Health Information Specialist I (Hybrid Springfield, MO) Job Locations US MO Springfield Requisition ID 2024 35979 # of Openings 1 Category (Portal Searching) Operations Position Type (Portal Searching) Employee Full Time Equal Pay Act Minimum Range 0 Overview Who we are... Datavant protects, connects, and delivers the world's health data to power better decisions and adv

Utilizes technical coding expertise to reviews the medical record thoroughly, utilizing all available documentation abstract and code physician professional services and diagnosis codes (including anesthesia encounters, operative room and surgical procedural services, invasive procedures and/or drug infusion encounters). Additionally, may include coding for Evaluation and

Utilizes technical coding expertise to reviews the medical record thoroughly, utilizing all available documentation abstract and code physician professional services and diagnosis codes (including anesthesia encounters, operative room and surgical procedural services, invasive procedures and/or drug infusion encounters). Additionally, may include coding for Evaluation and

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

IMMEDIATE OPENING Medical Billing Revenue Cycle Appeal Specialist The Appeal Specialist supports the functions of the Revenue Cycle Appeal team by assisting in the review of denied and underpaid claims for the formal appeal and dispute process with the payor. Responsibilities include, but are not limited to Classification of appeals, research of accounts, preparing docume

Utilizes technical coding expertise to assign appropriate ICD 10 CM and ICD 10 PCS codes to complex inpatient visit types. Complexity is measured by a Case Mix Index (CMI) and Coder II's typically see average CMI's of 2.2609. This index score demonstrates higher patient complexity and acuity. Utilizes expertise in clinical disease process and documentation, to assign Pres

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 DRG Validation Nurse Reviewer will be primarily responsible for conducting post service, pre payment and post pay comprehensive inpatient DRG reviews based on industry standard inpatient coding guidelines and rules, evidence based clinical criteria plan, and policy exclusions. Conduct reviews on inpatient DRG claims as they compare with medical records ICD 10 Official

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

Patient Account Registrar Per Diem Facility St. Mary's Medical Center Location US MO Blue Springs ID 2024 154615 Category Admin Position Type Per Diem Shift Variable Job Type Non Exempt Overview Join an award winning team of dedicated professionals committed to our core values of quality, compassion and community! St. Mary's Medical Center, a member of Prime Healthcare, o

Job Location Gillis Campus KANSAS CITY, MO Remote Type Hybrid Position Type Full Time   Salary Range $21.00 $25.00 Hourly Description POSITION Medical Billing & Coding Specialist DEPARTMENT Central Business Office Salary $21 $25 (Per Hour) RESPONSIBILITIES Accurate preparation and submission of clean claims to medical insurances, government agencies, and private pay a

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

Medical Coding Coordinator Facility St. Joseph Medical Center Location US MO Kansas City ID 2024 159104 Category Business Professional Position Type Full Time Shift Days Job Type Non Exempt Overview Faith based, 310 bed St. Joseph Medical Center is a CMS 5 Star Award winning hospital that offers a wide range of acute care and outpatient services. Key services include the

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

MEDICAL CODING SPECIALIST OR MEDICAL CODING SPECIALTIST CERTIFIED #upjobs Review complex clinical documentation and diagnostic results timely to accurately assign codes for diagnoses (ICD 10 CM), procedures (CPT), and applicable modifiers for services provided to assure maximum reimbursement and regulatory compliance. Assist in the audit of medical records in order to ide