Responsible for the tracking, coordination and communication of patient referrals in work queue. Collaborate with Practices to ensure complete and accurate patient registration, including demographics and current insurance. Assembles information concerning patient's clinical background in EPIC to help with referral. Contacts insurance companies to ensure verification of b

1. Screens and refers incoming phone calls and directs patients and families to ensure that accurate and timely department communication is facilitated and that the Department is represented in a positive manner. 1.1 Provides all support and clerical assistance to patients, families, staff (both departmental and hospital), and community contacts with the greatest consider

1. Reviews medical record documentation and accurately selects the appropriate ICD 10 CM, CPT, modifiers, and ICD 10 PCS codes, when applicable, in accordance with official coding guidelines. This includes resolving CCI edits, as applicable. 2. Capable of coding a minimum of three (3) complex OP service lines, which would include Cardiology, Interventional Radiology, Obse

1. Follows department established Fax Review protocols. Extracts and summarizes pertinent clinical information to transmit to payors for reimbursement. 2. Proactively identifies potential concerns regarding clinical eligibility for admission and/or continued stay reviews and addresses with Care Coordination. 3. Coordinates reconsiderations and/or peer to peer reviews for

1. Coordinates activities with internal and external educational partners (Inpatient Coding Educator/Auditor, American Coding School, AHIMA Foundation Apprentice Program, Nosology, etc.) to identify cases for internal audits, American Coding School and for apprentice staff on an ongoing basis; and meet with staff to assess their knowledge of specific coding topics and ide

Hospital Services Technicians travel between customer healthcare facilities providing on site proactive collection and exchange of waste containers for various Stericycle programs, including but not limited to Sharps Management Service, Pharmaceutical Waste, Controlled Substances, and Document Management. This service is provided at regularly scheduled intervals for assig

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

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

1. Screens and refers incoming phone calls and directs patients and families to ensure that accurate and timely department communication is facilitated and that the Department is represented in a positive manner. 1.1 Provides all support and clerical assistance to patients, families, staff (both departmental and hospital), and community contacts with the greatest consider

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

1. New Medical Staff Applications 1.1 Receives and reviews all new applications and communicates with applicant regarding outstanding required documentation within five (5) working days of receipt. 2. Medical Staff Re Appointments 2.1 Responsible for ensuring that re appointment applications are appropriately prepared and distributed to eligible Medical Staff six (6) mont

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

1. Exhibits Ability To Prioritize Activities. 2. Assists Others In Obtaining And Sharing Pertinent Information. Notifies Appropriate Rn Or Department Of Stat Orders. Coordinates Desk Communication Activities During A Code Or Other Emergency Situation. 3. Knows Protocol Requirements And Sequences For Lab Tests, Radiology Procedures, And The O. R. Serves As A Resource To St

The Utilization Review Specialist is responsible for the pre certification, concurrent, and discharge review process for clients at all levels of care, resulting in the approval of their admission and continued treatment. Job Duties and Responsibilities Consult with Admissions Department regarding specific LOC issues, insurance requests, and/or criteria questions. Complet

1. Application Development 1.1 Supports application development including system analysis, planning and preparation. 2. Teamwork 2.1 Creates and maintains regular status reports to immediate manager 3. Documentation 3.1 Documents and maintains all required system design and build documents and configures system accordingly. 4. Other 4.1 Provides training to other IT staff