Obtains benefits and authorizations for surgical procedures, diagnostic testing, medications, outgoing referrals, and other services as part of daily operations. Determines the authorization protocols for each health plan and performs billing duties to ensure proper and timely payment is received from insurance carriers and patients. Job Duties Collaborates with physician

Assist in resolving billing edits that are holding patient claims from billing, by reviewing medical records and other applicable documentation. Position will serve as liaison between Revenue Integrity and Ancillary Departments regarding revenue and compliance issues. Position will conduct billing audits, provide monthly audit results and review denial trends for document

Obtains benefits and authorizations for surgical procedures, diagnostic testing, medications, outgoing referrals, and other services as part of daily operations. Determines the authorization protocols for each health plan and performs billing duties to ensure proper and timely payment is received from insurance carriers and patients. Job Duties Collaborates with physician

The Patient Access Rep is responsible for all aspects of the patient registration process, including verifying the patient identity and selecting the correct patient record, reviewing schedules and physician orders to register the patient for the appropriate service, scanning important documents such as insurance cards, ID's, Living Wills, and POAs and verifying and enter

Reviews clinical documentation and diagnostic results as appropriate to extract abstract data and apply appropriate ICD 9 CM/ICD10 CM/PCS and CPT 4 codes for reimbursement and external reporting, research, regulatory compliance, medical necessity, CCI, NCCI and any other regulatory edits. Code and abstract medical records of high complexity within the Primary Enterprise a

Obtains benefits and authorizations for surgical procedures, diagnostic testing, medications, outgoing referrals, and other services as part of daily operations. Determines the authorization protocols for each health plan and performs billing duties to ensure proper and timely payment is received from insurance carriers and patients. Job Duties Collaborates with physician

The Patient Access Rep is responsible for all aspects of the patient registration process, including verifying the patient identity and selecting the correct patient record, reviewing schedules and physician orders to register the patient for the appropriate service, scanning important documents such as insurance cards, ID's, Living Wills, and POAs and verifying and enter

Job Description PT 22.5 11a 7p Facilitates the registration of Outpatient Patients. Interviews patient and/or representatives to obtain identifying information and other data required for registration Job Responsibility 1. Receives in coming telephone calls promptly and professionally. 2. Maintains constant awareness of patient arrival. 3. Monitors prescriptions for expir

Provides exceptional customer service to patients which establish a positive first impression of Northwestern Medicine. Exceeds all consumer requests and alerts management of issues or concerns that require escalation. Correctly identifies and collects patient demographic information in accordance with organization standards. Interacts with various hospital departments an

The Coder II reviews, analyzes, and codes diagnostic and procedural information using ICD 10 CM diagnosis and procedures and CPT coding for reimbursement. Assign and sequence ICD 10 CM/CPT codes by applying regulatory coding guidelines. Apply advanced knowledge of disease processes to assign codes for conditions and procedures not listed in the indexes of coding books. Fo

Performs periodic medical record reviews to ensure physician documentation supports complete and accurate coding. Reconciles medical record documentation, coding, claims and reimbursement data to ensure appropriate billing and reimbursement. Provides feedback to physicians and office staff on findings and makes recommendations to coding management for improvement. Job Res

Northside Hospital is award winning, state of the art, and continually growing. Constantly expanding the quality and reach of our care to our patients and communities creates even more opportunity for the best healthcare professionals in Atlanta and beyond. Discover all the possibilities of a career at Northside today. Responsible for overall management of coding educatio

A day in the life of a Ambulatory Payment Classification (APC) Auditor at Hackensack Meridian Health includes Assist with developing coding quality improvement initiatives. Analyze, review and resolve coding and documentation issues that are related to reimbursement, compliance and revenue enhancement. Perform focused second level coding quality reviews, as needed, to sup

A day in the life of a Diagnosis Related Group (DRG) Auditor at Hackensack Meridian Health includes Performs data quality reviews on Inpatient Clinical Documentation Improvement (CDMP) records. Validates the (International Classification of Diseases 10th Diagnosis & Procedure Coding System) ICD 10 CM codes, DRG group appropriateness, audits for missed secondary diagnoses

The Coder I reviews, analyzes and codes diagnostic and procedural information using ICD 10 CM diagnosis and procedures and CPT coding for reimbursement. Assign and sequence ICD 10 CM/CPT codes by applying regulatory coding guidelines. Apply advanced knowledge of disease processes to assign codes for conditions and procedures not listed in the indexes of coding books. Foll