Utilizes technical coding expertise to assign appropriate ICD 10 CM and ICD 10 PCS codes to acute rehab cases and inpatient OB and Newborn discharges. Complexity is measured by a Case Mix Index (CMI) and IP Coder Associate's typically see average CMI's of 0.5759 with the OB and Newborn population. This index score demonstrates lower patient complexity and acuity. Utilizes

Utilizes technical coding expertise to assign appropriate ICD 10 CM and ICD 10 PCS codes to complex inpatient visit types. Complexity is measured by a Case Mix Index (CMI) and Coder II's typically see average CMI's of 2.2609. This index score demonstrates higher patient complexity and acuity. Utilizes expertise in clinical disease process and documentation, to assign Pres

Greets visitors and patients in person. Communicates by telephone, upholding excellent customer service. Handles confidential information appropriately by protecting and disclosing information to only those authorized. Prioritizes by assessing and analyzing information to identify immediate emergency needs. Demonstrates technical knowledge and competence in the department

Include Ensure patient demographic information is accurate and complete Utilize customer hospital systems or approved vendors to research and obtain/verify patient demographic information Validate signature documents such as AOB (Assignment of Benefits), consents, CMN (Certificate of Medical Necessity) Verify patient name is consistent on all documents Verify date of servi

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

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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

Process Improvement Leverage knowledge of clinical operations to map current and future state workflows. Analyze gaps between current and ideal state to identify potential solutions that address underlying problems. Research solutions to improve processes, standards and/or technology based on approved guiding principles. Optimize department and integrated workflows. Evalu

Putting People First in Pharmacy Navitus was founded as an alternative to traditional pharmacy benefit manager (PBM) models. We are committed to removing cost from the drug supply chain to make medications more affordable for the people who need them. At Navitus, our team members work in an environment that celebrates diversity, fosters creativity and encourages growth. W

Greets visitors and patients in person, or communicates by telephone or video conferencing, upholding excellent customer service. Enters and updates patient demographic and financial information, ensuring the patient is fully registered as early in the process as possible. Obtains appropriate applications and forms, confirming signatures are on file. Photocopies/scans doc

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

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

Position Description Every day, in ways both big and small, the Medical College of Wisconsin (MCW) is impacting lives for the better. MCW ... changemaking for a healthier Wisconsin. As a Coding Specialist I in Clinical Practice Services, perform coding and related duties using established billing office policies in an accurate and timely manner. Coordinates professional s

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