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

Clinical Informatics Analyst Join the transformative team at , where we're changing lives and making a real difference in the fight against cancer, diabetes, and other life threatening illnesses. City of Hope's growing national system includes its Los Angeles campus, a network of clinical care locations across Southern California, a new cancer center in Orange County, Cal

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

Health Information Operations Supervisor Job Locations US AZ Phoenix Requisition ID 2024 35709 # 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

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

Answer consumer and provider exposure inquiries related to drugs, environmental toxins, household products, vaccines, medications, herbal products, infections, maternal medical conditions, and other exposures before and during pregnancy, as well as during breastfeeding via phone, chat, email, and in person. Participate in the education of graduate students via teaching an

Lead and be accountable for a team of Fulfillment Pharmacy Staff to process prescription orders through Fulfillment, Packing and Shipping, and Supply Inventory Operations (35 45 employees) Completes Pharmacy operational requirements by scheduling and assigning employees; following up on work results Leads efforts in recruiting, selecting, orienting, and training employees

Clinical Informatics Specialist Job Locations US AZ Phoenix Job ID 2024 9391 # of Openings 1 Category Information Technology Program IT Weekly Hours 40 Overview Terros Health is pleased to share an exciting and rewarding opportunity for a Clinical Informatics Specialist at our Central Avenue location, working remotely and in office . Reporting to the Director of Informati

In your job, you will have the ability to make a difference in a patient's journey by Transcribe the physical examination, clinical impression, and plan, between the patient and physician, in real time. Provide diagnosis specific new patient educational handouts, edit existing handouts, and create new educational information as needed. Prep new patient information into ap

Performs receptionist, registration, and clerical duties associated with direct and scheduled patient admissions. Reports to Patient Access Supervisor FLSA Non exempt Qualifications Minimum Qualifications Minimum Education High school diploma or equivalent preferred Required Skills Requires critical thinking skills, decisive judgment and the ability to work with minimal s

In your job, you will have the ability to make a difference in a patient's journey by Transcribe the physical examination, clinical impression, and plan, between the patient and physician, in real time. Provide diagnosis specific new patient educational handouts, edit existing handouts, and create new educational information as needed. Prep new patient information into ap

Verifies insurance eligibility and benefits on all assigned accounts using electronic verification systems or by contacting payers directly to determine level of insurance coverage. When contacting payers directly, utilizes approved scripting Obtains referral, authorization and pre certification information and documents this information in system Identifies outstanding b

Identify appropriate assignment of CPT and ICD 10 Codes for outpatient Acute Interventional Radiology services while adhering to the official coding guidelines and established client coding guidelines of the assigned facility Apply coding knowledge to analyze/correct CCI Edits and Medical Necessity Edits Understand the Medicare Ambulatory Payment Classification (APC) code

Identify appropriate assignment of ICD 10 CM and ICD 10 PCS Codes for inpatient services provided in a hospital setting and understand their impact on the DRG with reference to CC/MCC, while adhering to the official coding guidelines and established client coding guidelines of the assigned facility Identify appropriate assignment of CPT and ICD 10 Codes for outpatient sur

Full time Unit Clerk/Secretary/Coordinator Via Linda Behavioral Hospital is a brand new behavioral health provider serving Scottsdale and the great Phoenix region. We opened in February 2022 and now offer a full continuum of inpatient and outpatient services. Our modern 120 bed facility offers offer specialized mental health services and substance use treatment for teens,