serve as research assistant to the office on various academic integrity issues. Work as a facilitator for the academic honesty process and assist with office programming, including overseeing and administering the remediation program. Assist with administration of the eLC modules. Percentage of time 50 Duties/Responsibilities Continue development of restorative justice ba

The Coder is responsible for reviewing outpatient clinical documentation via Epic and 3M CAC for assignment of ICD 10 CM diagnoses and CPT 4/HCPCS procedure coding systems. Through knowledge of coding conventions and guidelines. Ability to address commonly applied modifiers for hospital outpatient accounts. Extracts pertinent information from clinical notes, operative not