The DRG Validation Nurse Reviewer will be primarily responsible for conducting post service, pre payment and post pay comprehensive inpatient DRG reviews based on industry standard inpatient coding guidelines and rules, evidence based clinical criteria plan, and policy exclusions. Conduct reviews on inpatient DRG claims as they compare with medical records ICD 10 Official

The Certified Edit Dispute Resolution Analyst will be responsible for researching and auditing medical records for complex, diverse, multi specialty provider claims to identify and determine appropriately coded billed services when compared to the Zelis Claim Edits Product. The Certified Edit Dispute Resolution Analyst demonstrates an understanding of Zelis edits as an in

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

You creatively strategize, motivate clinicians, and elicit achievement. In this role, you will lead and manage Clinical Education Managers within a specific geographical area providing daily coaching, training, and mentoring while setting performance expectations for day to day activity. You will Conduct call monitoring, distance coaching, and field visits contributing to

Greets patients and visitors in person/phone in a prompt, courteous, respectful and helpful manner. Implements the Medical Center's scheduling, pre registration, pre certification, referral procurement and insurance verification policies and procedures for the assigned outpatient point of service. Adheres to patient identification policy and ensures an accurate patient se

Greets patients and visitors in person/phone in a prompt, courteous, respectful and helpful manner. Implements the Medical Center's scheduling, pre registration, pre certification, referral procurement and insurance verification policies and procedures for the assigned outpatient point of service. Adheres to patient identification policy and ensures an accurate patient se

Greets patients and visitors in person/phone in a prompt, courteous, respectful and helpful manner. Implements the Medical Center's scheduling, pre registration, pre certification, referral procurement and insurance verification policies and procedures for the assigned outpatient point of service. Adheres to patient identification policy and ensures an accurate patient se

Greets patients and visitors in person/phone in a prompt, courteous, respectful and helpful manner. Implements the Medical Center's scheduling, pre registration, pre certification, referral procurement and insurance verification policies and procedures for the assigned outpatient point of service. Adheres to patient identification policy and ensures an accurate patient se

Medical Record Specialist II Onsite Job Locations US NJ Woodbury Heights | US NJ Willingboro | US NJ Camden | US NJ Bellmawr | US NJ Haddonfield | US NJ Glassboro | US NJ Pitman | US NJ Audubon Requisition ID 2024 36024 # of Openings 1 Category (Portal Searching) Operations Position Type (Portal Searching) Employee Full Time Overview Who we are... Datavant protects, conne

Patient Accounts Associate ID 2024 14796 Position Type Regular Full Time Location CentraState Healthcare System Shift Day Work Schedule 8A 4P Overview Under the direction of the Manager, Customer Service and Supervisor, Customer Service, serves as a customer service representative within the Patient Accounts Department. Handles incoming telephone calls from patients conce

Greets patients and visitors in person/phone in a prompt, courteous, respectful and helpful manner. Implements the Medical Center's scheduling, pre registration, pre certification, referral procurement and insurance verification policies and procedures for the assigned outpatient point of service. Adheres to patient identification policy and ensures an accurate patient se

Greets patients and visitors in person/phone in a prompt, courteous, respectful and helpful manner. Implements the Medical Center's scheduling, pre registration, pre certification, referral procurement and insurance verification policies and procedures for the assigned outpatient point of service. Adheres to patient identification policy and ensures an accurate patient se

Greets patients and visitors in person/phone in a prompt, courteous, respectful and helpful manner. Implements the Medical Center's scheduling, pre registration, pre certification, referral procurement and insurance verification policies and procedures for the assigned outpatient point of service. Adheres to patient identification policy and ensures an accurate patient se

Greets patients and visitors in person/phone in a prompt, courteous, respectful and helpful manner. Implements the Medical Center's scheduling, pre registration, pre certification, referral procurement and insurance verification policies and procedures for the assigned outpatient point of service. Adheres to patient identification policy and ensures an accurate patient se

Greets patients and visitors in person/phone in a prompt, courteous, respectful and helpful manner Implements the Medical Center's scheduling, pre registration, pre certification, referral procurement and insurance verification policies and procedures for the assigned outpatient point of service Adheres to patient identification policy and ensures an accurate patient sear