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

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

Requisition # 638431 Location Johns Hopkins Health Plans, Hanover, MD 21076 Category Manager/Supervisor Schedule Day Shift is a leader in provider sponsored health plans. If you are interested in improving how healthcare is delivered, and have a passion to be at the forefront of change, JHHP is the place to call home. YOU belong here. What awaits you Work life balance Thi

Reviews clinical documentation to determine if charging for the procedure, supplies, implants, recovery, and any other associated charges are documented accurately. Reviews monthly spend while identifying opportunities to reduce expense. Participates in the process of assigning and reviewing HCPC and charge codes assigned to implants and supplies. Reviews OR records for u

Codes and abstracts primarily Inpatient records using ICD 10 CM and other applicable patient classification schemes. Primary Duties & Responsibilities Abstracts and ensures accuracy of diagnoses, procedure, patient demographics, and other required data elements. Contacts physician when conflicting or ambiguous information appears in the medical record. Adheres to the MedS

Procedural Knowledge Gathers and verifies all information required to produce a clean claim including special billing procedures that may be defined by a payer or contract. Bundle appropriately based on CPT code rule and payer billing guidelines. Resolves POS vs. CPT code discrepancies. Verify E/M code type such as New vs. Establish patients and level of service. Responsi

Venable LLP's Technology & Innovation Group seeks a Privacy Program Manager, Regulatory Response to join the Venable Blue Team in the Washington, D.C., New York, Los Angeles, or San Francisco office. The Privacy Program Manager oversees and manages all aspects of client based projects related to privacy program management, privacy operations, and regulatory response. This

Venable LLP's Technology and Innovation Group seeks a Privacy Program Manager, Intel (OSINT) to join the Venable Blue team in the Washington, DC office. This is a non attorney position. Venable also provides intel services to our clients. We help clients protect their rights to safety, security, and privacy online whether at a personal, corporate, or professional level. W

Job Description The Medical Coder is responsible for properly coding documentation for appropriate reimbursement. Sequences codeswith an eye towards compliance and optimal reimbursement. As a Medical Coder you will VERIFY AND ASSIGNS CODES TO DIAGNOSES AND PROCEDURES ACCORDING TO ICD 10 CM, CPT ANDINTERNAL CODING GUIDELINES WITH A HIGH DEGREE OF ACCURACY Contacts physicia

Senior Technical Advisor Job Locations US DC Metro Area Job ID 2024 4233 Category Management Consulting Type Full Time Salaried Company Nakupuna Solutions Overview Nakupuna Solutions seeks a Senior Technical Advisor. The Bureau for Global Health Security and Diplomacy (GHSD) is responsible for implementing the U.S. President's Emergency Plan for AIDS Relief (PEPFAR). PEPF

Medical Biller Accounts Receivable Surgery Tysons Corner, Virginia MUST 3 plus years of Medical Billing Must have strong background in Revenue Cycle experience Strong accounts receivable experience Experience managing surgery claims and understand modifiers Coding knowledge Managing receivables and following up with insurance companies Strong experience reviewing EOB's Re

Medical Scribe Medical Terminiology Fairfax VA MUST Medical Scribe must have experience Strong medical terminology experience Have EMR experience Experience working in an outpatient setting is a plus Must have Great Tenure Must possess sound judgment, good communication and business acumen skills DUTIES Shadow a physician and document all of his patient notes Process pati

Under general supervision, provides secretarial support for the department, including word processing, medical transcription, and miscellaneous secretarial support duties as described under Principal Duties and Responsibilities. Education High School Diploma or equivalent. Licensures/Certifications N/A Experience 3 years experience (Additional education beyond high school

As a Patient Service Coordinator at Medstar, you will be responsible for providing the best customer service to patient by greeting them with a warm and friendly smile, checking in/out processes, gathering demographic information, insurance verifications, as well taking copayments and scheduling. Primary Duties Serves as the initial contact person at the medical practice

General Summary of Position Serves as the initial contact person at the medical practice or hospital department and greets patients in a courteous and professional manner. Coordinates efficient patient flow through the practice or hospital department assigned. Makes appointments, registers patients, collects co payments, Time of Service (TOS) payment processing, updates d