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

Assess the clinical indicators and suggestions of various query requests received from the MD Reviewer/ DRG Integrity Specialist Collaborate and communicate as necessary to clarify and avoid misinterpretation to ensure the query is optimally written and distributed to the correct client provider Creates queries in a compliant manner in accordance with AHIMA and ACDIS comp

Ensures all scheduled visits are pre registered and accounts are appropriately certified / authorized in advance of the service date. Initiates, obtains, and documents referrals/authorizations/pre certifications in appropriate systems. Answers incoming external/internal telephone calls, determines purpose of calls and schedules appropriately or routes to physician practic

Audits documentation for appropriate coding and reimbursement and provides education to all partners, including provider/s, clinical, billing and coding staff. Provides comprehensive research to new program initiatives to ensure compliancy and assist in the coding/billing workflow. Conducts provider coding orientation and education sessions and documents all information p

Join our team who is committed to the delivery of the highest quality health care service. We are seeking a full time Certified Professional Coder that is self motivated, energetic, and a take charge individual. This highly visible position reports directly to the Coding Manager. Qualified candidates will have the option to work remotely after training. Responsibilities i

Are you an LPN seeking clerical and patient care work?

Supervises the Professional Coding Team. Ensures accurate and timely coding of records to ensure compliant charging and accurate reimbursement. Thorough knowledge of medical coding and reimbursement topics and experience with electronic medical records required. Responsible for understanding and adhering to the Children's Organizational Code of Ethics and for ensuring tha

At Children's Wisconsin, we believe kids deserve the best. Children's Wisconsin is a nationally recognized health system dedicated solely to the health and well being of children. We provide primary care, specialty care, urgent care, emergency care, community health services, foster and adoption services, child and family counseling, child advocacy services and family res

Position Description Every great life changing discovery begins the same way with new knowledge. It can change everything, from a single life to the future of entire communities. That's why academic medicine, and the continuous pursuit of knowledge, is at the center of everything we do at the Medical College of Wisconsin (MCW). As a Coding Specialist II, you will perform

Position Description Every day, in ways both big and small, the Medical College of Wisconsin (MCW) is impacting lives for the better. MCW ... change making for a healthier Wisconsin. As a Quality Coding Analyst I, you will serve as an expert resource for multi specialty documentation, coding and billing. Works as an extension to the Charge Capture Supervisory Team to moni

Work Schedule This is a full time, 1.0 FTE position that is 100% remote. Hours may vary based on the operational needs of the department. Applicants hired into this position can work from most states. This will be discussed during the interview process. To be eligible to work remotely, you must be in an approved remote work state for UW Health. We've included a link below

Assists with all coding functions ensuring consistency, uniformity and understanding of coding processes and guidelines. Assists supervisor in training, scheduling, evaluating and supervising staff. Reports on department quality and prepares recommendations for improvements by coordinating training. Ensures appropriate administration of the revenue cycle compliance plan.

Ensures all scheduled visits are pre registered and accounts are appropriately certified / authorized in advance of the service date. Initiates, obtains, and documents referrals/authorizations/pre certifications in appropriate systems. Answers incoming external/internal telephone calls, determines purpose of calls and schedules appropriately or routes to physician practic

This role will have all responsibilities of coder I, II and III in addition to reviews complex inpatient documentation at a highly skilled and proficient level to assign diagnosis and procedure codes utilizing ICD 10 CM/PCS, CPT, and HCPCS. Assigns and ensures correct code selection following Official Coding Guidelines and compliance with federal and insurance regulations

Life changing therapies. Global impact. Bridge to thousands of biopharma companies and their patients. We are PCI. Our investment is in People who make an impact, drive progress and create a better tomorrow. Our strategy includes building teams across our global network to pioneer and shape the future of PCI. Job Description The Clinical Quality Documents Coordinator will