and hospital acquired conditions/never events. The Utilization Management Nurse, Senior will report to the Senior Manager, Facility... most appropriate level of care. This role will be focusing primarily on inpatient psych reviews for Residential Treatment and Detox...
to, experience, skills, education, performance and salary range at the time of the offer. Responsibilities The Senior Clinical... operations. The Senior CDS - Float Pool associate is expected to rapidly adapt to different facility workflows, EHRs...
Director Decision Support Location/s: Main Campus Jackson Job Title: Senior Analyst/ Developer - Finance Job Summary... to include knowledge of hospital and/or physician practice billing, coding, and reimbursement with knowledge of hospital...
POSITION SUMMARY: Reporting directly to the VP, of Emergency and Inpatient Operations, the Sr. Administrative... Chairs and the Vice President of Emergency and Inpatient Operations to achieve the Faculty Practice Plan and the Hospital...
of business. The Licensed Clinician, Senior, will report to the Manager of Behavioral Health Utilization Management (BH... for medical necessity, coding accuracy, medical policy compliance and contract compliance. Responsibilities: Your Work...
basis (IPPS and OPPS, ICD-9-CM and CPT updates) for inpatient and outpatient coding. Quarterly review of AHA Coding Clinic... to discharge. Assist in training department staff new to CDI. Professional Development: Stays current with AHA Official Coding...
basis (IPPS and OPPS, ICD-9-CM and CPT updates) for inpatient and outpatient coding. Quarterly review of AHA Coding Clinic... to discharge. Assist in training department staff new to CDI. Professional Development: Stays current with AHA Official Coding...
reviews the inpatient stays for our members and correctly applies the guidelines for nationally recognized levels of care. The... of inpatient facilities and then review clinical information provided by the facilities to determine medical necessity when...
Inpatient Coding Staff and coordinates daily workflow based on the needs of the department. On a daily basis, provides the... Coding Manager with departmental statistics such as the monitoring/tracking of Inpatient coder productivity and uncoded...
and OPPS, ICD-9-CM and CPT updates) for inpatient and outpatient coding. Quarterly review of AHA Coding Clinic. Attends... in training department staff new to CDI. Professional Development: Stays current with AHA Official Coding and Reporting...
experience More than 5 years of hands-on hospital (facility) claim review experience - both inpatient and outpatient More than... of facility claims coding In depth knowledge of hospital billing rules and claim edits Insights into hospital fraud, waste...
Position Summary Reviews documentation and coding of practice providers to identify opportunities in provider... documentation, ensure proper coding, and compliance with regulatory agencies. Identifies appropriate E/M levels, ICD-10, CPT...
offer. Responsibilities The Senior Analyst - Data is responsible for assisting with various responsibilities on the Data Governance/Data... (Cerner, athena, EPIC) knowledge is preferred, both in the inpatient and ambulatory settings Proficient SQL and/or GCP/Big...
healthcare resource with a deep commitment to medical education and research, offering a full complement of inpatient... and materials in order to complete the intake process, or refers to more senior level staff. Responsible for collecting co-pays...
of the care team regarding clinical documentation. Essential Job Functions Reviews and re-reviews inpatient medical... and guidelines in accordance with ICD-9 CM Official Guidelines for Coding and Reporting. Works closely with HIM coding staff...
the inpatient medical record in order to facilitate improvement in overall quality, completeness, clinical severity..., and accuracy of inpatient clinical documentation for DRG based or APR based payor population for specific departments or areas...
team regarding clinical documentation. Essential Job Functions Reviews and re-reviews inpatient medical records... in accordance with ICD-9 CM Official Guidelines for Coding and Reporting. Works closely with HIM coding staff to assure...
) Registered Health Information Technician (RHIT) Certified Coding Specialist (CCS) Certified Inpatient Coder (CIC... process improvements to enhance coding accuracy, documentation completeness, and compliance. The Director leads a team...
-10 coding guidelines Minimum of 3-5 years of inpatient/DRG auditing experience in a hospital setting and/or payer... validation (clinical/coding) reviews of medical records and/or other documentation to determine correct DRG/coding...
of Washington provides comprehensive behavioral healthcare for children, adolescents, adults, and senior adults suffering... from mental health and addictive illnesses. PIW is a 130 bed, short-term, acute care hospital offering inpatient, partial...