Drg Jobs in Par
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Utilizes technical coding expertise to assign appropriate ICD10CM and ICD10PCS codes tocomplex inpatient visit types. Complexity is measured by a Case Mix Index (CMI) and CoderIIs typically see average CMIs of 2.2609. This index score demonstrates higher patientcomplexity and acuity.U More...
Understanding of US Healthcare Payor workstreams including Claims Network and Pricing Provider Management Medical Management Premium Billing and Payment Member Enrollments Benefits Management. Well versed with various lines of business specifically Medicare . Healthcare industry s More...
Understanding of US Healthcare Payor workstreams including Claims Network and Pricing Provider Management Medical Management Premium Billing and Payment Member Enrolments Benefits Management. Wellversed with various lines of business specifically Medicare. Healthcare industry standard More...
Assign the principal and secondary diagnoses and procedures by thoroughly reviewing all documentation in the medical record utilizing knowledge of anatomy physiology medical terminology and pathology. Review the discharge summary history and physical physician progress notes consultat More...
About the job Description To contribute and lead projects with strong problemsolving skills and process orientation on the projects independently. To help the team with required trainings and handle client communication. Designation: Associate Consultant Job Location: Bangalore/Chenna More...
Job purpose: Processing, verification, and evaluation of healthcare insurance claims submitted by healthcare providers. Ensure that the claim adhere to the guidelines and requirements of the GIG Gulf. Key Responsibilities Claims Processing: Processing healthcare insurance clai More...
Large NSW Government OrganisationUp to $800-$1000 per day + Super6-month Contract Role Our client is a large NSW Government Organisation who are seeking Technical Application Specialist to join their The Technical Application Specialist is responsible for providing the enhance More...
Job description Job Summary: The Revenue Auditor is a member of the Revenue Cycle Team. The post holder must have an understanding of hospital coding, billing and reimbursement rates, and other functions related to Revenue Cycle. The incumbent must have knowledge of industry standar More...
Job DetailsShifts: Days - 8hrs, 40 hours/week, 8-5p, Monday-FridayWork Location: RemoteDuties and ResponsibilitiesDocumentation and Coding Analysis: Reviews clinical documentation to facilitate the accurate representation of the severity of illness, expected risk of mortality, and com More...
Claims Resolution Specialist
**ON-SITE**Job SummaryThe Claims Resolution Specialist provides assistance in resolving provider claims payment status issues, provider payment disputes, eligibility, and authorization verification. The incumbent will be responsible for following regulatory requirements in conjunction More...
Inpatient Clinical Coder
New Heights Career Services's client is urgently seeking a Remote Inpatient Clinical Coder to join their team! As the ideal candidate, you'll enjoy excellent training, automatic 401k 3% match, and a laptop with dual screens. You'll work alongside a physician lead to ensure continued e More...
Medical Coding(ed Facilities )- Bangalore
Maintains a working knowledge of CPT-4, ICD-10-CM and ICD-10-PCS coding principles, governmental regulations, UHDDS (Uniform Hospital Discharge Data Set) guidelines, AHA coding clinic updates and third-party requirements regarding Coding and documentation guidelinesKnowledge of Physic More...
Maintains a working knowledge of CPT-4, ICD-10-CM and ICD-10-PCS coding principles, governmental regulations, UHDDS (Uniform Hospital Discharge Data Set) guidelines, AHA coding clinic updates and third-party requirements regarding Coding and documentation guidelinesKnowledge of Physic More...
Medical Coding(surgery )- Bangalore
Maintains a working knowledge of CPT-4, ICD-10-CM and ICD-10-PCS coding principles, governmental regulations, UHDDS (Uniform Hospital Discharge Data Set) guidelines, AHA coding clinic updates and third-party requirements regarding Coding and documentation guidelinesKnowledge of Physic More...
Maintains a working knowledge of CPT-4, ICD-10-CM and ICD-10-PCS coding principles, governmental regulations, UHDDS (Uniform Hospital Discharge Data Set) guidelines, AHA coding clinic updates and third-party requirements regarding Coding and documentation guidelinesKnowledge of Physic More...
Maintains a working knowledge of CPT-4, ICD-10-CM and ICD-10-PCS coding principles, governmental regulations, UHDDS (Uniform Hospital Discharge Data Set) guidelines, AHA coding clinic updates and third-party requirements regarding Coding and documentation guidelinesKnowledge of Physic More...
Job Summary The Healthcare Financial Analyst III will lead the extraction and compilation of various sources of information and large data set to support the production of internal and external routine healthcare reports and complex ad hoc studies. The Analyst III will create re More...
This is a remote position.MFS has an immediate opening for a Remote Coding Quality Specialist for its local healthcare client in Palo Alto, CA. This is a 6 month contract role which may have possibilities of extension and/or conversions in the future. This opportunity comes with co More...
Maintains a working knowledge of CPT-4, ICD-10-CM and ICD-10-PCS coding principles, governmental regulations, UHDDS (Uniform Hospital Discharge Data Set) guidelines, AHA coding clinic updates and third-party requirements regarding Coding and documentation guidelinesKnowledge of Physic More...
Job Title : Solution Analyst Location : Remote Experience: 9-10 Years Duration : - Long term Contract Need LinkedIn with the profile Job Description: - Main keywords: HE(Healthedge) & HRP (HealthRules Payor) The Configuration Solutions Analyst must have a thorough understanding of th More...
Title: Business Analyst HEALTHRULES Location: Remote Duration: 12 Months Contract Responsibilities Create new and modify existing Claims Pricing configurations. Configures and maintains the business rules within the Claims Processing ecosystem. Configures the Health More...
Job SummaryThe Claims Quality Assurance (QA) Analyst will conduct routine oversight monitoring and auditing of all business functions within CalOptima, to ensure compliance with federal, state, regulatory, and internal guidelines. The incumbent will ensure that the Claims department i More...
ob SummaryThe Claims Resolution Specialist provides assistance in resolving provider claims payment status issues, provider payment disputes, eligibility, and authorization verification. The incumbent will be responsible for following regulatory requirements in conjunction with CalOpt More...
Maintains a working knowledge of CPT-4, ICD-10-CM and ICD-10-PCS coding principles, governmental regulations, UHDDS (Uniform Hospital Discharge Data Set) guidelines, AHA coding clinic updates and third-party requirements regarding Coding and documentation guidelinesKnowledge of Physic More...
(healthcare) Inpatient Coding Specialist (remote)
Job SummaryAs a Coding Integrity Specialist III WORK FROM HOME, you will review and evaluate hospital inpatient medical record documentation to assign, sequence, edit and/or validate the appropriate ICD-10-CM and ICD-10- PCS codes. A CIS III performs coding and/or code/DRG validation More...
Clinical AuditorThis is an exciting opportunity to work for a leader of resources for payors solutions & bill review with a preferred client. General essential functions include performing DRG validation (clinical/coding) reviews of medical records and/or other documentation to determ More...
Clinical AuditorThis is an exciting opportunity to work for a leader of resources for payors solutions & bill review with a preferred client. General essential functions include performing DRG validation (clinical/coding) reviews of medical records and/or other documentation to determ More...
Clinical Audit ManagerThis is an exciting opportunity to work for a leader of resources for payors solutions & bill review with a preferred client. General essential functions include performing DRG validation (clinical/coding) reviews of medical records and/or other documentation to More...
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