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

1. Reviews medical record documentation to determine appropriate ICD 10 CM codes in accordance with official coding guidelines. 2. Reviews medical record documentation and accurately selects the appropriate CPT codes, modifiers, and ICD 10 PCS, when applicable, in accordance with official coding guidelines. This includes resolving CCI edits, as applicable. 3. Maintains a

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

Coordinates with clinical and clerical staff to obtain charge information for all patients. Processes claims for payment from clinician encounters or insurance forms. Prepare and submit claims to insurance companies/state for reimbursement. Reviews and corrects claims that are missing information according to applicable standards and compliance guidelines. Provides a high

nGenesis is currently seeking a temporary Data Entry Specialist to work with our client in Wassaic, NY. In this role, you will be working in the NYS Office for People With Developmental Disabilities Taconic office. Apply today and we'll reach out to answer any questions you may have! Job Duties Duties will be performed within the Business Office. Filing, phones, receiving

At Stony Brook Medicine, our Patient Access Representatives are responsible for completing varied, diverse and specialized duties to support the Revenue Cycle, Compliance and Patient Experience by accurately and efficiently completing tasks in areas of Registration, Financial screening and verification, and Patient throughput. Qualified candidates will demonstrate excelle

The Medical Compliance Specialist assist with ensuring that the clinical needs of individuals served are being met and maintained as per all state and federal regulations and in accordance with agency policy. This person will support new and existing Managers/Directors by completing regular audits of medical and other records to ensure compliance and assisting with the ne

Job Description PT 22.5 11a 7p Facilitates the registration of Outpatient Patients. Interviews patient and/or representatives to obtain identifying information and other data required for registration Job Responsibility 1. Receives in coming telephone calls promptly and professionally. 2. Maintains constant awareness of patient arrival. 3. Monitors prescriptions for expir

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

for Internal Candidates Job Description FT 37.5 hrs 7a 3p Verifies all dictation is received from outside transcribing services. Coordinates the transcription of necessary documents and processes them appropriately. Job Responsibility Ensures all dictated physicians' medical reports are received from outside transcription service. Answers telephone calls from physicians re

1. Researches payer denials related to medical necessity, coding, etc resulting in denials and delays in payment. 2. Evaluates Outpatient Clinical denials against medical record documentation, the coding of the encounter , payer policies and contracts, and coverage determinations to determine the viability of an appeal 3. Compiles the supporting documentation by working i

At Stony Brook Medicine, the Medical Record Coder will be responsible for selecting and assigning accurate codes from the current version of coding systems including ICD 10 CM, ICD 10 PCS, CPT and HCPCS codes. Duties of a Medical Record Coder may include the following but are not limited to Demonstrates proficiency with Microsoft Office Applications, Citrix and Adobe Read

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

We have an exciting opportunity to join our team as a Medical Transcriptionist NYU Langone Ambulatory Care Bethpage Internal Medicine. In this role, the successful candidate Provides transcription services using transcribing recorders to listen to recordings by physicians and otherHealthcare professionals dictating a variety of medical reports. Composes written reports of

1. Analyze and document all problems and resolutions to HVC Procedural services charging process 2. Develops and maintains a working knowledge of CPT coding, ICD 9/10 coding, DRG's and revenue contracts to ensure proper and effective charge capture is accomplished in HVC Procedural Services. 3. Develops working knowledge of all standard Hospital software products related