Identify appropriate assignment of CPT and ICD 10 Codes for outpatient Ambulatory Observation services while adhering to the official coding guidelines and established client coding guidelines of the assigned facility Apply coding knowledge to analyze/correct CCI Edits and Medical Necessity Edits Understand the Medicare Ambulatory Payment Classification (APC) codes Abstra

Verifies insurance eligibility and benefits on all assigned accounts using electronic verification systems or by contacting payers directly to determine level of insurance coverage. When contacting payers directly, utilizes approved scripting. Obtains referral, authorization and pre certification information and documents this information in system. Identifies outstanding

The Health Information (Coder) participates as an integral member of the records management team by ensuring the quality maintenance of patient information/medical records, within all laws, rules and regulations of federal and state licensing agencies, and TJC standards for the quality of patient care. The Health Information Coder has the primary responsibility of assigni

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

Responsible for the evaluation, administration, and oversight of evidence based occupational or physical therapy services provided to individuals with Lymphedema. Use specialized skills to promote goals of prevention of dysfunction and restoration of function in order to enhance quality of movement and daily living skills for individuals with Lymphedema. Develops and upda

The DRG Auditor is responsible for performing an in depth review of select inpatient medical records to ensure that the assigned codes and DRG are supported by clinical documentation and all diagnoses and procedures are coded with the required specificity and the discharge disposition and the POA are correct Knowledge of IPPS methodology is required. Responsible for mento

Fellow physicians function under the auspices of and are appointed to a post graduate year position by the Program Director. The PGY4 fellow must meet or exceed specialty specific Accreditation Council for Graduate Medical Education (ACGME) milestone competencies commensurate with their level. PGY4 fellow must demonstrate continued acquisition of skills and competencies w

Identify appropriate assignment of CPT and ICD 10 Codes for outpatient surgery, observation, emergency, and ancillary services while adhering to the official coding guidelines and established client coding guidelines of the assigned facility Understand the Medicare Ambulatory Payment Classification (APC) codes Abstract additional data elements during the Chart Review proc

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