Submit insurance claims, work denials, post insurance payments, file appeals when appropriate and keep up to date on knowledge of current insurance reimbursement rates and issues. Work in Sandata Software, clearinghouses, and payor portals. V. Position Expected Hours of Work Typical hours are full time 40 hours, Monday through Friday, 8 00AM through 4 30PM. VI. Essential

Position Highlights Position Patient Service Rep Family Practice Location 755 N York Rd, Elmhurst Full Time 40 hours per week Hours Monday Friday, 5 days / week. Generally 7 45 4 30pm with 1 early morning start 6 15am and 1 late night to 7pm each week. Required Travel No What you will need High School or GED Required Associates Degree Business Administration/Management Pr

Customer Experience Agent I Job Locations US IL Palatine ID 2024 3658 Category Customer Service/Support Position Type Regular Full Time Introduction Come move the world with us! Wake up each day to be part of a global movement . A movement to make an impact . A movement to go for it! A movement to provide best in class solutions . A movement to be empowered . A movement t

Assigns or verifies CPT, ICD 10 CM coding and modifiers based upon documentation. Subject matter expert in one or more specialties and may also cover multiple surgical/medical specialties for abstraction, ambulatory and/or surgical/procedural coding. Ensures compliance with official coding guidelines. Resolves edits for various charges, following established policies and

Monthly monitoring of the clinical dashboard demonstrating improvement in statistical targets. Communicates with Leadership across the regions to develop educational programs that address the identified opportunities to improve clinical dashboard results Identifies strategic plans that will positively impact the clinical dashboard Through relationship development across t

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

Utilizes technical coding expertise to assign appropriate ICD 10 CM and ICD 10 PCS codes to acute rehab cases and inpatient OB and Newborn discharges. Complexity is measured by a Case Mix Index (CMI) and IP Coder Associate's typically see average CMI's of 0.5759 with the OB and Newborn population. This index score demonstrates lower patient complexity and acuity. Utilizes

Principal Healthcare Data Analyst Systemwide Quality Improvement Category Data Solutions Job Location Remote Tracking Code 134678 Industry Health Care Job Level Mid Career Position Type Full Time/Regular Years of Experience 10+ to 15 Years Who is Comagine Health? Comagine Health is a national, nonprofit, health care consulting firm. We work collaboratively with patients,

Health Information Specialist I Onsite Job Locations US IL Addison Requisition ID 2024 35692 # 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

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

Utilizes technical coding expertise to assign appropriate ICD 10 CM and ICD 10 PCS codes to inpatient acute care visit types up to 6 days length of stay across all Medical and Surgical service lines.. Complexity is measured by a Case Mix Index (CMI) and Coder I's typically see average CMI's of 1.4 with this mix of the acute care population. This index score demonstrates m

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

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

Position Highlights Position Patient Service Rep Elmhurst Cancer Center Location 177 East Brush Hill Road Elmhurst, IL. Full Time 40 hours a week. Monday Friday 8 00am 4 30pm A Brief Overview Under general supervision and according to established policies and procedures, responsible for providing in patient, out patient, emergency room, immediate care and same day surgery

At Children's Wisconsin, we believe kids deserve the best. Children's Wisconsin is a nationally recognized health system dedicated solely to the health and well being of children. We provide primary care, specialty care, urgent care, emergency care, community health services, foster and adoption services, child and family counseling, child advocacy services and family res