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

Coordination of patient requests for alteration to clinical documentation within the medical record in a timely manner. Work closely with Corporate Compliance and Integrity and physicians as the Patient Privacy Rights Coordinator in maintaining responsibility for the following patient requests Accounting of Disclosures Patient Amendments Restriction Requests Maintain up t

Health Information Specialist I Onsite Job Locations US WI Appleton Requisition ID 2024 36191 # of Openings 1 Category (Portal Searching) Customer Service 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 logistics co

Under the direction of the QA Manager, safely and cooperatively assist with a wide variety of QA responsibilities that may include; auditing and related responsibilities, document control, recordkeeping, product holds, product samples, internal plant programs, customer samples, laboratory responsibilities, QA related tasks when in and out of production and employee job tr

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 Manager, Coding and Charge Capture you will work independently under the direction of the Coding and Charge Capture Director, provide direction and guidance to the team to facil

for the role will include Maintain a working knowledge and understanding of DMEOPS CPT and ICD 10 codes Utilize the company billing and collections system to identify and resolve any claims that have been unpaid, short paid and/or denied Review EOB's and other correspondence from insurance companies for correct reimbursement according to rules and regulations and contract

Utilizes technical coding expertise to review the medical record thoroughly, utilizing all available documentation to abstract and code physician professional services and diagnosis codes (inpatient admissions, bedside procedures, and/or diagnostic services). Follows Official Guidelines and rules in order to assign appropriate CPT, ICD10 codes and modifiers with a minimum

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

Health Information Specialist I (Onsite Fort Atkinson, WI) Job Locations US WI Fort Atkinson | US WI Janesville | US WI Janesville | US WI Janesville | US WI Janesville Requisition ID 2024 36106 # of Openings 1 Category (Portal Searching) Operations Position Type (Portal Searching) Employee Full Time Overview Who we are... Datavant protects, connects, and delivers the wor

This position is primarily responsible for ensuring that prior authorizations are effectively and courteously processed for patients receiving services in the Gerald L. Ignace Indian Health Center working directly with front office staff and providers. ESSENTIAL BEHAVIORS Build Trust Operate with transparency, no hidden agenda; place confidence in colleagues, give proper

Health Information Specialist II (ON SITE) Job Locations US WI Appleton Requisition ID 2024 36175 # 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 logistics comp

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

Review pre bill cases simultaneously with a physician during each work shift excluding breaks and meetings to analyze and validate diagnosis and procedure codes for inpatient services via coding compliance and clinical knowledge to support accurate DRG assignment Utilizes Accuity technology for tracking of coding errors, query opportunities and other data collection as ne

Assess the clinical indicators and suggestions of various query requests received from the MD Reviewer/ DRG Integrity Specialist Collaborate and communicate as necessary to clarify and avoid misinterpretation to ensure the query is optimally written and distributed to the correct client provider Creates queries in a compliant manner in accordance with AHIMA and ACDIS comp

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