Greets visitors and patients in person, or communicates by telephone or video conferencing, upholding excellent customer service. Enters and updates patient demographic and financial information, ensuring the patient is fully registered as early in the process as possible. Obtains appropriate applications and forms, confirming signatures are on file. Photocopies/scans doc

Putting People First in Pharmacy Navitus was founded as an alternative to traditional pharmacy benefit manager (PBM) models. We are committed to removing cost from the drug supply chain to make medications more affordable for the people who need them. At Navitus, our team members work in an environment that celebrates diversity, fosters creativity and encourages growth. W

Process Improvement Leverage knowledge of clinical operations to map current and future state workflows. Analyze gaps between current and ideal state to identify potential solutions that address underlying problems. Research solutions to improve processes, standards and/or technology based on approved guiding principles. Optimize department and integrated workflows. Evalu

Audits documentation for appropriate coding and reimbursement and provides education to all partners, including provider/s, clinical, billing and coding staff. Provides comprehensive research to new program initiatives to ensure compliancy and assist in the coding/billing workflow. Conducts provider coding orientation and education sessions and documents all information p

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As a valued member of the DRG Review Team, the DRG Integrity Specialist performs a secondary level review of medical records and code assignment using knowledge of Accuity technology and client systems with a physician in accordance with federal coding regulations and guidelines as well as client specific coding guidelines to ensure accurate DRG assignment. This function

Include Ensure patient demographic information is accurate and complete Utilize customer hospital systems or approved vendors to research and obtain/verify patient demographic information Validate signature documents such as AOB (Assignment of Benefits), consents, CMN (Certificate of Medical Necessity) Verify patient name is consistent on all documents Verify date of servi

Greets visitors and patients in person. Communicates by telephone, upholding excellent customer service. Handles confidential information appropriately by protecting and disclosing information to only those authorized. Prioritizes by assessing and analyzing information to identify immediate emergency needs. Demonstrates technical knowledge and competence in the department

Utilizes technical coding expertise to assign appropriate ICD 10 CM and ICD 10 PCS codes to complex inpatient visit types. Complexity is measured by a Case Mix Index (CMI) and Coder II's typically see average CMI's of 2.2609. This index score demonstrates higher patient complexity and acuity. Utilizes expertise in clinical disease process and documentation, to assign Pres

Utilizes technical coding expertise to assign appropriate ICD 10 CM and ICD 10 PCS codes to acute rehab cases and inpatient OB and Newborn discharges. Complexity is measured by a Case Mix Index (CMI) and IP Coder Associate's typically see average CMI's of 0.5759 with the OB and Newborn population. This index score demonstrates lower patient complexity and acuity. Utilizes

Principal Healthcare Data Analyst Systemwide Quality Improvement Category Data Solutions Job Location Remote Tracking Code 134678 Industry Health Care Job Level Mid Career Position Type Full Time/Regular Years of Experience 10+ to 15 Years Who is Comagine Health? Comagine Health is a national, nonprofit, health care consulting firm. We work collaboratively with patients,

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

Health Information Specialist I Onsite Job Locations US WI Milwaukee Requisition ID 2024 36055 # of Openings 1 Category (Portal Searching) Medical Records 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 co

Submit insurance claims, work denials, post insurance payments, file appeals when appropriate and keep up to date on knowledge of current insurance reimbursement rates and issues. Work in Sandata Software, clearinghouses, and payor portals. V. Position Expected Hours of Work Typical hours are full time 40 hours, Monday through Friday, 8 00AM through 4 30PM. VI. Essential

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