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

Personal Growth. Expansion. Teamwork. Innovation. Be a part of a truly patient first environment and an organization that cares about their employees. Under the direction of the Manager of Credentialing, the Credentialing Specialist will administer the medical staff credentialing and reappointment process, facility credentialing and DME. The credentialing specialist will

Provide Front Desk Coverage as needed Collect copays Scheduling for both internal and external appointments for patients by phone Documenting and Communicating all details of each appointment with the patient Serve as a liaison between patients and medical staff Manage the scheduling queues Answer incoming scheduling calls May float to different locations to assist with s

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

Scheduling for both internal and external appointments for patients by phone Documenting and Communicating all details of each appointment with the patient Serve as a liaison between patients and medical staff Manage the scheduling queues Answer incoming scheduling calls May float to different locations to assist with staffing needs Other duties as requested and assigned

Be the primary partner between the Coding and PFS team to ensure coding denials are reduced and worked in a timely manner. This is a full time position working M F from 8 00 am 5 00 pm and is based out of our Revo Health Corporate Office in Bloomington. Revo Health is a professional services company that partners with multiple healthcare groups to deliver exceptional pati

Scheduling for both internal and external appointments for patients by phone Documenting and Communicating all details of each appointment with the patient Serve as a liaison between patients and medical staff Manage the scheduling queues Answer incoming scheduling calls May float to different locations to assist with staffing needs Other duties as requested and assigned

of Job This position is responsible for complete and accurate pre registration and registration of various patient types, including, inpatient admissions, outpatient, emergency services, and same day surgeries at multiple locations. Job Functions Efficiently registers patients, in person or via phone, capturing and verifying all required information in order to identify th

Responsible for the complete and accurate billing process and patient charges in accordance with Business Office procedures as it pertains to Patient Accounts. This position is located at MNGI's Cityview office. This is a full time position scheduled Monday Friday. Starting Pay $21.37/hour We offer complete and thorough paid job training for our Business Office Specialist

Scheduling for both internal and external appointments for patients by phone Documenting and Communicating all details of each appointment with the patient Serve as a liaison between patients and medical staff Manage the scheduling queues Answer incoming scheduling calls May float to different locations to assist with staffing needs Other duties as requested and assigned

Responsible for the complete and accurate billing process and patient charges in accordance with Business Office procedures as it pertains to Accounts Receivables. Upon successful completion and training at MNGI's NE Minneapolis Corporate office, there may be an opportunity to transition to remote work. This is a full time position, scheduled M F. Starting pay $21.37 per

Regions Hospital's Patient Accounting team has an opportunity for a Medical Billing Specialist! The Medical Billing Specialist is responsible for preparing, reviewing, correcting, and updating insurance claims for submission to payers, correcting and updating patient demographic information, and documenting account notes in the electronic medical record (Epic). The Medica

Identify appropriate assignment of CPT and ICD 10 Codes for outpatient Emergency Room Department services while adhering to the official coding guidelines and established client coding guidelines of the assigned facility Expert knowledge in ProFee coding specialties; Evaluation & Management, Emergency Room Apply coding knowledge to analyze/correct CCI Edits and Medical 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

Identify appropriate assignment of CPT and ICD 10 Codes for outpatient ancillary services while adhering to the official coding guidelines and established client coding guidelines of the assigned facility Apply coding knowledge to analyze/correct CCI Edits and Medical Necessity Edits Understand the Medicare Ambulatory Payment Classification (APC) codes Abstract additional