Responsible for the analysis, research and completion of standard appeals and grievances within the company. Will address all customer concerns and ensure timely and complete resolution and satisfaction. Ensure timeliness, quality and efficiency in all work to comply with applicable mandated State and/or Federal legislative or regulatory requirements, National Committee f

LEAD DATA TECHNICIAN Job Locations US NC WASHINGTON ID 2024 142935 Line of Business PharMerica Position Type Full Time Our Company PharMerica Overview Join our PharMerica team! PharMerica is a closed door pharmacy where you can focus on fulfilling the pharmaceutical needs of our long term care and senior living clients. We offer a non retail pharmacy environment. Our orga

About Us One Medical is a primary care solution challenging the industry status quo by making quality care more affordable, accessible and enjoyable. But this isn't your average doctor's office. We're on a mission to transform healthcare, which means improving the experience for everyone involved from patients and providers to employers and health networks. Our seamless i

The Medicaid Eligibility Specialist screens, coordinates and facilitates the Medicaid application process across multidisciplinary entities for patients who meet the eligibility criteria. Obtains eligibility for patients entitled to Medicaid for the purpose of obtaining reimbursement for services provided by Wayne UNC Health Care. Responsibilities 1.Performs coverage disc

Reviews and codes clinical notes and operative reports for minimum of one specialty. Provides feedback and documentation advice to the physician, practice management, and other coders. Works with denials team to resolve coding related denials. Documents recommendations for updated coding edits. This person serves as a key promoter of Central Coding and is responsible for

Follows physician through his or her work day and charts patient encounters in real time using medical office's Electronic Health Record and existing templates Generate referral letters for physicians, manage and sort medical documents within the EHR system, and assist with e prescribing May handle data management tasks for physicians in real time Applies knowledge of med

At NASCAR, you will find a community of passionate individuals who care about our sport and are united in seeing it grow. We are a company unlike any other. We want you to bring your experience, skills and passion to our close knit, high energy environment in which our employees thrive and where you can prosper. We know the key to our success is our employees and we offer

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

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

Medical Office Support Job ID 2024 26673 # Positions 1 Job Location US NC Charlotte Telecommute Location Specific Position FT/PT Full Time Category Medical Office Professionals Why Us? With a mantra of Empowering Human Potential, Hanger, Inc. is the world's premier provider of orthotic and prosthetic (O&P) services and products, offering the most advanced O&P solutions, c

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

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

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

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

ERG is a research and consulting firm that provides a wide range of support to federal, state, and commercial clients. ERG offers multidisciplinary teams with nationally recognized skills in engineering, science, economics, public health, informational technology, and communications. We hire people with the best minds and then provide them with a vibrant and flexible envi