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 Identify appropriate assignment of CPT and ICD 10 Codes for outpatient sur

Identify appropriate assignment of CPT and ICD 10 Codes for outpatient Acute Interventional Radiology 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) code

Examines, diagnoses and treats patients for acute injuries, infections, and illnesses Counsels and educates patients and families about acute and chronic conditions or concerns Documents items such as chief complaint, past medical, family, and social history, review of systems, examinations, medications, allergies, assessment and plan Formulates diagnostic and treatment p

At OptumCare, we share what might be seen as a surprisingly simple goal making the health system work better for everyone. We look for people who relentlessly push themselves to go farther. For these high performers, a position on a team at OptumCare is a natural fit. We offer more than the talent, resources and can do culture we offer a place to improve the lives of othe

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

Packaging patient deliveries for shipments via FedEx and Courier Stocking medications and supplies Packaging and pulling medications and supplies Assisting with inventory/purchasing tasks Willingness to learn aseptic technique, compounding practices, and cleanroom sterility This role is equally challenging and rewarding. You'll need to work within multiple computer system

Communicates directly with patients and / or families either in person or on the phone to complete the registration process by collecting patient demographics, health information, and verifying insurance eligibility / benefits Utilizes computer systems to enter access or verify patient data in real time ensuring accuracy and completeness of information Gathers necessary c

Communicates directly with patients and / or families either in person or on the phone to complete the registration process by collecting patient demographics, health information, and verifying insurance eligibility / benefits Utilizes computer systems to enter access or verify patient data in real time ensuring accuracy and completeness of information Gathers necessary c

Travel to different pharmacy locations to provide expertise in sterile compounding techniques and assist in addressing operational needs Monitor aseptic compounding of medications in compliance with USP and guidelines, ensuring accuracy and safety in every preparation Conduct quality assurance checks on compounded medications, verifying accuracy, potency, and sterility pr

Creates a great consumer and clinic partner experience and continually builds solid relationships with both groups to proactively meet their needs Serves as an expert to the clinical staff and proactively meets with their team on meeting their clinical outcomes Counsels and educates patients on the usage of medications, adverse effects, schedules and any personal question

Have a working knowledge of computer applications Demonstrate Leadership and Analytical Thinking capability Requires working knowledge of insurance including Commercial Contracts, Managed Care, and Government Programs including Federal, State, and local agencies Have knowledge of basic medical terminology Organizes workflow to ensure accurate and timely team performance S

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

Verify prescriptions and prescription data entered into the pharmacy computer system for accuracy Oversees the activities of pharmacy technicians and inventory personnel Organizes workload, sets priorities, completes assignments in a timely manner and utilizes resources appropriately while complying with department program standards Work in the fulfillment area to provide

Examines, diagnoses and treats patients for acute injuries, infections, and illnesses Counsels and educates patients and families about acute and chronic conditions or concerns Documents items such as chief complaint, past medical, family, and social history, review of systems, examinations, medications, allergies, assessment and plan Formulates diagnostic and treatment p

Primarily answering prior authorization with inbound calls (up to 50 to 70 calls per day) from providers/members as well as research and resolve formulary and benefit issues using the appropriate reference material Process authorizations through various computer systems and use of job aid/policies/procedures ensuring the accuracy of all data and updating as necessary Have