Position Summary: Social Worker Addiction Specialist At Stony Brook Medicine Social Workers apply the principles... utilizing SBIRT screening tools (DAST, AUDIT, CRAFFT). Offer Brief Intervention – Single session or multiple sessions...
. The Coding Appeals Specialist retrospectively reviews patient medical records, claims data and coding of all diagnosis... Specialist also prepares appeal arguments and/or letters to support and defend the codes reported. JOB DUTIES...
on-site at Ardent - Hillcrest Henryette in Henryette, OK**** The Senior Patient Access Specialist is responsible... Specialist will work within the policies and processes that are being performed across the entire organization. Essential...
Overview: The Senior Utilization Review Specialist collaborates with the healthcare team in the management... for an exciting full time opportunity in its Utilization Review (UR) Department as Senior Utilization Review Physician Specialist...
and ensure an accurate audit trail. *Maintain ongoing knowledge of authorization requirements and payer guidelines. Maintain... a proficient knowledge of Medicare (CMS) guidelines as it relates to admissions and outpatient services. Ensuring compliance...
and ensure an accurate audit trail. *Maintain ongoing knowledge of authorization requirements and payer guidelines. Maintain... a proficient knowledge of Medicare (CMS) guidelines as it relates to admissions and outpatient services. Ensuring compliance...
in billing, charge documentation, charge audit or charge capture activities, or other functions related to revenue cycle... billing. 7. Knowledge of Ambulatory Payment Classification (APC), and Outpatient Prospective Payment System (OPPS...
coding audit. Codes for 100% of medical records/encounters for each assigned clinic or encounter type daily with recommended... years Radiation Oncology professional and outpatient facility coding (ICD-10-CM, HCPCS, and CPT) and facility modifiers...
to actual billings and partners with case managers to resolve issues. 6. Perform random audit functions (billing vs payroll) for non-24... individuals with disabilities to perform the essential functions. 1. Outpatient clinical environment. SKILLS AND ABILITIES...
risk areas to ensure audit accuracy. Ensure compliance with state and federal laws and regulations. Maintains a thorough... and Outpatient Managed Care and Commercial payors (i.e., Medicare regulations and compliance; HIPAA) Proficient in Microsoft Office...
, prepares for study monitoring and audit visits. Maintains participant-level documentation for non-complex (e.g., questionnaire... and more complex studies in both inpatient and outpatient settings. Duke is an Affirmative Action/Equal Opportunity Employer...
or supplies in coordination with formulary management. 4. *Coordinates and provides audit processes for billing pharmaceuticals... and medication documentation procedure is followed. 12. Monitors medication billing for outpatient services and tracks the ordering...
risk areas to ensure audit accuracy. Ensure compliance with state and federal laws and regulations. Maintains a thorough... and Outpatient Managed Care and Commercial payors (i.e., Medicare regulations and compliance; HIPAA) Proficient in Microsoft Office...
hospitals, clinics and outpatient services as well as BHMG group practices. The position requires a background with working... fields of the credentialing database. Assists with the development and revision of the credentialing and audit workflows...
Overview: Health Information Privacy Specialist, Centralized Privacy Full Time, 80 Hours Per Pay Period, Day Shift... Covenant Health Overview: Covenant Health is the region’s top-performing healthcare network with 10 , outpatient...
.* For further information about this vacancy contact: Ms. Janesia Raybon, MPA Human Resources Specialist Northeast Delta Human... regarding hospitalization or continued outpatient care based on assessment of the patient's mental, emotional, and physical...
Coder (CPC) Certified Outpatient Coder (COC) Certified Inpatient Coder (CIC) Certified Coding Specialist (CCS) Renewals..., such as audit entrance conferences and investigative fact-gathering sessions. Organizes compliance department materials, including...
and Accurate Data Collection and Reporting - Collects data components for the quality measure or audit accurately through the... and Outpatient Quality chart abstracted reporting and abstraction requirements and impact on documentation. Communicates upcoming...
Coder (CPC) Certified Outpatient Coder (COC) Certified Inpatient Coder (CIC) Certified Coding Specialist (CCS) Renewals..., such as audit entrance conferences and investigative fact-gathering sessions. Organizes compliance department materials, including...
development of an audit plan for both scheduled and unscheduled UMMS Member Organization audits and investigations. Performs... to identify trends/problems in billing and documentation. Drafts written reports that detail audit findings and recommendations...