Reviews, codes, services, and abstracts patient medical records data. Performs coding and reimbursement duties of a more complex level as assigned. Responsible for billing and collection activities, processing, and submission of accurate claims to third party payors and clients. The Medical Necessity team is a Coding & Reimbursement team within Patient Financial Services.

Reviews, codes, services, and abstracts patient medical records data. Performs coding and reimbursement duties of a more complex level as assigned. Responsible for billing and collection activities, processing, and submission of accurate claims to third party payors and clients. The Medical Necessity team is a Coding & Reimbursement team within Patient Financial Services.

Receives and provides information to patients, significant others, healthcare team members and hospital guests in a courteous and professional manner. Provides an accurate and timely registration process to the patient population. Essential Functions Greets and assists customers, patients, and visitors. Acts with a sense of urgency when dealing with patients and workflow.

Receives and provides information to patients, significant others, healthcare team members and hospital guests in a courteous and professional manner. Provides an accurate and timely registration process to the patient population. Essential Functions Greets and assists customers, patients, and visitors. Acts with a sense of urgency when dealing with patients and workflow.

Receives and provides information to patients, significant others, healthcare team members and hospital guests in a courteous and professional manner. Provides an accurate and timely registration process to the patient population. Essential Functions Greets and assists customers, patients, and visitors. Acts with a sense of urgency when dealing with patients and workflow.

Receives and provides information to patients, significant others, healthcare team members and hospital guests in a courteous and professional manner. Provides an accurate and timely registration process to the patient population. Essential Functions Greets and assists customers, patients, and visitors. Acts with a sense of urgency when dealing with patients and workflow.

Patient Accounts Specialist (PAS) works under the immediate supervision of supervisors/managers in Patient Financial Services (PFS). PAS positions perform complex tasks requiring critical thinking skills and experience based (specialist) knowledge in PFS. Reviews difficult work queues, large dollar accounts, aged accounts and any special projects assigned by leadership. C

Overview

Overview

Performs technical and administrative work reviewing, abstracting and assigning accepted medical CPT, HCPCS, and ICD 10 codes for professional services. Duties are performed in compliance with third party, state and federal regulations according to standardized procedures. Employees report to an administrative superior but independently handle assigned tasks. 100% remote

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 SBC M&E Advisor provides technical guidance on M&E of a large multi country project across multiple focal areas, including maternal newborn and child health (MNCH), nutrition, malaria, HIV, emerging infectious diseases, gender, capacity strengthening, scaling, etc. Provides final authorization and approval of the technical portions of research protocols and project de

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

Advanced subject matter expert in Gender, Youth, and Social Inclusion, as well as gender, capacity strengthening, program implementation and research, and social and behavior change (SBC). The Technical Advisor II will oversee the subject matter aspects of a project, related to their respective technical area(s). The Technical Advisor II will provide technical assistance

Overview Triangle Springs Springs Fully In Person Role Part Time Utilization Review Specialist Members of our team Enjoy Working with a highly engaged staff Healthy staffing levels Flexible scheduling Career growth Competitive compensation Health, Vision, Dental, 401k, and Paid Time Off UKG Wallet We've partnered with UKG Wallet, a voluntary Earned Wage Access benefit, to