Under moderate supervision, performs variety of administrative or business office functions, including front desk/reception, data entry, filing, typing, and report running, handling problems and deviations according to instructions, procedures, previous training, or accepted SCS practices, with limited discretion to revise existing methods or protocols or develop new one,

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

Utilization Review Coordinator Opportunity Lincoln Trail Behavioral Health System is a 140 bed hospital offering inpatient services for adolescents, adults, military/veterans and their families. Lincoln Trail Behavioral Health System has a spacious cafeteria, gymnasium, art/activity room, group rooms, classrooms and other areas to create a pleasant atmosphere for patients

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

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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

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 Abstract additional data elements during the Chart Review process when cod

Greet patients Coordinate patient flow to reduce wait times Assist patients with intake processes Collect co payments, co insurance, and deductibles Process walk in patients and visitors Duties include but not limited to Confirms eligibility and verifies insurance benefits Ensures all necessary demographic and billing information is obtained for patients and entered in th

Greet patients Coordinate patient flow to reduce wait times Assist patients with intake processes Collect co payments, co insurance, and deductibles Process walk in patients and visitors Duties include but not limited to Confirms eligibility and verifies insurance benefits Ensures all necessary demographic and billing information is obtained for patients and entered in th

Posts payments based on explanation of benefits (EOBs) from insurance companies and government agencies in an accurate and timely manner Posts patient/guarantor payments received in person or via mail in an accurate and timely manner Transfers, adjusts, and refunds payments when appropriate for accounts Prepares and ensures accuracy of Daily Cash Report that is disseminat

Posts payments based on explanation of benefits (EOBs) from insurance companies and government agencies in an accurate and timely manner Posts patient/guarantor payments received in person or via mail in an accurate and timely manner Transfers, adjusts, and refunds payments when appropriate for accounts Prepares and ensures accuracy of Daily Cash Report that is disseminat

Creating, maintaining, and entering information into databases. Managing filing system. Recording information as needed. Helping organize and maintain Quality office common areas. Performing general Quality clerk duties and shop floor administrative documentation support. Managing correspondence (e mails, letters, packages, etc.) within the Quality department and other fu

Include Ensure patient demographic information is accurate and complete Utilize customer hospital systems or approved vendors to research and obtain/verify patient demographic information Validate signature documents such as AOB (Assignment of Benefits), consents, CMN (Certificate of Medical Necessity) Verify patient name is consistent on all documents Verify date of servi

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

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