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

Provides education to medical providers as warranted. Description What You'll Do Communicates/educates providers on issues such as Medicare coverage, utilization statistics, documentation and medical review by use of written advisories, reports, letters, and telephone contacts. Documents all provider contacts/communications in provider tracking system. Conducts formal con

Extrapolate data from source records into case report forms for all patient visits. Ensure timely data submission in accordance with USOR SOPs. Responsible for resolving queries, communicating concerns or questions about data to clinical staff and or research management. Utilizes USOR clinical trial management system to access research forms and keep current all applicabl

Assists with the development of education and training of physicians, coders, and CDI specialists for Accuity Healthcare and provides coding component to all education programing, which may include preparation of related educational materials and giving frequent presentations on site and virtual Assists with the orientation programs and online learning module assignments

Answers all incoming calls, assesses callers' needs, directs to appropriate personnel. Pages clinic personnel as appropriate. Obtains and communicates messages in an accurate and timely manner. Efficiently schedules new patients, patient referrals and returning patients in computer system in accordance with physician and/or office guidelines. For new and or referred patie

Position Inforce Intern Location 2950 SW McClure Rd Topeka, KS Job Id 1958 # of Openings 1 Job Posting Title Life Inforce Intern Department Life Operations Reporting to Life Inforce Manager Location Topeka, KS Overview Are you a self starter who thrives in taking the reins? Step into the dynamic role of Life Inforce Intern, where you'll dive into the heart of our team and

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

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

The Reimbursement Coordinator generates and collects Home Infusion and Durable Medical Equipment (DME) claims for submissions to patients and/or third party payers. These claims result from products and services delivered to or administered to patients on behalf of our clients. The Reimbursement Coordinator also performs collection follow up on primary and secondary claim

At WSU Tech, we are dedicated to promoting quality higher education and leadership in workforce training that supports economic development for a global economy. Our experienced faculty and staff are committed to helping students achieve their goals by providing hands on experience, state of the art facilities, and individualized support and guidance. We operate in a valu

Contacts payers for medical claims status, followup denials, or partial payments Obtains payer requirements for timely adjudication of claims Verifies, adjusts, and updates Accounts Receivable (A/R) according to correspondence received from insurance company Helps facilitate interoffice communication on error and denial trends Researches credit balances and initiates refu

Essential functions Provides appropriate CPT and ICD 10 codes for professional services and office procedures, focusing on Evaluation and Management encounters and pain management procedures. Provides assistance to providers with coding updates and/or changes and education. Assists billing office staff in a timely manner with coding related denials, questions, and educati

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

Location 11501 Outlook Street Overland Park, Kansas 66211 Grow your career with an industry leading team! KeyBank Real Estate Capital is seeking professionals with experience in loan servicing, finance, and banking for expansion of our $443 Billion commercial real estate portfolio. JOB BRIEF (PURPOSE) Under the direction of the department manager, the person in this posit

Responsible for daily coding, auditing and DRG validation of assigned encounters is accurate and compliant. Responsibilities Conduct reviews and provide recommended corrections of billed services as it relates to clinical documentation Assist in the reviews and responses to payor and governmental audits of billed services. Review and research new coding guidelines and code