Provides education to medical providers as warranted. Description What You'll Do Communicates/educates providers on issues such as Medicare coverage, utilization statistics, documentation and medical review by use of written advisories, reports, letters, and telephone contacts. Documents all provider contacts/communications in provider tracking system. Conducts formal con

Health Information Specialist I (ONSITE Lehi, Utah 84043) Job Locations US UT Lehi Requisition ID 2024 36079 # of Openings 1 Category (Portal Searching) Operations Position Type (Portal Searching) Employee Full Time Overview Who we are... Datavant protects, connects, and delivers the world's health data to power better decisions and advance human health. We are a data log

MRM is seeking a Privacy Program Manager, Global Marketing Operations to join the team! We are looking for a proactive solution seeker. Remover of roadblocks and empowers the team to produce their best work. As a Privacy Program Manager, this person collaborates with the Global Marketing Privacy Expert, Privacy/Legal Counsel, and other teams in the Privacy Centre of Excel

Clinical Informatics Analyst Staff is responsible to perform workflow and system analysis and functional design for software development / configuration activities associated with Epic and other HIT related initiatives. Also, responsible to participate in the implementation, training curriculum development, and the adoption and process improvement of Epic and other clinic

Review pre bill cases simultaneously with a physician during each work shift excluding breaks and meetings to analyze and validate diagnosis and procedure codes for inpatient services via coding compliance and clinical knowledge to support accurate DRG assignment Utilizes Accuity technology for tracking of coding errors, query opportunities and other data collection as ne

The Insurance Specialist is responsible for consulting with Clients on contractual insurance requirements via review of MSAs/contracts and conveying industry best practices in determining how to best reduce Client exposures. The Insurance Specialist will work in collaboration with the Insurance Verification team to deliver quick, high quality service and exceed Client exp

Health Information Operations Supervisor Onsite Job Locations US UT Cedar City | US UT Hurricane | US UT Washington | US UT Payson Requisition ID 2024 34865 # of Openings 1 Category (Portal Searching) Medical Records Position Type (Portal Searching) Employee Full Time Overview Who we are... Datavant protects, connects, and delivers the world's health data to power better

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

The MedInsight team develops an industry leading data warehouse and analytics suite for major healthcare companies including insurers, providers, and public entities. We are a tech healthcare data company transforming how the industry understands and consumes healthcare data. We are accelerating and looking for a Sr. Healthcare Analyst to join our team. This position focu

Assigns appropriately sequenced and compliant ICD 10 CM/PCS codes as documented in the electronic medical record (EMR). Applies definition of principal diagnosis for proper assignment of MS DRGs, APR DRGs, and POA indicators using a designated encoder/grouper, while ensuring compliance with nationally established coding guidelines. Utilizes selected encoder and/or compute

The MedInsight team develops an industry leading data warehouse and analytics suite for major healthcare companies including insurers, providers, and public entities. We are a tech healthcare data company transforming how the industry understands and consumes healthcare data. We are accelerating and looking for a Sr. Healthcare Data Analyst to join our team. This position

Provide leadership and ownership of highly complex and diverse engineering activities and related analyses associated with major field projects and provide technical advice to customers and less experienced field service team members. Work with field service team and customers to drive issues to resolution Mentor and develop field service skills such as technical expertis

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

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