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

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

Assists with the development of education and training of physicians, coders, and CDI specialists for Accuity Healthcare and provides coding component to all education programing, which may include preparation of related educational materials and giving frequent presentations on site and virtual Assists with the orientation programs and online learning module assignments

Telecommute within Boston, MA/Fortune 5 Company/Excellent Compensation Package!

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

Hospital Services Technicians travel between customer healthcare facilities providing on site proactive collection and exchange of waste containers for various Stericycle programs, including but not limited to Sharps Management Service, Pharmaceutical Waste, Controlled Substances, and Document Management. This service is provided at regularly scheduled intervals for assig

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 Medical Staff Coordinator (MSC) works independently to coordinate a variety of medical staff office functions and coordinates with and confers with other personnel involved in the credentialing process and medical staff daily operations. The MSC supports medical staff officers and department leadership through management of medical staff and department meeting logisti

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

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

If you have any questions about the position or our application process, reach out to us at . Disability Services Job Description Job Summary Responsibilities include implementation, software configurations, workflow development, data reporting development, deployment and support of the software for our Team Members, assessment related tasks, file and records management,

Health Information Specialist II Job Locations US CT Danbury Requisition ID 2024 36025 # of Openings 3 Category (Portal Searching) Operations Position Type (Portal Searching) Employee Full Time Equal Pay Act Minimum Range $18.00 $23.00 per hour Overview Who we are... Datavant protects, connects, and delivers the world's health data to power better decisions and advance hu

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

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

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