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

nGenesis is currently seeking a temporary Data Entry Specialist to work with our client in Wassaic, NY. In this role, you will be working in the NYS Office for People With Developmental Disabilities Taconic office. Apply today and we'll reach out to answer any questions you may have! Job Duties Duties will be performed within the Business Office. Filing, phones, receiving

Associate, CPC Outpatient Auditor Burlington Office, 62 Merchants Row, Williston, Vermont, United States of America Fishkill Office, 300 Westage Business Center Drive, Fishkill, New York, United States of America Headquarters Office, 625 State Street, Schenectady, New York, United States of America Rochester Office, 220 Alexander Street, Rochester, New York, United States

1. Screens and refers incoming phone calls and directs patients and families to ensure that accurate and timely department communication is facilitated and that the Department is represented in a positive manner. 1.1 Provides all support and clerical assistance to patients, families, staff (both departmental and hospital), and community contacts with the greatest consider

Required Qualifications (as evidenced by an attached resume) Associate's Degree from a college or university program accredited by an agency recognized by the Council for Higher Education Accreditation (CHEA). In lieu of a degree, a High School Diploma plus two (2) years of related billing experience may be considered. Experience working with insurance policies, reimburse

1. Reviews medical record documentation and accurately selects the appropriate ICD 10 CM, CPT, modifiers, and ICD 10 PCS codes, when applicable, in accordance with official coding guidelines. This includes resolving CCI edits, as applicable. 2. Capable of coding a minimum of three (3) complex OP service lines, which would include Cardiology, Interventional Radiology, Obse

1. Follows department established Fax Review protocols. Extracts and summarizes pertinent clinical information to transmit to payors for reimbursement. 2. Proactively identifies potential concerns regarding clinical eligibility for admission and/or continued stay reviews and addresses with Care Coordination. 3. Coordinates reconsiderations and/or peer to peer reviews for

1. Coordinates activities with internal and external educational partners (Inpatient Coding Educator/Auditor, American Coding School, AHIMA Foundation Apprentice Program, Nosology, etc.) to identify cases for internal audits, American Coding School and for apprentice staff on an ongoing basis; and meet with staff to assess their knowledge of specific coding topics and ide

1. Screens and refers incoming phone calls and directs patients and families to ensure that accurate and timely department communication is facilitated and that the Department is represented in a positive manner. 1.1 Provides all support and clerical assistance to patients, families, staff (both departmental and hospital), and community contacts with the greatest consider

1. New Medical Staff Applications 1.1 Receives and reviews all new applications and communicates with applicant regarding outstanding required documentation within five (5) working days of receipt. 2. Medical Staff Re Appointments 2.1 Responsible for ensuring that re appointment applications are appropriately prepared and distributed to eligible Medical Staff six (6) mont

At Stony Brook Medicine, our Patient Access Representatives are responsible for completing varied, diverse and specialized duties to support the Revenue Cycle, Compliance and Patient Experience by accurately and efficiently completing tasks in areas of Registration, Financial screening and verification, and Patient throughput. Qualified candidates will demonstrate excelle

1. Application Development 1.1 Supports application development including system analysis, planning and preparation. 2. Teamwork 2.1 Creates and maintains regular status reports to immediate manager 3. Documentation 3.1 Documents and maintains all required system design and build documents and configures system accordingly. 4. Other 4.1 Provides training to other IT staff

Assesses the patient's physiologic health status Conducts patient interview, explains policies and procedures to patient/significant others, reviews patient's chart and answers questions correctly and courteously. Assesses gastrointestinal, cardiovascular, respiratory, renal and neurological health status. Determines mobility, sensory deficits, prostheses use, and skin co

At Stony Brook Medicine, the Coding Specialist will be responsible for selecting and assigning accurate codes from the current version of coding systems including ICD 10 CM, ICD 10 PCS, CPT and HCPCS codes. Duties of a Medical Record Coder may include the following but are not limited to Assign ICD 10 CM/PCS, CPT and HCPCS codes with modifiers for services provided in the

1. Reviews medical records of hospitalized patients to identify the most appropriate principle diagnosis and to assign a working DRG. Performs initial reviews, concurrent reviews and retrospective reviews to ensure the DRG accurately reflects the principal diagnosis and all comorbid conditions after study. 1.1 Completes the initial review within 24 48 hours of admission.