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Duties Serves as the Deputy Director for the Fraud Investigations Group (FIG) planning, directing, and overseeing the operations and work activities of the organization to be accomplished by subordinate employees and/or teams. Develops Medicare program integrity policy and operational options and presents recommendations to the Group Director and senior CPI and CMS manage
Posted Today
Who we are Samsara (NYSE IOT) is the pioneer of the Connected Operations Cloud, which is a platform that enables organizations that depend on physical operations to harness Internet of Things (IoT) data to develop actionable insights and improve their operations. At Samsara, we are helping improve the safety, efficiency and sustainability of the physical operations that p
Posted Today
Assist provider and other clinical staff with obtaining basic vital information preparing patient for examination, treatment and minor surgical procedures. Responsible for tracking system for follow up appointments related to office visits, laboratory tests and procedures to regularly follow patients monitoring disease status. Schedule referrals for patients with speciali
Posted 1 day ago
Accuity
- Mount Laurel Township, NJ / Huntsville, AL / Anchorage, AK / 46 more...
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
Posted 2 days ago
Imagine a workplace that encourages you to interpret, innovate and inspire. Our employees do just that by helping healthcare payers manage the cost of care, improve competitiveness and inspire positive change. You can be part of an established company that helps our customers thrive by interpreting our client's needs and tailoring innovative cost management solutions. We
Posted 3 days ago
Health Information Specialist I Onsite Job Locations US IL Peoria Requisition ID 2024 36152 # of Openings 1 Category (Portal Searching) Operations 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 company fo
Posted 4 days ago
Consistently practices Patients First philosophy and adheres to high standards of customer service. This includes setting an example to peers, coworkers, etc. by fostering a team atmosphere. Responds to questions and concerns. Forwards, directs, and notifies Team Lead or Operations Coordinator of extraordinary issues as necessary. Maintains patient confidentiality per HIP
Posted 2 days ago
Lead Health Information Specialist Job Locations US IL Champaign Requisition ID 2024 36178 # 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 compan
Posted 4 days ago
Consistently practices Patients First philosophy and adheres to high standards of customer service. This includes setting an example to peers, coworkers, etc. by fostering a team atmosphere. Responds to questions and concerns. Forwards, directs, and notifies Team Lead or Operations Coordinator of extraordinary issues as necessary. Maintains patient confidentiality per HIP
Posted 2 days ago
Clinical Discharge Summary Specialist Per Diem Position The Clinical Discharge Summary Specialist has duties and responsibilities that include, but are not limited to Abstract and summarize pertinent patient information from medical records to create physician discharge summaries. dictate patient information into facility telephone dictation system according to establishe
Posted 3 days ago
Responsible to ensure that open charts are reviewed appropriately to identify the utilization of services. The information collected by the Utilization Review Specialist will be used to contact insurance/review companies to obtain certification for the hospital stay. Qualifications JOB SPECIFICATIONS To perform this job successfully, an individual must be able to demonstr
Posted 3 days ago
The primary purpose of this position is to be respsonsible for ICD 10 and CPT coding of services provided by physicians and mid level providers for all outpatient services for SIU Family & Community Medicine/Quincy. This position reviews charges to ensure documentation is appropriate for the CPT level of service indicated. In addition, the employee is responsible to ensur
Posted 3 days ago
KLDiscovery, one of the largest national eDiscovery providers, is currently seeking attorneys who are actively licensed in any U.S. jurisdiction, including recently admitted attorneys, who desire an engaging work environment where they are valued and respected. We have an ongoing need for document reviewers. Responsibilities include reviewing documents for complex litigat
Posted 2 days ago
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
Posted 5 days ago
Provides education to medical providers as warranted. Description What You'll Do Communicates/educates providers on issues such as Medicare coverage, utilization statistics, documentation and medical review by use of written advisories, reports, letters, and telephone contacts. Documents all provider contacts/communications in provider tracking system. Conducts formal con
Posted 6 days ago
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