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

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

This is a hybrid position that requires on site presence at a ministry located in Western, WA and may require associated travel within the region Providence is seeking a Clinical Informatics Specialist who will Serve as a professional role model in promoting the understanding, integration, and application of information technology in healthcare settings. Act as a liaison

Providence is calling a Senior Pre Service Specialist who will work remotely within our footprint states, AK, CA, OR, WA, TX, NM, or MT. Under the direction of the Pre Service Supervisor/Manager/Director, the Senior Pre Service Specialist has a clear understanding and knowledge of all functions performed by Pre Service. They are responsible for, but not limited to, schedu

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

Providence St. Joseph Health is calling a Senior Coder, Inpatient to work remotely within our footprint states AK, CA, MT, OR, TX and/or WA. Applies ICD 10/CM/PCS and CPT 4 codes to medical records based on documentation provided by physicians. Adheres to strict federal coding rules in selecting codes that appropriately reflect the condition, which the patient had, and th

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

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

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

Providence is calling a Coder who will work remotely within our footprint states, AK, CA, OR, WA, TX, NM, or MT. Under the direction of the Coding Manager, the Coder appropriately assigns MS/DRG's, ICD, and CPT codes to all account types according to American Hospital Association (AHA) and Uniform Hospital Discharge Set (UHDDS) guidelines. This individual abstracts clinic

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

Senior Pre Service Specialist \ Remote\ Under the direction of the Pre Service Supervisor/Manager/Director, the Senior Pre Service Specialist has a clear understanding and knowledge of all functions performed by Pre Service. They are responsible for, but not limited to, scheduling, Pre Registration, estimates and collections, authorization verification and notice of admis

Providence is calling a Claims Specialist who will work remotely within our footprint states in, AK, CA, MT, OR, TX, or MT. The Research Claims Specialist will support the Clinical Research billing and account review needs of the Providence Health System. This position reports to the Research Claims Manager and includes collaboration with several research entities within

Providence is calling a Senior Pre Service Specialist who will work remotely within our footprint states, AK, CA, OR, WA, TX, NM, or MT. Under the direction of the Pre Service Supervisor/Manager/Director, the Senior Pre Service Specialist has a clear understanding and knowledge of all functions performed by Pre Service. They are responsible for, but not limited to, schedu