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

BILLING RECORDS ASSOCIATE Job Locations US CO LONGMONT ID 2024 140139 Line of Business PharMerica Position Type Full Time Pay Min USD $18.50/Hr. Pay Max USD $22.00/Hr. Our Company PharMerica Overview Join our PharMerica team! PharMerica is a closed door pharmacy where you can focus on fulfilling the pharmaceutical needs of our long term care and senior living clients. We

unlocking global understanding. As a unique, world leading provider of technology enabled language, content, and intellectual property services, we remove the barriers to communication to make global connection possible. Our unrivalled experience and deep understanding of language have been developed over more than 60 years. As we look to shape the future, our ambition is

Schedules all follow up appointments in the practice management system following the provider order and/or office protocol in a high volume clinic setting. Cancels/reschedules appointments according to patient or physician scheduling changes; notifies appropriate clinic personnel. Arranges for patients to have financial counseling as needed. Demonstrates an understanding

This position is responsible for validating and entering patient and insurance information into proprietary billing software. The ideal candidate will be well versed in billing guidelines, insurance guidelines, and responding to patient and insurance inquiries. The medical biller will also be responsible for maintaining patient confidentiality and accurately inputting pat

Schedules all follow up appointments in the practice management system following the provider order and/or office protocol in a high volume clinic setting. Cancels/reschedules appointments according to patient or physician scheduling changes; notifies appropriate clinic personnel. Arranges for patients to have financial counseling as needed. Demonstrates an understanding

CENSUS ASSOCIATE Job Locations US CO LONGMONT ID 2024 142166 Line of Business PharMerica Position Type Full Time Pay Min USD $18.50/Hr. Pay Max USD $22.00/Hr. Our Company PharMerica Overview Join our PharMerica team! PharMerica is a closed door pharmacy where you can focus on fulfilling the pharmaceutical needs of our long term care and senior living clients. We offer a n

Two plus years health care credentialing and/or provider enrollment experience. Bachelor's degree or relevant work experience may substitute for advanced education. Must be a Colorado resident. WHERE A CANDIDATE IS PLACED IN THE COMPENSATION RANGE DEPENDS ON TOTAL RELEVANT YEARS OF EXPERIENCE The Colorado Coalition for the Homeless is committed to delivering services, mak

Reviews, processes and audits the medical necessity for each patient chemotherapy treatment and documentation of regimen and pathway adherence. Works as a patient advocate and functions as a liaison between the patient and payer to answer routine and complex inquires reimbursement questions and avoid insurance delays. Obtains insurance authorization and pre certification

Analysis Complete ad hoc analyses and build comprehensive reporting to inform strategic questions Present findings and actionable recommendations to leadership Critical thinking Quickly gain an understanding of principal growth drivers and key metrics Understand the healthcare landscape and changing policies and conditions and their implication on the business Technical D

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

The purpose of this position is to perform all professional coding responsibilities for an assigned group of clinics and/or providers. Scope 1.Assigns ICD, CPT and HCPCS coding classifications based on clinical documentationand/or physician orders. Utilizes appropriate tools, resources and guidelines to determine codes and assign principal and secondary diagnoses. Obtains

Eagle Health is seeking an experienced Healthcare Data Analyst II to support a federal government customer. Typical duties include Use statistical and database tools to gather and analyze healthcare data. Provide analytics and data management support to Government client. Present or report findings and analytical results to non technical audience and/or Government represe

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