Health Information Specialist I (Onsite Redwood City, CA. 94063) Job Locations US CA Redwood City Requisition ID 2024 35120 # of Openings 1 Category (Portal Searching) Operations Position Type (Portal Searching) Employee Full Time Equal Pay Act Minimum Range $19.00 $21.00 per hour Overview Who we are... Datavant protects, connects, and delivers the world's health data to

ly and accurately conduct coding reviews on medical records for assigned client audit contract in accordance with the statement of work while meeting compliance, productivity, and quality expectations. Conduct review of flagged claims and Fraud Waste & Abuse (FWA) referrals involving suspected upcoding, unbundling, anomalous coding, intentional miscoding, etc. Timely revie

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

Health Information Supervisor Multisite Hybrid Job Locations US CA Bakersfield | US CA Valencia Requisition ID 2023 34145 # of Openings 1 Category (Portal Searching) Medical Records Position Type (Portal Searching) Employee Full Time Equal Pay Act Minimum Range $22.00 $29.00 per hour Overview Who we are... Datavant protects, connects, and delivers the world's health data

The Cancer Registry Data Associate (CRDA) is an entry level position. The CRDA performs casefinding, data collection and follow back activities. The CRDA reviews pathology reports in both electronic and paper formats and performs follow back on potential reportable cases. The incumbent organizes and maintains electronic and paper case files and coordinates the reports sen

Patient Account Registrar Admitting Facility Shasta Regional Medical Center Location US CA Redding ID 2024 155888 Category Admin Position Type Per Diem Shift Variable Job Type Non Exempt Overview Shasta Regional Medical Center is a 226 bed acute care facility serving Northern California. The hospital offers a comprehensive range of services. Shasta Regional Medical Center

Relying on clinical background, reviews health claims providing medical interpretation and decisions about the appropriateness of services provided by other healthcare professionals in compliance with Concentra Physician Review policies, procedures, and performance standards and URAAC guidelines and state regulations. Responsibilities MAJOR DUTIES AND RESPONSIBILITIES Rev

Medical Records Tech Facility PHS Bio Medical Services Location US CA Ontario ID 2024 158559 Category Non Clinical Tech Position Type Full Time Shift Days Job Type Non Exempt Overview Join our team of dedicated professionals who provide services and operational support to award winning hospitals through roles in supply chain, IT and cybersecurity, clinical engineering, ca

The Medical Record Completion Coordinator is responsible for assisting physicians and other practitioners in achieving timely, accurate, and complete documentation within the medical record. The Medical Record Completion Coordinator monitors assigned deficiencies in the medical record to ensure completion of medical record deficiencies/delinquencies and that they are docu

Determines and facilitates appropriate action for claim resolution and correct financial responsibility via DOFRs, IPA and health plan/IPA contacts. Effectively uses detailed documentation in EMR and/or billing system(s) of all activities undertaken. Maintains timely follow up on outstanding insurance claims in appropriate EPIC WQs, ensuring claims are billed/rebilled wit

This is a remote position and candidates must be willing to work an Eastern/Central Time Zone schedule. Applies Certified Coder knowledge and logic to process routine to complex claims and electronic work queues in accordance with company policies and procedures. Interprets and processes systems edits by using Documentation Guidelines as it pertains to each state. Ensures

Referrals Coordinator Job Locations US CA Pinole ID 2024 5703 Overview LifeLong Medical Care is looking for a Referrals Coordinator at our Pinole and Rodeo Health Centers. The Referrals Coordinator is part of a patient centered care team. Responsibilities include providing specialty referrals, follow up, data entry and tracking. This is a full time, 40 hrs/wk, benefit eli

To perform this job successfully, an individual must be able to satisfactorily perform each essential duty listed below. Provide project coordination and administrative support for NCQA and Process Improvement activities. Support the Health Homes Program by coordinating meetings, documenting workflows, maintaining meeting minutes, creating and reviewing reports, and provi

Responsible for the delivery of efficient, high quality patient care. Responsible for personnel, management, and coordination of nursing service activities for the scheduled working shift, in accordance with established philosophy, objectives and policies of the hospital. The supervisor works with employees and other mangers to develop systems and procedures necessary for