Performs review of the medical record including documentation, reports, flowsheets, and test results, applying evidence based criteria related to DRG and clinical validation denials Creates appeal letters utilizing the relevant information from the medical record; supported by current clinical standards and facility guidelines, evidence based medicine, professionally reco

Position Description Every day, in ways both big and small, the Medical College of Wisconsin (MCW) is impacting lives for the better. MCW ... changemaking for a healthier Wisconsin. In the role of Coding Specialist II you will be the Clinical Practice Services department. You will perform coding and related duties using established billing office policies in an accurate a

Area Lead Health Information Specialist (REMOTE & TRAVEL) Job Locations US WI Appleton Requisition ID 2024 35788 # of Openings 1 Category (Portal Searching) Operations Position Type (Portal Searching) Employee Full Time Overview Who we are... Datavant protects, connects, and delivers the world's health data to power better decisions and advance human health. We are a data

Reviews coded health information records to evaluate the quality of staff coding and abstracting, verifying accuracy and appropriateness of assigned diagnostic and procedure codes, as well as other abstracted data, such as discharge disposition. Ensure accurate coding for outpatient, day surgery and inpatient records. Verifies all codes and sequencing for claims according

Love + medicine is who we are, it's what we do, it's why people want to work here. If you're looking for a job to love, apply today. Schedule Weekly Hours 32 Be one of the first people to make a great impression on patients and families when they arrive at Gundersen! We are looking for caring people with a contagious smile to offer patient and families the love and suppor

Assists with all coding functions ensuring consistency, uniformity and understanding of coding processes and guidelines. Assists supervisor in training, scheduling, evaluating and supervising staff. Reports on department quality and prepares recommendations for improvements by coordinating training. Ensures appropriate administration of the revenue cycle compliance plan.

Receive assigned provider inquiries and perform a code review on both professional and facility claims Make determinations on cases after a coding review is complete Review various edits on cases and complete audit of medical records received to ensure proper editing is applied Review medical charts electronically Abstract and code diagnosis and procedures from the medica

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

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

Position Description Every day, in ways both big and small, the Medical College of Wisconsin (MCW) is impacting lives for the better. MCW ... change making for a healthier Wisconsin. As a Quality Coding Analyst I, you will serve as an expert resource for multi specialty documentation, coding and billing. Works as an extension to the Charge Capture Supervisory Team to moni

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

Position Description Every great life changing discovery begins the same way with new knowledge. It can change everything, from a single life to the future of entire communities. That's why academic medicine, and the continuous pursuit of knowledge, is at the center of everything we do at the Medical College of Wisconsin (MCW). As a Coding Specialist II, you will perform

Responsible for managing and coordinating all medical audit services in the Patient Financial Services (PFS) department. Identifies opportunities for process improvement in the charging and documentation of services and assists departments in implementing process improvements. Coordinates Denials Management program. Other duties as assigned. Complete timely and accurate a

Duties The full performance level of this vacancy is GS 08. The actual grade at which an applicant may be selected for this vacancy is in the range of GS 04 to GS 08. At all levels MRTs (Coder) may be assigned to a single facility or region, such as a consolidated coding unit. They select and assign codes from current versions of ICD CM, PCS, CPT, and HCPCS classification