Regularly performs limited volume of Inpatient coding reviews on medical records to maintain subject matter expertise, and additionally as needed to support business needs. Performs audit quality assurance reviews to supplement QA team activity as necessary based upon business need or special projects. Contributes to the resolution of quality review rebuttals. Performs ap

Under the general direction of the Supervisor, incumbent performs abstracting of medical services provided by UCDHS and affiliates. Incumbent identifies all billable services, CPT 4, ICD 10, and HCPCS codes for billing purposes to government agencies, insurance companies and patients. Incumbent is responsible for the accuracy of above procedure and diagnosis coding relati

Auditing claims for medically appropriate services provided in both inpatient and outpatient settings while applying appropriate medical review guidelines, policies and rules. Document all findings referencing the appropriate policies and rules. Generate letters articulating audit findings. Supporting your findings during the appeals process if requested. Working collabor

Duration 3+ months & Extendable Job Description Performs quality functions in support of the ambulatory division. Accurately updates patient information in the electronic medical record related to physician assignment, deceased records, multiple missed appointments, and health plan disenrollment related to the daily operations of the practices. Reconciles and captures cli

Responsible for the review and update of existing concepts based upon required periodic review cycle or as needed based upon client or regulatory changes (research, analysis, update rule documents, code lists and edits accordingly). Collaborates with and leverages Segment Specialist expertise to ensure on point results. Ensure training material updates (may develop or coo

ly and accurately conduct coding reviews on medical records for assigned client audit contract in accordance with the statement of work while meeting compliance, productivity, and quality expectations. Conduct review of flagged claims and Fraud Waste & Abuse (FWA) referrals involving suspected upcoding, unbundling, anomalous coding, intentional miscoding, etc. Timely revie

Referral Coordinator The Referral Coordinator is responsible for all administrative processing in regard to patient's personal and insurance information for a group of dialysis clinics. This individual cooperates and works closely with both internal and remote co workers, possesses strong time management skills and the ability to complete assigned job duties with applicab

Determines and facilitates appropriate action for claim resolution and correct financial responsibility via DOFRs, IPA and health plan/IPA contacts. Effectively uses detailed documentation in EMR and/or billing system(s) of all activities undertaken. Maintains timely follow up on outstanding insurance claims in appropriate EPIC WQs, ensuring claims are billed/rebilled wit

The Cancer Registry Data Associate (CRDA) is an entry level position. The CRDA performs casefinding, data collection and follow back activities. The CRDA reviews pathology reports in both electronic and paper formats and performs follow back on potential reportable cases. The incumbent organizes and maintains electronic and paper case files and coordinates the reports sen

HOW YOU CAN CONTRIBUTE Reporting to the Senior Research Scientist II, the Senior Methodologist I will use their methodological skills to support the design and implementation of Services research and/or evaluation projects. The Senior Methodologist I will act as the lead for evaluation technical assistance for the RYSE Innovation Hub. The RYSE Hub will provide technical a

Job Posting Supervising Case Records Technician California Medical Facility JC 427906 Supervising Case Records Technician SUPERVISING CASE RECORDS TECHNICIAN $4,126.00 $5,166.00 per Month Final Filing Date 5/2/2024 Job Description and Duties Under the direct supervision of the Correctional Case Records Supervisor, the Supervising Case Records Technician (SCRT) is the work

Job Posting Case Records Technician California Medical Facility JC 427862 Case Records Technician CASE RECORDS TECHNICIAN $3,216.00 $4,661.00 per Month Final Filing Date 5/2/2024 Job Description and Duties Under the direct supervision of the Supervising Case Records Technician (SCRT), the Case Records Technician (CRT) performs basic to complex duties related to processing

Receptionist/Assistant Medical Records Technician (MRT) Mental Health 181 "They made it easier for me to live, breathe, eat, and stay clean. Without them, I'd be waiting somewhere, waiting for someone to give me a chance to live..." Client from Telecare What you will do to change lives The Receptionist acts as the central hub of communication for the Program. He/she opera

Identify appropriate assignment of ICD 10 CM and ICD 10 PCS Codes for inpatient services provided in a hospital setting and understand their impact on the DRG with reference to CC / MCC, while adhering to the official coding guidelines and established client coding guidelines of the assigned facility Abstract additional data elements during the Chart Review process when c

Come join our team and love what you do! We are currently hiring a full time Health Information Management (HIM) Specialist ! The HIM Specialist participates as an integral member of the HIM team by ensuring the quality maintenance of patient information (medical records), within all laws, rules, and regulations of federal and state licensing agencies, and The Joint Commi