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

Lead Health Information Specialist Job Locations US NJ Long Branch Requisition ID 2024 35995 # 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 f

Include Ensure patient demographic information is accurate and complete Utilize customer hospital systems or approved vendors to research and obtain/verify patient demographic information Validate signature documents such as AOB (Assignment of Benefits), consents, CMN (Certificate of Medical Necessity) Verify patient name is consistent on all documents Verify date of servi

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

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

Universal Health Services, Inc. (UHS) knows what it takes to lead, inspire and succeed. One of the Nation's largest and most respected Hospital companies, UHS achieved its success by always adhering to an effective operating philosophy Build or acquire high quality hospitals in rapidly growing markets, then invest in the people and equipment needed to allow each facility

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

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

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

A day in the life of a Clinical Documentation Quality Liaison at Hackensack Meridian Health includes Review within 24 hours all cases populated in the Pre coding Mortality Work Queue/Report to ensure the documentation reflects the appropriate severity of illness (SOI) and risk of mortality (ROM). Seek provider's clarification for any unclear, missing, conflicting, documen

Accurately scribe as the physician is examining patient Maintain adherence to transcription quality assurance standards Demonstrate appropriate grammar, punctuation and style standards when transcribing/ editing provider dictations Demonstrate knowledge of anatomy, physiology and pharmacology Demonstrate knowledge of medical terminology for appropriate medical specialties

A day in the life of a Community Outreach Coordinator I at Hackensack Meridian Health includes Coordinate and implement assigned outreach activities according to the CHIP for each hospital. Ensure all logistics related to health screenings, health fairs and education programs are completed in a timely, efficient and accurate manner. Ensure cultural competence and health l

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

Pre Analytical Assistant II Clifton, NJ Monday to Friday 8 00AM 5 00PM The Pre Analytical Assistant II in the Tech Ops Department is responsible for knowingall ofthe functions of the Pre Analytical Assistant I, plus additional functions. Pay Range $19.10+ per hour Salary offers are based on a wide range of factors including relevant skills, training, experience, education

Patient Account Registrar Facility St. Clare's Denville Location US NJ Denville ID 2023 147113 Category Admin Position Type Per Diem Shift Days Job Type Non Exempt Overview At Saint Clare's Health, our dedicated team of professionals is committed to our core values of quality, compassion, and community. As a member of Prime Healthcare, Saint Clare's Health is actively see