Analyzes medical records and abstracts clinical data by assigning codes from patient records in accordance to coding classification systems. Reviews patient encounters for accurate code assignment of all relevant diagnosis and procedures. Enters appropriate codes into the hospital's mainframe computer for the transfer of data to billing files for reimbursement. Queries phy

Relying on clinical background, reviews health claims providing medical interpretation and decisions about the appropriateness of services provided by other healthcare professionals in compliance with Concentra Physician Review policies, procedures, and performance standards and URAAC guidelines and state regulations. Responsibilities MAJOR DUTIES AND RESPONSIBILITIES Rev

Professional Fee E/M Coder Location Remote (US Wide) Experience Required Minimum of 1 Coding Certification from AHIMA or AAPC; RHIA, RHIT, CPC, CCS, COC 3+ years Coder work experience 2+ years of Oncology coding experience. EPIC/3M 360 CAC Experience in Pro Fee coding with Telehealth services. This includes knowledge of CPT, ICD 10, LCD/NCD and CCI experience. Understandi

Analyzes medical records and abstracts clinical data by assigning codes from patient records in accordance to coding classification systems. Reviews patient encounters for accurate code assignment of all relevant diagnosis and procedures. Enters appropriate codes into the hospital's mainframe computer for the transfer of data to billing files for reimbursement. Serves as

The Inpatient DRG 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 Coding

In this role, you will perform complex analyses and develop solutions based onthorough and comprehensive research and technical expertise. You will interpret spend and clinical data to include, but not limited to, identifying cost and clinical opportunities, preparing statistical and ad hoc reporting, and drafting presentations. You will also provide reporting to verify a

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

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

Overview Carrollton Springs is a 72 bed behavioral hospital located Carrollton, TX. The hospital offers inpatient and outpatient mental health and addiction treatment to adults, adolescents and their families. At Carrollton Springs we are dedicated to Changing People's Lives Members of our team Enjoy Working with a highly engaged staff Healthy staffing levels Flexible sch

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

Clinical Data Manager Job Locations United States TX Irving (Dallas) Category Data Management Job Summary Our corporate activities are growing rapidly, and we are currently seeking a full time, office based Clinical Data Manager to join our Data Management team in Dallas, TX. This position will work on a team to accomplish tasks and projects that are instrumental to the c

At HCSC, we consider our employees the cornerstone of our business and the foundation to our success. We enable employees to craft their career with curated development plans that set their learning path to a rewarding and fulfilling career. Come join us and be part of a purpose driven company who is invested in your future! Job Summary This Position Is Responsible For Tr

We are hiring for a Clinical Account Executive. At DFW Home Health of Dallas, a part of LHC Group, we embrace a culture of caring, belonging, and trust and enjoy the meaningful connections that come from it for the whole patient, their families, each other, and the communities we serve it truly is all about helping people. You can find a home for your career here. In a Sa

Additional Location(s) N/A Diversity Innovation Caring Global Collaboration Winning Spirit High Performance At Boston Scientific, we'll give you the opportunity to harness all that's within you by working in teams of diverse and high performing employees, tackling some of the most important health industry challenges. With access to the latest tools, information and train

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