Complete assessments with members, caregivers, or providers to obtain information regarding client status, support system, and need for services for care plan development Monitor delivery of services and follow up with members, caregivers, or providers through in person visits and telephonic contact Authorize and coordinate referrals for services Ensure provider services

The Inpatient DRG Reviewer will be primarily responsible for conducting post service, pre payment and post pay comprehensive inpatient DRG reviews based on industry standard inpatient coding guidelines and rules, evidence based clinical criteria plan, and policy exclusions. Conduct reviews on inpatient DRG claims as they compare with medical records ICD 10 Official Coding

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

Area Lead Health Information Specialist Onsite Job Locations US FL Sebring Requisition ID 2024 35785 # 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 logistics c

Medical Office Support Job ID 2024 27257 # Positions 1 Job Location US FL Kissimmee Telecommute Location Specific Position FT/PT Full Time Category Medical Office Professionals Why Us? With a mantra of Empowering Human Potential, Hanger, Inc. is the world's premier provider of orthotic and prosthetic (O&P) services and products, offering the most advanced O&P solutions, c

Performs other duties as assigned Minimum Qualifications Education High School Diploma or GED required.Associates or Bachelor's degree in HIM/HIT preferred. Experience One (1) year acute care observation and/or same day surgery hospital outpatient coding experience required. Three (3) years healthcare experience preferred. An equivalent amount of education or experience m

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 Medical Billing Specialist is responsible for the accuracy of the super bill/claim prior to transmission to payer, including validation of appropriate Current Procedural Terminology (CPT), Healthcare Common Procedure Coding System (HCPCS), and International Classification of Diseases, Tenth Revision, Clinical Modification (ICD 10 CM). DUTIES & RESPONSIBILITIES The Bil

Area Lead Health Information Specialist Onsite Job Locations US FL Tampa Requisition ID 2024 35925 # 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 logistics com

Currently recruiting an ON SITE Medical Coder Outpatient in Tampa, Florida to provide support to Active Duty heroes, their families, and retirees at MacDill AFB. The full time position is Monday Friday, 8 hours shifts between 7 30am and 4 30pm. Telework/Remote work may be available with base approval. DUTIES OF THE MEDICAL CODER OUTPATIENT Have practical knowledge of the

Vector Solutions is the leader in providing industry focused SaaS solutions that connect content and technology. Vector's unique product set aims at training and learning management, continuing education (CE), compliance, workforce scheduling, safety management, and more. Our mission is to empower everyday heroes in the public, educational and commercial sectors to make s

RAYUS Radiology, formerly Center for Diagnostic Imaging and Insight Imaging, is looking for a Health Information Associate to join our team. We are challenging the status quo by shining light on radiology and making it a critical first step in diagnosis and proper treatment. Come join us and shine brighter together! As a Health Information Associate, you will work to ensu

Area Health Information Specialist I Job Locations US FL Cocoa Beach Requisition ID 2024 36088 # 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 logistics company

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

Health Information Specialist I Job Locations US FL Melbourne Requisition ID 2024 36063 # 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 logistics company for he