Utilizes technical coding expertise to reviews the medical record thoroughly, utilizing all available documentation abstract and code physician professional services and diagnosis codes (including anesthesia encounters, operative room and surgical procedural services, invasive procedures and/or drug infusion encounters). Additionally, may include coding for Evaluation and

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

Customer Experience Agent I Job Locations US IL Palatine ID 2024 3469 Category Customer Service/Support Position Type Regular Full Time Introduction Come move the world with us! Wake up each day to be part of a global movement . A movement to make an impact . A movement to go for it! A movement to provide best in class solutions . A movement to be empowered . A movement t

The System Assistant Director of Pharmacy Information Technology/Robotics provides system wide professional, technical, and administrative direction and support relating to the design, procurement, management, training, assessment and monitoring of technology, information systems, equipment, and databases in the Department of Pharmacy, under the direction of the Senior Di

The role of the admissions rep is to reach out to individuals via phone, take incoming calls and place outbound calls to prospective students in a call center team environment. Admissions representatives interview prospective students to determine their motivation for attending college, understand their career goals and the obstacles that might prevent them from starting

The Assistant Claim Specialist is an entry level position for claim processing. This person will use independent judgement and discretion to review, analyze, and make determinations regarding payment, partial payment, or denial of medical and dental claims, as well as various types of invoices, based upon specific knowledge and application of each client's customized plan

The HIM Coordinator, assembles, analyzes, and abstracts medical records. Data entry of deficiencies. Backup person for ICD 10 coding of inpatient records. Codees partial/IOP records. Coordinates and processes incoming and in house requests/correspondence as assigned. Retrieves.copies records as requested.Works closely with Utilization Review requests. Answers Department t

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

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 Located in Chicago, IL or Richardso

The Refund Analyst will use independent judgement and discretion to review, analyze, and make determinations regarding solicited and unsolicited refunds based upon specific claim guidelines and plan benefits. Prepare and track overpayments to providers for solicited refunds. Assist with specific tasks and projects as needed and assigned by the Management Team. ESSENTIAL F

The Medical Services Coordinator facilitates medical and other supports to people with Intellectual Developmental Disabilities focused on personal outcome and independence. Responsibilities Reports directly to the Assistant Director Schedule, facilitate and follow up on medical appointments and orders per DHS requirements Collaborate with RN trainer prior to medical appoi

Include Telephone and face to face crisis intervention Respond quickly and timely to any request for crisis team assistance Crisis assessment, counseling, and referral and linkage to treatment services Supportive follow up calls following a client's contact with crisis services Engage individuals following a discharge from an emergency department or psychiatric hospital Co

Health Information Specialist I Onsite Decatur, IL Job Locations US IL Decatur Requisition ID 2024 35777 # 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 logisti

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

Health Information Specialist I (Onsite Position) Job Locations US IL Effingham Requisition ID 2023 32557 # of Openings 35 Category (Portal Searching) Operations Position Type (Portal Searching) Employee Full Time Overview Who we are... Ciox Health merged with Datavant in 2021, creating the nation's largest health data ecosystems, powering secure data connectivity on beha