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

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

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

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

Index documents into Epic (Norton's digital medical record system) that are sent from outpatient, physician practices. Store, retrieve, review, assess, and process health related information in both paper format and electronic format Contributes to overall patient safety, revenue cycle management and continuous quality improvement initiatives Serves as a resource for all

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

CLINICAL DENIALS MANAGEMENT AND AUDIT Job Locations US KY LOUISVILLE ID 2024 141285 Line of Business BrightSpring Health Services Position Type Full Time Our Company BrightSpring Health Services Overview Clinical Denials Management and Audit monitors, responds to, and performs the clinical denial and appeal processes across Home Health branches for all payor types strivin

Clinical Coding & Audit Specialist Job Locations US KY LOUISVILLE ID 2024 137732 Line of Business BrightSpring Health Services Position Type Full Time Our Company BrightSpring Health Services Overview The Clinical Coding and Audit Specialist monitors, responds and performs the clinical coding and audit support required to ensure timely processing of all episodes of care.

The Medical Biller is responsible for accurately processing and submitting insurance claims, managing patient billing, and ensuring timely collection of payments. This role involves collaborating with healthcare providers, insurance companies, and patients to resolve billing issues and optimize the revenue cycle. The ideal candidate will have a strong understanding of med

Utilization Review Coordinator Opportunity Lincoln Trail Behavioral Health System is a 140 bed hospital offering inpatient services for adolescents, adults, military/veterans and their families. Lincoln Trail Behavioral Health System has a spacious cafeteria, gymnasium, art/activity room, group rooms, classrooms and other areas to create a pleasant atmosphere for patients

Under moderate supervision, receives all incoming calls from potential clients and assesses these calls for content, applicability to SCS programs, urgency, lethality, need for pharmaceutical intervention and financial payor source. ESSENTIAL JOB FUNCTIONS Provides telephone screening for people who call SCS Access System. Determines client eligibility for services and ve

Under moderate supervision, performs variety of administrative or business office functions, including front desk/reception, data entry, filing, typing, and report running, handling problems and deviations according to instructions, procedures, previous training, or accepted SCS practices, with limited discretion to revise existing methods or protocols or develop new one,

Performs a range of clerical duties related to the support of operations of the unit including updating and organizing information on the unit; coordinating work within the unit and with other units and departments; reporting relevant information to the supervisor; and responding to inquiries and requests from patients, visitors and caregivers. Qualifications Minimum Qual

The Brook Hospital Dupont is hiring a full time HIM Coordinator. This is a day shift position eligible for benefits. Since 1985 The Brook Hospital has been offering hope to individuals, families, and communities. The Brook offers two outstanding hospitals in Louisville, Kentucky, KMI & Dupont. The Brook is the leader in providing quality mental health and addiction treatm

Performs a range of clerical duties related to the support of operations of the unit including updating and organizing information on the unit; coordinating work within the unit and with other units and departments; reporting relevant information to the supervisor; and responding to inquiries and requests from patients, visitors and caregivers. Qualifications Minimum Qual