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

KLDiscovery, one of the largest national eDiscovery providers, is currently seeking attorneys who are actively licensed in any U.S. jurisdiction, including recently admitted attorneys, who desire an engaging work environment where they are valued and respected. We have an ongoing need for document reviewers. Responsibilities include reviewing documents for complex litigat

Ann & Robert H. Lurie Children's Hospital of Chicago provides superior pediatric care in a setting that offers the latest benefits and innovations in medical technology, research and family friendly design. As the largest pediatric provider in the region with a 140 year legacy of excellence, kids and their families are at the center of all we do. Ann & Robert H. Lurie Chi

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

The Assistant Claim Specialist is an entry level position for claim processing. This person will use independent judgement and discretion to review, analyze, and make determinations regarding payment, partial payment, or denial of medical and dental claims, as well as various types of invoices, based upon specific knowledge and application of each client's customized plan

Imagine a workplace that encourages you to interpret, innovate and inspire. Our employees do just that by helping healthcare payers manage the cost of care, improve competitiveness and inspire positive change. You can be part of an established company that helps our customers thrive by interpreting our client's needs and tailoring innovative cost management solutions. We

Customer Experience Agent I Job Locations US IL Palatine ID 2024 3469 Category Customer Service/Support Position Type Regular Full Time Introduction Come move the world with us! Wake up each day to be part of a global movement . A movement to make an impact . A movement to go for it! A movement to provide best in class solutions . A movement to be empowered . A movement t

The primary responsibility of this position is coordinating and processing health system practitioners and non practitioners initial appointments and reappointments, in accordance with associated bylaws, rules and regulations, department policies and procedures. The position will manage the medical staff credentialing program and supports Medical Staff Office (MSO) functi

AFSCME 1111 Interviews and assists patients with the medical assistance application process through the gathering of pertinent financial, demographic and other data to acquire medical assistance under Medicaid, Managed Care and charity care programs. Reviews supporting documentation, explains hospital policies and procedures related to the process. Verifies data and acces

AFSCME 1111 Interviews and assists patients with the medical assistance application process through the gathering of pertinent financial, demographic and other data to acquire medical assistance under Medicaid, Managed Care and charity care programs. Reviews supporting documentation, explains hospital policies and procedures related to the process. Verifies data and acces

AFSCME 1276 Interviews and assists patients with the medical assistance application process through the gathering of pertinent financial, demographic and other data to acquire medical assistance under Medicaid, Managed Care and charity care programs. Reviews supporting documentation, explains hospital policies and procedures related to the process. Verifies data and acces

AFSCME 1276 Interviews and assists patients with the medical assistance application process through the gathering of pertinent financial, demographic and other data to acquire medical assistance under Medicaid, Managed Care and charity care programs. Reviews supporting documentation, explains hospital policies and procedures related to the process. Verifies data and acces

AFSCME 1276 Interviews and assists patients with the medical assistance application process through the gathering of pertinent financial, demographic and other data to acquire medical assistance under Medicaid, Managed Care and charity care programs. Reviews supporting documentation, explains hospital policies and procedures related to the process. Verifies data and acces

Consistently practices Patients First philosophy and adheres to high standards of customer service. This includes setting an example to peers, coworkers, etc. by fostering a team atmosphere. Responds to questions and concerns. Forwards, directs, and notifies Team Lead or Operations Coordinator of extraordinary issues as necessary. Maintains patient confidentiality per HIP

Chamberlain Chamberlain University has a 130 year history and the mission to educate, empower, and embolden diverse healthcare professionals who advance the health of people, families, communities, and nations. We're 99,000 strong, with 31,000 students and 68,000 alumni armed with the skills, passion, and determination to make a difference in today's complex healthcare en