The essential duties and responsibilities (including, but not limited to) Prior to a patient receiving treatment; obtains insurance coverage information and demographics; educates patient on insurance coverage, benefits, co pays, deductibles, and out of pocket expenses. Assess patients ability to meet expenses and discusses payment arrangements. May educate patients on fi

Conducts reviews on records that have been identified as suspicious and/or potentially fraudulent, utilizing most current reference materials to include, but not limited to Current Procedural Terminology (CPT), Internal Classification of Disease (ICD 9/ICD 10) and Healthcare Common Procedure Coding System (HCPCs) guidelines Documents Decisions on reviews through notations

The DRG Validation Nurse Reviewer will be primarily responsible for conducting post service, pre payment and post pay comprehensive inpatient DRG reviews based on industry standard inpatient coding guidelines and rules, evidence based clinical criteria plan, and policy exclusions. Conduct reviews on inpatient DRG claims as they compare with medical records ICD 10 Official

The Certified Edit Dispute Resolution Analyst will be responsible for researching and auditing medical records for complex, diverse, multi specialty provider claims to identify and determine appropriately coded billed services when compared to the Zelis Claim Edits Product. The Certified Edit Dispute Resolution Analyst demonstrates an understanding of Zelis edits as an in

Alliant Health Group is a family of companies that provides professional services supporting the effective administration of healthcare programs and funding to support healthcare improvement initiatives. Alliant Health Solutions provides Federal and state government entities with the services, expertise and information systems necessary to increase the effectiveness, acce

Performs a wide variety of Medical Records Department functions which require an extensive knowledge in medical records processes. These include, but are not limited to the following confidentiality and release of health care information; assembly of discharged records forms, analysis of medical record documentation for completeness and authentication; filing and retrieva

Coordinates all front office work and patient flow activities. Answer telephone calls, re direct calls as appropriate, and assist callers with questions or concerns. Maintain accurate, real time, physician/clinic schedules ensuring that patients are scheduled properly. Enter patient insurance and demographic information, including any new/updated information into the pati

The Patient Access Specialist provides access to services provided at the hospital and/or clinic. This position is primarily responsible to facilitate the patient registration flow by gathering patient demographic and third party information with a high degree of accuracy. This position requires a high level of customer service skills to establish and enhance positive rel

Overview Mesa Springs is a 72 bed behavioral hospital located in Fort Worth, TX. The hospital offers inpatient and outpatient mental health and addiction treatment to adults, adolescents and their families. At Mesa Springs we are dedicated to Changing People's Lives. Mesa Springs is looking for a licensed Counselor to join our Utilization Review department at our Arlingto

The Quality Assurance Assistant is responsible for coordinating safety and quality functions and assisting the Administration Manager in making sure that the warehouse is in compliance with safety, and quality policies and principles. The position performs work involving the implementation of identified safety and training programs and a variety of associated operations.

The position is responsible for coordinating provider coding and compliance activities and outcomes within Concentra Health Services, including but not limited to revenue optimization, level of service coding and diagnosis coding. Responsibilities MAJOR DUTIES AND RESPONSIBILITIES PrimaryFunctions Provider/Coder support, education and training related to revenue optimizat

CHRISTUS Health System offers theposition as a remote opportunity. Candidate must reside in the states of Texas, Louisiana, Arkansas, New Mexico, or Georgia to further be considered for this position. Responsible for maintaining current and high quality ICD 10 CM/PCS coding for all Inpatient diagnoses and procedural occurrences, through the review of clinical documentatio

This position is responsible for constructing forecasts, recommendations and strategic/tactical plans based on business data and market knowledge. Creates specifications for reports and analysis based on business needs and required Or available data elements. May provide consultation to users and lead cross functional teams to address business issues. Produces datasets an

Interested in a career with both meaning and growth? Whether your abilities are in direct patient care or one of the many other areas of healthcare administration and support, everyone at Parkland works together to fulfill our mission the health and well being of individuals and communities entrusted to our care. By joining Parkland, you become part of a diverse healthcar

Assesses and interprets needs of the Ambulatory Coding Team by prioritizing work to meet deadlines. Identifies solutions to non standard edits, workflows, and issues. Solves complex questions and conducts analysis of trends to provide education for the coding staff and clients including physicians/providers. Provides detailed education to the Coding Team and acts as a res