The Medical Records Technician audits, maintains, files and stores Health Information ensuring documentation meets company, local, state and federal standards. Provides release of information to requestors. Essential Job Duties Proficiently completes record audits. Checks records according to established criteria to ensure completeness, accuracy, and internal consistency

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

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

Performs review of the medical record including documentation, reports, flowsheets, and test results, applying evidence based criteria related to DRG and clinical validation denials Creates appeal letters utilizing the relevant information from the medical record; supported by current clinical standards and facility guidelines, evidence based medicine, professionally reco

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

You are an expert facilitator you open doors, foster communication, and bridge the gap. In this role, you will be responsible for the successful growth of patient access initiatives of our client within the assigned geographic territory. The primary focus of the Patient Access Specialist is to leverage strategic insights within targeted interconnected inpatient/outpatient

The Medical Compliance Specialist assist with ensuring that the clinical needs of individuals served are being met and maintained as per all state and federal regulations and in accordance with agency policy. This person will support new and existing Managers/Directors by completing regular audits of medical and other records to ensure compliance and assisting with the ne

Review pre bill cases simultaneously with a physician during each work shift excluding breaks and meetings to analyze and validate diagnosis and procedure codes for inpatient services via coding compliance and clinical knowledge to support accurate DRG assignment Utilizes Accuity technology for tracking of coding errors, query opportunities and other data collection as ne

Assess the clinical indicators and suggestions of various query requests received from the MD Reviewer/ DRG Integrity Specialist Collaborate and communicate as necessary to clarify and avoid misinterpretation to ensure the query is optimally written and distributed to the correct client provider Creates queries in a compliant manner in accordance with AHIMA and ACDIS comp

The Utilization Review Specialist is responsible for the pre certification, concurrent, and discharge review process for clients at all levels of care, resulting in the approval of their admission and continued treatment. Job Duties and Responsibilities Consult with Admissions Department regarding specific LOC issues, insurance requests, and/or criteria questions. Complet

Responsible for ensuring total customer satisfaction within the Werfen installed base. Preform installations, validations/verification and training on Werfen analyzers. Provide on going clinical support, customer education and consult with customers regarding matters of regulatory requirements and compliance. Responsibilities Key Accountabilities Essential Functions Perfo

1. Screens and refers incoming phone calls and directs patients and families to ensure that accurate and timely department communication is facilitated and that the Department is represented in a positive manner. 1.1 Provides all support and clerical assistance to patients, families, staff (both departmental and hospital), and community contacts with the greatest consider

1. Independently and proactively seeks opportunities for learning (i.e. webinars, IFE classes, conferences etc.), provides feedback and applies to department needs. Responsible for education of new material to the staff. 2. Independently and proactively detects areas of opportunity within the department and pursues solutions via consultation with colleagues, investigation

1. Manages in collaboration with the OP Coding Leadership team the day to day activities related to Outpatient Coding AR to ensure accuracy, completeness, and timeliness of coding completion. This includes, but is not limited to ongoing communication and collaboration with internal and partner departments to resolve outstanding issues and streamline workflows, monitoring

1. New Medical Staff Applications 1.1 Receives and reviews all new applications and communicates with applicant regarding outstanding required documentation within five (5) working days of receipt. 2. Medical Staff Re Appointments 2.1 Responsible for ensuring that re appointment applications are appropriately prepared and distributed to eligible Medical Staff six (6) mont