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 Centralized Verification Specialist will be responsible for accurate and timely investigation of sub prime consumer loan applications. Ensure that critical loan approval stipulations are addressed, resolved, and meet company policies. Identify and escalate complex issues as they are identified. Support both a Centralized Sales operation and a nation wide branch office

Cognizant, a global IT consulting and services organization, specializes in sixteen different industries. Our mission is to engineer modern business to improve everyday life. We are currently looking for a versatile and motivated Regulatory Affairs Senior Associate to join our team! The Senior Associate will play an integral part in monitoring the regulatory changes and p

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

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

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

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

Identify appropriate assignment of ICD 10 CM and ICD 10 PCS Codes for inpatient services provided in a hospital setting and understand their impact on the DRG with reference to CC / MCC, while adhering to the official coding guidelines and established client coding guidelines of the assigned facility Abstract additional data elements during the Chart Review process when c

To View A Day In Life Of a Hospital Service Tech Hospital Services Technicians travel between customer healthcare facilities providing on site proactive collection and exchange of waste containers for various Stericycle programs, including but not limited to Sharps Management Service, Pharmaceutical Waste, Controlled Substances, and Document Management. This service is pr

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

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

Medical Records Technician Category Current Openings > Healthcare Job Location 3250 North Pinal Parkway, Florence, Arizona Tracking Code 13988 Position Type Full Time/Regular STGi provides detention health care services including medical, dental, and behavioral health to individuals in custody within ICE detention facilities. We are seeking Medical Records Technician cand

Are you looking for an exciting opportunity? We currently have a full time opening for a Health Information Management (HIM) Specialist in Tempe, AZ . The Health Information Management Specialist provides will perform a variety of tasks associated with the collecting, analyzing, and indexing of patient care documentation within our claims system. Your day will be very bus

Overview Copper Springs East is a 72 bed behavioral hospital located near Gilbert, AZ. The hospital offers inpatient and outpatient mental health and addiction treatment to adults, adolescents and their families. At Copper Springs East we are dedicated to Changing People's Lives . The Utilization Review department plays an essential role in helping fulfill our mission of

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