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 B Physician Office and Professional Services, Ambulance Services, Laboratory, and others Performs first and second level of Medical Review in determination of claims payment review Condu

InGenesis is currently seeking a Health Information Technician to work with our client. In this role, you will compile health information for patients located at our client's correctional facility. If you meet the qualifications outlined below, apply today and we'll reach out to answer any questions you may have! Job Duties Review, catalog, and check medical reports for c

Coordinates office procedures with medical staff, and billing office to ensure smooth flow of information within departments. Participates in the completion of month end close checklist for all assigned items to ensure meeting or exceeding corporate timelines. Implements and complies with Company Reimbursement Policies and Procedures to maximize efficiency. Reviews all at

The Director, Coding Audits and Appeals is responsible for providing strategic and daily operational management of a team of Coding Denials Auditors. This individual will establish and maintain standards of professional competence, monitoring, and ensuring productivity and quality benchmarks are within acceptable guidelines. The Director, Coding Audits and Appeals combine

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

Relying on clinical background, reviews health claims providing medical interpretation and decisions about the appropriateness of services provided by other healthcare professionals in compliance with Concentra Physician Review policies, procedures, and performance standards and URAAC guidelines and state regulations. Responsibilities MAJOR DUTIES AND RESPONSIBILITIES Rev

Contacts payers for medical claims status, followup denials, or partial payments Obtains payer requirements for timely adjudication of claims Verifies, adjusts, and updates Accounts Receivable (A/R) according to correspondence received from insurance company Helps facilitate interoffice communication on error and denial trends Researches credit balances and initiates refu

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

Functional Analyst Location US Job ID 2023 10355 Overview Planned Systems International, Inc. (PSI) is seeking a Functional Analyst to support our VA Enterprise Human Capital Management Modernization (VA HCM) contract. VA is modernizing its Human Capital Management (HCM) capabilities to empower and enable a diverse, fully staffed, and highly skilled workforce that consist

Consistently practices Patients First philosophy and adheres to high standards of customer service. This includes setting an example to peers, coworkers, etc. by fostering a team atmosphere. Responds to questions and concerns. Forwards, directs, and notifies Team Lead or Operations Coordinator of extraordinary issues as necessary. Maintains patient confidentiality per HIP

The primary purpose of this higher level position is to manage, direct, and monitor all coding activity for the clinical departments at SIU Medicine Express Care and SIU Federally Qualified Healthcare Center Decatur SIU Center for Family Medicine, including but not limited to direct management oversight of coding staff, assist with training and teaching continuous educati

To set up invoices for paper and electronic submission to responsible party Resolve billed client invoices by contacting both internal and external clients. Calculate payable portion per applicable contract and utilize available tools to secure proper payment from payer. This includes contacting payer as needed and reviewing contract and billing terms. Coordinate daily wo

Sorting, scanning, and uploading of medical records to EH R system. Navigate internal systems in the course of work completion. Master standardized documentation and template rules and protocols for electronic health records to include document naming, filing, and uploading records. Link and closely associated orders and encounters in the course of uploading records when

Life changing therapies. Global impact. Bridge to thousands of biopharma companies and their patients. We are PCI. Our investment is in People who make an impact, drive progress and create a better tomorrow. Our strategy includes building teams across our global network to pioneer and shape the future of PCI. Perform required regulatory functions of document control such

of Job This position is responsible for complete and accurate pre registration and registration of various patient types, including, inpatient admissions, outpatient, emergency services, and same day surgeries at multiple locations. Job Functions Efficiently registers patients, in person or via phone, capturing and verifying all required information in order to identify th