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

Accurately and efficiently conduct medical record abstraction services; Scan relevant components of the medical record to support reviews to be performed; Electronically download review assignments to the laptop and data collection tool; daily upload completed assignments and scanned medical records; Complete required training; Complete quality, accuracy and inter rater r

Medical Records Specialist I Onsite Job Locations US NJ Trenton | US NJ Princeton Junction | US NJ Burlington Requisition ID 2024 36052 # 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 huma

Medical Records Specialist I (ON SITE) Job Locations US PA Pottstown Requisition ID 2024 36179 # 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

Temporary Records Processing Agent (Mailroom) Onsite Blue Bell, PA Job Locations US PA Blue Bell ID 2024 12118 Category Customer Service/Retrieval Operations Position Type Full Time Overview The Records Processing Agent processes incoming and outgoing mail containing medical records and requests for records as well as document reproduction while maintaining production and

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

Ability to navigate through an electronic health record, release of information module to accurately select the necessary documentation for release. For e consults will gather information from Epic in PDF format according to provider order and process guidelines. Gather additional supporting records to attach to e Consult request ie. X ray and cardiology images. Respond t

Collect, verify and prep documents for the scanning process per department procedure Scan, verify and uploading of documents into electronic health record Perform clerical duties such as maintaining retrieving or scanning of all records, files and documents of importance Confirm commitment of all documents to the electronic health records Answer phone and assist caller or

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

As a member of the Customer Service Center Call Center Team, ensure efficient and timely processing of all work assignments into applicable business systems with strict adherence to all established procedures to assist in the attainment of service level goals throughout the CSC. Responsibilities Provide accurate and timely resolution to claims customer service inquiries A

As a member of the Customer Service Center Call Center Team, ensure efficient and timely processing of all work assignments into applicable business systems with strict adherence to all established procedures to assist in the attainment of service level goals throughout the CSC. Responsibilities Provide accurate and timely resolution to claims customer service inquiries A

At Selective, we don't just insure uniquely, we employ uniqueness. Our Business Selective is a midsized U.S. domestic property and casualty insurance company with a history of strong, consistent financial performance for nearly 100 years.Selective's unique position as both a leading insurance group and an employer of choice is recognized in a wide variety of awards and ho

At Selective, we don't just insure uniquely, we employ uniqueness. Our Business Selective is a midsized U.S. domestic property and casualty insurance company with a history of strong, consistent financial performance for nearly 100 years.Selective's unique position as both a leading insurance group and an employer of choice is recognized in a wide variety of awards and ho

Medical Record Specialist II Onsite Job Locations US NJ Woodbury Heights | US NJ Willingboro | US NJ Camden | US NJ Bellmawr | US NJ Haddonfield | US NJ Glassboro | US NJ Pitman | US NJ Audubon Requisition ID 2024 36024 # of Openings 1 Category (Portal Searching) Operations Position Type (Portal Searching) Employee Full Time Overview Who we are... Datavant protects, conne