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

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

The Coder II reviews, analyzes, and codes diagnostic and procedural information using ICD 10 CM diagnosis and procedures and CPT coding for reimbursement. Assign and sequence ICD 10 CM/CPT codes by applying regulatory coding guidelines. Apply advanced knowledge of disease processes to assign codes for conditions and procedures not listed in the indexes of coding books. Fo

The Coder II reviews, analyzes, and codes diagnostic and procedural information using ICD 10 CM diagnosis and procedures and CPT coding for reimbursement. Assign and sequence ICD 10 CM/CPT codes by applying regulatory coding guidelines. Apply advanced knowledge of disease processes to assign codes for conditions and procedures not listed in the indexes of coding books. Fo

The following is a summary of the major functions of this position. He or she may perform other duties, both major and minor, which may not be mentioned below, as well as specific functions may change from time to time. Respect/promote patient rights, maintain confidentiality, and exhibit friendly/helpful behaviors. Interact with patients and outside specialty services to

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.

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

Under moderate supervision, receives all incoming calls from potential clients and assesses these calls for content, applicability to SCS programs, urgency, lethality, need for pharmaceutical intervention and financial payor source. ESSENTIAL JOB FUNCTIONS Provides telephone screening for people who call SCS Access System. Determines client eligibility for services and ve

About Us Lifepoint Health's Central Kentucky market is comprised of four acute care, community based hospitals, with over 50 outpatient clinics that provide comprehensive healthcare in the Bluegrass region. (Versailles, KY) , (Paris, KY), (Winchester, KY), and (Georgetown, KY) are committed to our mission of making communities healthier . As an integrated network, our fac

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

If you would like to be part of a growing family focused on supporting clinical excellence, teamwork and innovation, we urge you to apply now! Baptist Health is an Equal Employment Opportunity employer.

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

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

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 following is a summary of the major job functions of the individual's job. He or she may perform other duties, both major and minor, which are not mentioned below, and specific functions may change from time to time. Supervise and ensure all charge sheets of patient who receive care are 100% accounted for the next morning. Coordinate with practice staff and providers