Serves as the point of contact for referrals and obtains necessary information to initiate the patient's transfer into or between member hospitals of the MedStar Health System. Receives transfer requests from physicians and hospitals. Information includes demographic, insurance, and clinical data. Completes extensive data entry in multiple systems including Transfer reque

Great Hill Solutions is currently seeking a Medical Coding Auditor in support of a Defense Health client in the DC Metropolitan Area. The objective is to audit the NCR MD's medical encounters to ensure optimal medical records coding program performance and improve coding accuracy, enhance quality documentation, and maximize reimbursements. Responsibilities include, but ar

Payor Clearance Specialists are members of the Patient Access team dedicated to completing patient access workflows related to navigating insurance payor regulations. Facilitate increasing our patient's access into the care continuum. Decrease payor related barriers and increase financial outcomes for scheduled patient services for the inpatient, ambulatory , and physicia

Payor Clearance Specialists are members of the Patient Access team dedicated to completing patient access workflows related to navigating insurance payor regulations. Facilitate increasing our patient's access into the care continuum. Decrease payor related barriers and increase financial outcomes for scheduled patient services for the inpatient, ambulatory , and physicia

Health Information Specialist II Job Locations US VA Falls Church Requisition ID 2024 35985 # 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 fo

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

Under direct supervision, accurately codes hospital inpatient accounts for the purpose of appropriate reimbursement, research, statistics and compliance to federal and state regulations in accordance with established ICD 10 CM/PCS coding classification systems. II. Principal Responsibilities and Tasks The following statements are intended to describe the general nature an

Advanced subject matter expert in malaria, as well as gender, capacity strengthening, program implementation and research, and social and behavior change (SBC). The Technical Advisor II will oversee the subject matter aspects of a project, related to malaria. The Technical Advisor II will provide technical assistance and direction to other professional staff members and o

Under general administrative direction, the Clinical Informaticist is accountable for the delivery of value added health care informatics and technology which supports the strategic plan of the organization and achieves clinical, financial and service quality objectives for a multi hospital system with a flagship Academic Medical Center. To achieve this objective, the Cli

The Senior Technical Advisor provides expert technical guidance and expertise to programs or portfolios. The Senior Technical Advisor spends a significant percentage of time (~40%) on business development. This may be higher or lower depending on the pipeline. This position may serve as lead writer or subject matter expert. The Senior Technical Advisor will participate in

Care Management Assistants are administrative professionals who provide direct support to ensure that patients move through the system and receive the treatment and services they require. They are responsible for interacting with Care Management staff, insurance agencies, and post acute care providers/agencies/facilities to bring all aspects of a patient's care together,

The Coding Auditor demonstrates expertise in coding and billing compliance while performing audits to determine billing integrity of professional and facility/technical fees including detection and correction of documentation, coding and billing errors and/or medical necessity of services billed. Audits consist of evaluation of the adequacy and accuracy of documentation i

include, but are not limited to Tasks will be performed in the Washington, D.C., metropolitan area. Specific tasks include Voucher Examination Under the technical direction of M/CFO, the Contractor will provide voucher examiners to perform the regular duties of voucher examination on commercial invoices, posting of LOC, and IPAC transactions, and USPSC transactions, by rev

The Supervisor of Coding Audits and Education supports the supervision, management, evaluation, and improvement of operations related to coding education, audits, and denials. Leads the Coding and Auditing team responsible for evaluating the appropriateness and medical necessity of services and procedures billed based on supporting documentation, as well as the appropriat

Responds to in coming customer/'provider' inquiries and complaints while entering data in a call center environment. Researches information, resolves issues and explains eligibility claims, appeals, and reprocessing of claims to billing providers; makes outbound calls to providers; logs all customer calls Returns claims, when necessary, with a write up, indicating