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Zelis Healthcare, LLC
- Morristown, NJ / Plano, TX / Boston, MA / 3 more...
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
Posted 7 days ago
Health Care Service Corporation
- Lombard, IL / Helena, MT / Albuquerque, NM / 6 more...
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 Under supervision, this position is
Posted Today
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
Posted 6 days ago
The HIM Coder Analyst II requires advanced knowledge of and skill in applying International Classification of Diseases and Procedures (ICD), and Current Procedural Terminology (CPT) code sets and associated Medicare/Medicaid rules and guidelines. The HIM Coder Analyst II reviews and interprets patient medical record documentation to identify pertinent diagnoses and proced
Posted 3 days ago
(including but not limited to) Answers all incoming calls; assesses callers' needs and directs to appropriate personnel and p ages clinic personnel as appropriate . Obtains and communicates messages in an accurate and timely manner. Schedules new patients, patient referrals and returning patients in computer system in accordance with physician and/or office guidelines. Fo
Posted 1 day ago
The future is our choice At Atos, as the global leader in secure and decarbonized digital, our purpose is to help design the future of the information space. Together we bring the diversity of our people's skills and backgrounds to make the right choices with our clients, for our company and for our own futures. Certified Tumor Registrar (CTR) (Remote) Essential Functions
Posted 24 days ago
The future is our choice At Atos, as the global leader in secure and decarbonized digital, our purpose is to help design the future of the information space. Together we bring the diversity of our people's skills and backgrounds to make the right choices with our clients, for our company and for our own futures. Certified Tumor Registrar (CTR) Location Remote (US Wide) Es
Posted 27 days ago
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
Posted 1 month ago
The future is our choice At Atos, as the global leader in secure and decarbonized digital, our purpose is to help design the future of the information space. Together we bring the diversity of our people's skills and backgrounds to make the right choices with our clients, for our company and for our own futures. Certified Tumor Registrar (CTR) Location Remote (US Wide) Es
Posted 27 days ago
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
Posted 7 days ago
Zelis Healthcare, LLC
- Morristown, NJ / Plano, TX / Boston, MA / 3 more...
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
Posted 19 days ago
The essential duties and responsibilities (including but not limited to) Answers all incoming calls; assesses callers' needs and directs to appropriate personnel and pages clinic personnel as appropriate. Obtains and communicates messages in an accurate and timely manner. Schedules new patients, patient referrals and returning patients in computer system in accordance wit
Posted 1 day ago
Zelis Healthcare, LLC
- Morristown, NJ / Plano, TX / Boston, MA / 2 more...
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
Posted 19 days ago
The essential duties and responsibilities (including but not limited to) Reviews, verifies and records accurate ICD and CPT codes in accordance with coding and reimbursement guidelines. Works with Manager of Quality Assurance (QA Manager) and charge entry staff to ensure correct charge and/or quantity amounts. Run Admix Report every daily (am) and send to sites. Run Missi
Posted 1 day ago
Registration is a twenty four (24) hour seven (7) day a week operation functioning as the nucleus of accurate patient information, with direct public interface and timely service, therefore, the Patient Access Specialist must be detail oriented, personable, calm, flexible, honest, and capable of handling difficult situations with tact and diplomacy. The Patient Access Spe
Posted 4 days ago
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