The Inpatient DRG Reviewer will be primarily responsible for conducting post service, pre payment and post pay comprehensive inpatient DRG reviews based on industry standard inpatient coding guidelines and rules, evidence based clinical criteria plan, and policy exclusions. Conduct reviews on inpatient DRG claims as they compare with medical records ICD 10 Official Coding

In this role, you will perform complex analyses and develop solutions based onthorough and comprehensive research and technical expertise. You will interpret spend and clinical data to include, but not limited to, identifying cost and clinical opportunities, preparing statistical and ad hoc reporting, and drafting presentations. You will also provide reporting to verify a

The Cancer Registrar ensures that complete and accurate data are collected and maintained for all patients diagnosed with and/or treated for cancer within the institution. All policies and procedures are set forth by the American College of Surgeons (ACOS), Texas Department of Health, and Cook Children's Medical Center Cancer Committee. Responsibilities include but are no

Perform routine collection efforts which could include phone calls or emails. Communicate with clients regarding past due invoices. Add notes in the collections tool for all collection activities including specifics on invoice submission, expected payment dates, and both internal and external follow up communications. Follow up on all invoices open past terms/ average day

Relying on clinical background, reviews health claims providing medical interpretation and decisions about the appropriateness of services provided by other healthcare professionals in compliance with Concentra Physician Review policies, procedures, and performance standards and URAAC guidelines and state regulations. Responsibilities MAJOR DUTIES AND RESPONSIBILITIES Rev

The cancer registrar ensures that complete and accurate data are collected and maintained for all patients diagnosed with and/or treated for cancer within the institution. All policies and procedures are set forth by the American College of Surgeons (ACOS), Texas Department of Health, and Cook Childrens Medical Center Cancer Committee. Responsibilities include but are not

(including but not limited to) Answers all incoming calls; assesses callers' needs and directs to appropriate personnel and p ages clinic personnel as appropriate. Obtains and communicates messages in an accurate and timely manner. Schedules new patients, patient referrals and returning patients in computer system in accordance with physician and/or office guidelines. For

The Patient Access Specialist I provide access to services provided at the hospital and/or clinic and is primarily responsible for facilitating the patient registration flow and establishing positive relationships with patients/families and completing, presenting and thoroughly explaining legal, ethical and compliance related documents to the patient. This position does n

The Patient Access Specialist I provide access to services provided at the hospital and/or clinic and is primarily responsible for facilitating the patient registration flow and establishing positive relationships with patients/families and completing, presenting and thoroughly explaining legal, ethical and compliance related documents to the patient. This position does n

The DRG Validation Nurse Reviewer will be primarily responsible for conducting post service, pre payment and post pay comprehensive inpatient DRG reviews based on industry standard inpatient coding guidelines and rules, evidence based clinical criteria plan, and policy exclusions. Conduct reviews on inpatient DRG claims as they compare with medical records ICD 10 Official

The Certified Edit Dispute Resolution Analyst will be responsible for researching and auditing medical records for complex, diverse, multi specialty provider claims to identify and determine appropriately coded billed services when compared to the Zelis Claim Edits Product. The Certified Edit Dispute Resolution Analyst demonstrates an understanding of Zelis edits as an in

Clinical Data Manager Job Locations United States TX Irving (Dallas) Category Data Management Job Summary Our corporate activities are growing rapidly, and we are currently seeking a full time, office based Clinical Data Manager to join our Data Management team in Dallas, TX. This position will work on a team to accomplish tasks and projects that are instrumental to the c

We are hiring for a Clinical Account Executive. At DFW Home Health, a part of LHC Group, we embrace a culture of caring, belonging, and trust and enjoy the meaningful connections that come from it for the whole patient, their families, each other, and the communities we serve it truly is all about helping people. You can find a home for your career here. In a Sales role,

The position is responsible for coordinating provider coding and compliance activities and outcomes within Concentra Health Services, including but not limited to revenue optimization, level of service coding and diagnosis coding. Responsibilities MAJOR DUTIES AND RESPONSIBILITIES PrimaryFunctions Provider/Coder support, education and training related to revenue optimizat

Overview Carrollton Springs is a 72 bed behavioral hospital located Carrollton, TX. The hospital offers inpatient and outpatient mental health and addiction treatment to adults, adolescents and their families. At Carrollton Springs we are dedicated to Changing People's Lives Members of our team Enjoy Working with a highly engaged staff Healthy staffing levels Flexible sch