Researches and analyzes denied claims to ensure compliance with payor and/or government rules/regulations and determines appropriateness for appeal. Secures needed medical documentation required or requested by insurance carriers to support appeal process. Reviews and analyzes accounts; determines and writes appeal letters for technical appeals based on medical necessity.

Evaluates and treats patients with various speech, language, voice and swallowing disorders under the prescription of a physician. Conducts a speech and language evaluation of each patient. Communicates with physicians to confirm and update patient's plan of treatment and provides physician with a status report on a regular basis. Communicates problems to physicians and m

Advocate Health Care is the largest health system in Illinois and a national leader in clinical innovation, health outcomes, consumer experience and value based care. One of the state's largest private employers, the system serves patients across 11 hospital locations, including two children's campuses, and more than 250 sites of care. Advocate Health Care, in addition to

Reviews medical documentation at a proficient level from clinicians, qualified health professionals and hospitals in order 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 an EMR and/or Computer Assisted Codi

Develops structure and directs daily operations for a comprehensive real estate services program by providing procedures, policies and tools for managing Advocate Aurora real estate. Thereby enabling sound decision making as to lease/ buy/ sell opportunities, lease management, real estate financial analysis and due diligence in addition to conducting strategic planning an

Administration 1)Participates in the bid review process; analyszees quotations and propsals 2)Reviews submittals for accuracy and conformity to LGH specifications 3)Insures that projects are built according to specifications 4)Administers construction projects and maintains proejct documentation 5)Assists in the preparation of initial budget estimates for approval 6)Revie

Accurate utilization of computerized central scheduling system to provide customers with timely, courteous, and proficient scheduling. Appropriately uses tools and resources to prevent scheduling conflicts and ensures proper test sequencing when multiple testing is ordered. Accurately enters all required patient Registration data (i.e. demographic, insurance, contacts). E

Summary Helps Executive Chef prepare and cook foods. Coordinates activities of cooks and other food service associates. Assumes responsibility for kitchen and food service associates in the absence of Executive Chef. Essential Duties and Responsibilities Cooks and prepares food following approved recipes and production standards. Ensures all deadlines are met based on pro

Provide billing and revenue accuracy by conducting charge capture/bill audits (concurrent, prospective and retrospective). 4)Escalate issues regarding revenue capture or incorrect charging practices when appropriate 5)Escalate issues regarding nursing documentation when appropriate 1)Perform proactive/concurrent audits for assigned departments or as appropriate to identif

Responsibilities are assigned based on area of concentration. Receives exposure to various aspects of health care from the view of the area of concentration. The incumbent is responsible for adhering to established Service Standards. Licensure, Registration, and/or Certification Required None Required. Education Required High School Junior, Senior, or High School graduate

Develops and implements revenue cycle quality programs to achieve targets and provide measurements related to Advocate Aurora Health's revenue cycle strategies. Engages and collaborates with key, multidisciplinary leaders and teams throughout the organization to positively impact revenue cycle quality, systems, and process for the purpose of enhancing the organization's f

Reviews medical documentation at a proficient level from clinicians, qualified health professionals and hospitals in order 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 an EMR and/or Computer Assisted Codi

Contributes to effective patient outcomes. Responsible to provide competent patient care assigned. 1)Demonstrates competent home health aide skills. 2)Promotes patients to reach functional status goals by providing assistance with ADL's following the HHA assignment record in rendering patient care and maintaining safety. 3)Notes changes in patient's condition requiring fu

Clinical 1)Completes and documents accurate comprehensive, episodic history and physical assessments 2)Performs ordering, conducting, supervising, and interpreting diagnostic laboratory and imaging studies 3)Prescribes treatments, and therapies not limited to medications, diet, supplies, prosthetic devices, and equipment 4)Implements primary and secondary prevention strat

Accountability for large, complex policy projects, with an understanding that the quality of work product strongly impacts the Federal Affairs and Government policy department. Monitor regulatory filings, legislative actions, media, academic research, and other sources for policy development impacting the health system eco system. Perform legislative and regulatory resear