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 Health Information (Coder) participates as an integral member of the records management team by ensuring the quality maintenance of patient information/medical records, within all laws, rules and regulations of federal and state licensing agencies, and TJC standards for the quality of patient care. The Health Information Coder has the primary responsibility of assigni

Review pre bill cases simultaneously with a physician during each work shift excluding breaks and meetings to analyze and validate diagnosis and procedure codes for inpatient services via coding compliance and clinical knowledge to support accurate DRG assignment Utilizes Accuity technology for tracking of coding errors, query opportunities and other data collection as ne

Assess the clinical indicators and suggestions of various query requests received from the MD Reviewer/ DRG Integrity Specialist Collaborate and communicate as necessary to clarify and avoid misinterpretation to ensure the query is optimally written and distributed to the correct client provider Creates queries in a compliant manner in accordance with AHIMA and ACDIS comp

Review and ensure all required documentation is present within the medical record. While also paying attention to all details and ensuring that that patient confidentiality guidelines are adhered to, to safeguard patient medical information. Required to work within many different computer environments. Qualifications HS High School Grad or Equivalent (Required) Medical Re

The Healthcare Data Analyst provides data analysis support to the customer by assisting with the development of reports and/or dashboards to monitor program and operational performance. Promotes self service analytics for customer adoption, understanding and use of data. Supports design of programmatic analyses and reporting capabilities in addition to business requiremen

The Physician Advisor conducts timely and compliant medical necessity reviews and assists with denials management (facilitating and completing peer to peers, writing appeal letters) in support of the centralized system Utilization Review (UR) process for Sentara hospital facilities. The Physician Advisor serves an important role in ensuring compliant hospital status/billi

Health Information Operations Supervisor Onsite Job Locations US VA Norfolk Requisition ID 2024 35520 # 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

Currently recruiting an ON SITE Medical Coder Ambulatory Procedure Visit in Hampton, Virginia, to provide support to Active Duty heroes, their families, and retirees at Langley AFB. The full time position is Monday Friday, 8 hours shifts between 7 30am and 4 30pm. TELEWORK CODING IS NOT AN OPTION. DUTIES OF THE MEDICAL CODER AMBULATORY PROCEDURE VISIT Have advanced knowle

Currently recruiting an ON SITE Medical Coder Outpatient in Hampton, Virginia, to provide support to Active Duty heroes, their families, and retirees at Langley AFB. The full time position is Monday Friday, 8 hours shifts between 7 30am and 4 30pm. Telework/Remote work may be available with base approval. DUTIES OF THE MEDICAL CODER OUTPATIENT Have practical knowledge of

A great job and a great future awaits you at Smithfield Foods. We're an $18 billion U.S. food company with nearly 60,000 employees worldwide. We're looking for motivated people who want to join our team and grow lasting and meaningful careers with us. Join our family today. Apply Now! YOUR OPPORTUNITY The Incident / Problem Analyst takes a lead role in developing, coordin

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

Patient Accounts Specialist Position Number 6039402 Department Surgery Grade 13 Compensation Min USD $18.44/Hr. Compensation Max USD $23.97/Hr. Category Administrative/Clerical Location Location US VA Norfolk Type Regular Full Time Overview Perform duties in the billing division related to all aspects of the revenue cycle to include data entry, denials, patient interactio

This role consists of educating primary & specialty care providers and staff on appropriate HCC coding & documentation, via virtual sessions and in person site visits. Duties include retrospective auditing to ensure compliance with appropriate HCC coding & documentation guidelines . Candidate should be geographically located within the Charlottesville area to be able to v