Perform comprehensive medical record and claims review to make payment determinations based on Insurance coverage, coding, and utilization of services and practice guidelines for Medicare Part A SNF, DRG, and Outpatient Facilities and Services. Performs first and second level of Medical Review in determination of claims payment review Conducts in depth claims analysis uti

The role of the admissions rep is to reach out to individuals via phone, take incoming calls and place outbound calls to prospective students in a call center team environment. Admissions representatives interview prospective students to determine their motivation for attending college, understand their career goals and the obstacles that might prevent them from starting

Be a part of the nationwide law enforcement initiative that removes the tools of crime from criminal organizations, depriving wrongdoers of proceeds from their crime and impacting the infrastructure of criminal enterprises. Compass Strategy Solutions (CSS) specializes in cultivating tactical and strategic intelligence personnel, financial analysts, and forensic accountant

The Document Retrieval Specialist is responsible for contacting healthcare providers to request and obtain billing documents and processes document request cancellations. Key Responsibilities Assisting the nursing staff in the medical claim audit process by contacting healthcare providers to request and obtain billing documents via fax, mail & e mail for claims processing

Duties Basic Functions Assigns codes to documented patient care encounters (outpatient and/or inpatient professional services) covering the full range of health care services provided by the CVHCS. Patient encounters are often complicated and complex requiring extensive coding expertise. Applies advanced knowledge of medical terminology, anatomy & physiology, disease proc

Analyzes medical records and abstracts clinical data by assigning codes from patient records in accordance to coding classification systems. Reviews patient encounters for accurate code assignment of all relevant diagnosis and procedures. Enters appropriate codes into the hospital's mainframe computer for the transfer of data to billing files for reimbursement. Queries phy

MGT is a leading social impact and performance solutions firm that serves state, local, education, technology, and commercial clients across the U.S. and abroad. By elevating education systems, managing and securing critical networks, solving complex human capital and fiscal problems, and advancing equity as a performance imperative, we can impact communities, for good, t

Medical Office Support Job ID 2024 27059 # Positions 1 Job Location US FL Fort Myers Telecommute Location Specific Position FT/PT Full Time Category Medical Office Professionals Why Us? With a mantra of Empowering Human Potential, Hanger, Inc. is the world's premier provider of orthotic and prosthetic (O&P) services and products, offering the most advanced O&P solutions,

Under the supervision of a registered nurse, performs telemetry monitoring and communicates patient care information to nursing staff as indicated. Facilitates communication between members of the healthcare team. Assists nursing staff with tasks based on individual needs within the scope of practice under direct supervision of the registered nurse. Qualifications Minimum

To View A Day In Life Of a Hospital Service Tech Click Here Hospital Services Technicians travel between customer healthcare facilities providing on site proactive collection and exchange of waste containers for various Stericycle programs, including but not limited to Sharps Management Service, Pharmaceutical Waste, Controlled Substances, and Document Management. This se

Collector, MSO CBO USC Care MSO CBO Full Time 8 Hour Days (Non Exempt) (Non Union) Apply Keck Medicine of USC Hospital Alhambra, California The Collector Appeal Specialist is responsible for accurately processing inpatient and out patient claims to third party payers and private pays, following all mandated billing guidelines. Responsible for ensuring timely filing and gu

Provide analytical and operational expertise to the Electronic Medical Record (EMR), and other related system initiatives under the direction and guidance of the Director of Information Technology, to assist in the development, customization and support of the computerized patient record system and adapts the selected software to the physician/patient encounter of the ass

Identify appropriate assignment of CPT and ICD 10 Codes for outpatient surgery, observation, CVIR, emergency, and ancillary services while adhering to the official coding guidelines and established client coding guidelines of the assigned facility Apply coding knowledge to analyze/correct CCI Edits and Medical Necessity accounts Understand the Medicare Ambulatory Payment

The Inpatient/Outpatient Coder is responsible for conducting coding audits and education for providers with greatest opportunity for improvement. This individual will ensure medical diagnosis and procedure codes submitted on provider claims are accurate. In addition, this person will review medical records for physician documentation, clinical evidence that supports the d

The nation's largest municipal health care delivery system in the United States dedicated to providing the highest quality health care services to all New Yorkers with compassion, dignity and respect, and regardless of immigration status or ability to pay. Summary of Need Collecting, receiving, labeling, and/or analyzing samples or substances using the correct testing equ