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

The ideal IHI Graduate Research Assistant is a graduate student at NKU enrolled in a research based program with experience in community based research, a range of interviewing techniques, and intermediate to advanced statistics. The candidate will need strong organizational skills with attention to detail; excellent client service and networking skills; the ability to wo

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

The Brook Hospital Dupont is hiring a full time HIM Coordinator. This is a day shift position eligible for benefits. Since 1985 The Brook Hospital has been offering hope to individuals, families, and communities. The Brook offers two outstanding hospitals in Louisville, Kentucky, KMI & Dupont. The Brook is the leader in providing quality mental health and addiction treatm

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

Responsible for providing and directing Physical Therapy services to patients, including assessment, treatment, program planning and implementation, related documentation, and communication. Functions under a physicians order. Required Skills Current, valid, and active license to practice as a Physical Therapist in the state of employment required. Current BLS certificati

The Brook Hospital Dupont is hiring a full time HIM Coordinator. This is a day shift position eligible for benefits. Since 1985 The Brook Hospital has been offering hope to individuals, families, and communities. The Brook offers two outstanding hospitals in Louisville, Kentucky, KMI & Dupont. The Brook is the leader in providing quality mental health and addiction treatm

Supervise EMR Informatics Staff and serve as support to the Manager in that area. Work with stakeholders on projects, work with EMR Informatics Team on rolling out new technology as well as supporting that technology. Identify process improvements and corresponding efficiencies and ways we can streamline work that would result in budget savings, improved service impacting

CLINICAL DENIALS MANAGEMENT AND AUDIT Job Locations US KY LOUISVILLE ID 2024 141285 Line of Business BrightSpring Health Services Position Type Full Time Our Company BrightSpring Health Services Overview Clinical Denials Management and Audit monitors, responds to, and performs the clinical denial and appeal processes across Home Health branches for all payor types strivin

Clinical Coding & Audit Specialist Job Locations US KY LOUISVILLE ID 2024 137732 Line of Business BrightSpring Health Services Position Type Full Time Our Company BrightSpring Health Services Overview The Clinical Coding and Audit Specialist monitors, responds and performs the clinical coding and audit support required to ensure timely processing of all episodes of care.

The ideal IHI Graduate Research Assistant is a graduate student at NKU enrolled in a research based program with experience in community based research and a range of interviewing techniques. The candidate will need strong organizational skills with attention to detail; excellent client service and networking skills; the ability to work independently but also keep the sit

Under the supervision of a registered nurse, performs telemetry monitoring and communicates patient care information to nursing staff as indicated. Facilitates communication between members of the healthcare team. Assists nursing staff with tasks based on individual needs within the scope of practice under direct supervision of the registered nurse. Qualifications Minimum

Responsible for assuring that medical records are received, identified, scanned, indexed and analyzed according to hospital policy and the Joint Commission/CMS standards. Qualifications Minimum Education High School Degree or GED. Minimum Work Experience Six (6) months of clerical experience required, hospital experience preferred. Required Skills Computer and data entry

ESSENTIAL JOB FUNCTIONS 1. Performs such front desk/reception functions as meeting and greeting clients and visitors, answering multi line switchboard, forwarding calls to voice mail or appropriate staff member, taking and delivering messages, checking in clients (including verifying such demographic information as telephone number, mailing address, payer source; collecti

Assist in resolving billing edits that are holding patient claims from billing, by reviewing medical records and other applicable documentation. Position will serve as liaison between Revenue Integrity and Ancillary Departments regarding revenue and compliance issues. Position will conduct billing audits, provide monthly audit results and review denial trends for document