In collaboration with Customer Service, analyze and resolve professional coding complaints in a timely manner using correct coding and payer guidelines to ensure patient satisfaction. Identifies and analyzes coding denials for a specific population of charges and works in collaboration with the Production Coding team. Coordinates coding rejection data collection activitie

Reviews medical documentation at a proficient level from clinicians, qualified health professionals and hospitals in order to assign diagnosis and procedure codes utilizing ICD 10 CM/PCS, CPT, and HCPCS. Assigns and ensures correct code selection following Official Coding Guidelines and compliance with federal and insurance regulations an EMR and/or Computer Assisted Codi

Imagine a workplace that encourages you to interpret, innovate and inspire. Our employees do just that by helping healthcare payers manage the cost of care, improve competitiveness and inspire positive change. You can be part of an established company that helps our customers thrive by interpreting our client's needs and tailoring innovative cost management solutions. We

Customer Experience Agent I Job Locations US IL Palatine ID 2024 3701 Category Customer Service/Support Position Type Regular Full Time Introduction Come move the world with us! Wake up each day to be part of a global movement . A movement to make an impact . A movement to go for it! A movement to provide best in class solutions . A movement to be empowered . A movement t

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

The MedInsight team develops an industry leading data warehouse and analytics suite for major healthcare companies including insurers, providers, and public entities. We are a tech healthcare data company transforming how the industry understands and consumes healthcare data. We are accelerating and looking for a Sr. Healthcare Analyst to join our team. This position focu

Develops curriculum and materials for documentation training programs. Assesses coder comprehension. Conducts quality assurance reviews. Reviews, researches, and responds to coding questions. Resolves coding questions from patient inquiries or denied services from insurance companies. Performs focused quality assurance reviews on coded services. Communicates updates on co

Onsite Health Information Specialist I Job Locations US IL Evanston Requisition ID 2024 36047 # 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 company

Assigns appropriately sequenced and compliant ICD 10 CM/PCS codes as documented in the electronic medical record (EMR). Applies definition of principal diagnosis for proper assignment of MS DRGs, APR DRGs, and POA indicators using a designated encoder/grouper, while ensuring compliance with nationally established coding guidelines. Utilizes selected encoder and/or compute

Ann & Robert H. Lurie Children's Hospital of Chicago provides superior pediatric care in a setting that offers the latest benefits and innovations in medical technology, research and family friendly design. As the largest pediatric provider in the region with a 140 year legacy of excellence, kids and their families are at the center of all we do. Ann & Robert H. Lurie Chi

Utilizes technical coding expertise to reviews the medical record thoroughly, utilizing all available documentation abstract and code physician professional services and diagnosis codes (including anesthesia encounters, operative room and surgical procedural services, invasive procedures and/or drug infusion encounters). Additionally, may include coding for Evaluation and

Utilizes technical coding expertise to reviews the medical record thoroughly, utilizing all available documentation abstract and code physician professional services and diagnosis codes (including anesthesia encounters, operative room and surgical procedural services, invasive procedures and/or drug infusion encounters). Additionally, may include coding for Evaluation and

Utilizes technical coding expertise to reviews the medical record thoroughly, utilizing all available documentation abstract and code physician professional services and diagnosis codes (including anesthesia encounters, operative room and surgical procedural services, invasive procedures and/or drug infusion encounters). Additionally, may include coding for Evaluation and

The MedInsight team develops an industry leading data warehouse and analytics suite for major healthcare companies including insurers, providers, and public entities. We are a tech healthcare data company transforming how the industry understands and consumes healthcare data. We are accelerating and looking for a Sr. Healthcare Data Analyst to join our team. This position

Job Title Medical Reviewer Duration 06 months Location Remote 1. Experienced as a Medical Reviewer 2. Experienced in Immunology and preferably in Rheumatology Provide Medical Review consultant to support the US Immunology Medical Affair teams. Services provided will be, but are not limited to Provides medical oversight for scientific review and approval of promotional and