The Inpatient DRG 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 Coding

Centerstone is among the nation's leading nonprofit behavioral health systems with thousands of employees dedicated to delivering care that changes people's lives. A dynamic, well established organization, we offer rewarding opportunities to serve all ages in a variety of settings. Come talk to us about joining the Centerstone team! Job Description Special Skills, Knowled

MGT is a leading social impact and performance solutions firm that serves state, local, education, technology, and commercial clients across the U.S. and abroad. By elevating education systems, managing and securing critical networks, solving complex human capital and fiscal problems, and advancing equity as a performance imperative, we can impact communities, for good, t

Area Lead Health Information Specialist Onsite Job Locations US FL Tampa Requisition ID 2024 35925 # 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 com

Currently recruiting an ON SITE Medical Coder Outpatient in Tampa, Florida to provide support to Active Duty heroes, their families, and retirees at MacDill 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 the

Health Information Specialist I Job Locations US FL Dunedin Requisition ID 2024 36105 # of Openings 1 Category (Portal Searching) Medical Records 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 for

for Medical Records Clerk Perform routine clerical tasks Scan and or/file all documents, records and correspondence properly Retrieve medical charts Scan and/or file medical records into patient's electronic health record Sort and distribute mail Qualifications for Medical Records Clerk Must have a high school diploma or GED certificate with 1 year clerical experience in a

Vector Solutions is the leader in providing industry focused SaaS solutions that connect content and technology. Vector's unique product set aims at training and learning management, continuing education (CE), compliance, workforce scheduling, safety management, and more. Our mission is to empower everyday heroes in the public, educational and commercial sectors to make s

Complete assessments with members, caregivers, or providers to obtain information regarding client status, support system, and need for services for care plan development Monitor delivery of services and follow up with members, caregivers, or providers through in person visits and telephonic contact Authorize and coordinate referrals for services Ensure provider services

Requisition # 638925 Location Johns Hopkins Health Plans, St. Petersburg, FL Category Coding Schedule Day Shift You Belong Here ! Come see why the Johns Hopkins Hospital is a world renowned leader in patient care, serving the greater Baltimore community and patients from all across the globe. Our friendly and knowledgeable staff teams provide support throughout our many s

Develop market business plans to motivate providers to engage in improving Stars measures to be 4 STARS or higher Provide analytical interpretation of Stars and HEDIS reporting, including executive summaries to plan and provider groups Be the primary go to person for all STARS related activities within their assigned market(s) working within a matrix relationship which in

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

The Certified Edit Dispute Resolution Analyst will be responsible for researching and auditing medical records for complex, diverse, multi specialty provider claims to identify and determine appropriately coded billed services when compared to the Zelis Claim Edits Product. The Certified Edit Dispute Resolution Analyst demonstrates an understanding of Zelis edits as an in

Understands and is knowledgeable of all the requirements of abstracting cancer registry cases including assigning ICD 0 cancer codes; reportable and non reportable cancer cases as required by the Florida Cancer Data System and the National Cancer Database; data required for each reportable malignant and benign site; terminology specific to abstracting process; and state a

Job Title Long Term Care Coordinator I Job Location Highland County (80% Travel) Job Duration 6 Months Note Will require a drivers license. Description Day to Day Responsibilities of this Position and Description of Project Managing a case load for healthcare members with long term care needs. Monthly and quarterly member contact and will include 80% travel. Remote role.