Provides education to medical providers as warranted. Description What You'll Do Communicates/educates providers on issues such as Medicare coverage, utilization statistics, documentation and medical review by use of written advisories, reports, letters, and telephone contacts. Documents all provider contacts/communications in provider tracking system. Conducts formal con

Ensures all scheduled visits are pre registered and accounts are appropriately certified / authorized in advance of the service date. Initiates, obtains, and documents referrals/authorizations/pre certifications in appropriate systems. Answers incoming external/internal telephone calls, determines purpose of calls and schedules appropriately or routes to physician practic

Medical Review Specialist Requisition ID 2024 10502 # of Openings 1 Category Operations Location US IL Rockford Overview Looking for an opportunity to utilize your exceptional coding skills in the fast paced and dynamic healthcare services industry? Look no further because ExamWorks is looking for you to fill their Medical Review Specialist role. To be considered, you mus

Under the direction of the HIM Coding Manager, this position is responsible for organizing, planning and scheduling the daily workflow for inpatient coding. Primary supervisory responsibilities include interviewing, hiring, discipline, daily supervision for employees in the inpatient coding section. Training responsibilities include developing and presenting training prog

Greets visitors and patients in person. Communicates by telephone, upholding excellent customer service. Handles confidential information appropriately by protecting and disclosing information to only those authorized. Prioritizes by assessing and analyzing information to identify immediate emergency needs. Demonstrates technical knowledge and competence in the department

Greets visitors and patients in person, or communicates by telephone or video conferencing, upholding excellent customer service. Enters and updates patient demographic and financial information, ensuring the patient is fully registered as early in the process as possible. Obtains appropriate applications and forms, confirming signatures are on file. Photocopies/scans doc

Coordinates tests and treatments with and between various departments for patients on nursing units. Maintains working knowledge of functions and services offered by all diagnostic and treatment departments to facilitate the scheduling of tests and treatments. Facilitates communications required to support patient care including multiple line telephone, unit/site paging a

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

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

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

Ensures all scheduled visits are pre registered and accounts are appropriately certified / authorized in advance of the service date. Initiates, obtains, and documents referrals/authorizations/pre certifications in appropriate systems. Answers incoming external/internal telephone calls, determines purpose of calls and schedules appropriately or routes to physician practic

Audits documentation for appropriate coding and reimbursement and provides education to all partners, including provider/s, clinical, billing and coding staff. Provides comprehensive research to new program initiatives to ensure compliancy and assist in the coding/billing workflow. Conducts provider coding orientation and education sessions and documents all information p

Join our team who is committed to the delivery of the highest quality health care service. We are seeking a full time Certified Professional Coder that is self motivated, energetic, and a take charge individual. This highly visible position reports directly to the Coding Manager. Qualified candidates will have the option to work remotely after training. Responsibilities i

Supervises the Professional Coding Team. Ensures accurate and timely coding of records to ensure compliant charging and accurate reimbursement. Thorough knowledge of medical coding and reimbursement topics and experience with electronic medical records required. Responsible for understanding and adhering to the Children's Organizational Code of Ethics and for ensuring tha

At Children's Wisconsin, we believe kids deserve the best. Children's Wisconsin is a nationally recognized health system dedicated solely to the health and well being of children. We provide primary care, specialty care, urgent care, emergency care, community health services, foster and adoption services, child and family counseling, child advocacy services and family res