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

Provides education to medical providers as warranted. Description What You'll Do Communicates/educates providers on issues such as Medicare coverage, utilization statistics, documentation and medical review by use of written advisories, reports, letters, and telephone contacts. Documents all provider contacts/communications in provider tracking system. Conducts formal con

Assists with the development of education and training of physicians, coders, and CDI specialists for Accuity Healthcare and provides coding component to all education programing, which may include preparation of related educational materials and giving frequent presentations on site and virtual Assists with the orientation programs and online learning module assignments

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

Coordinates and manages medical staff organizational, administrative, and credentialing functions. Coordinates all Medical Staff Meetings and Committees as directed by the Director of Quality/PI. Essential Functions Conducts new applicants through credentialing process. Maintains medical staff credentials files/PI files. Liaison between medical staff and administration. R

Include Ensure patient demographic information is accurate and complete Utilize customer hospital systems or approved vendors to research and obtain/verify patient demographic information Validate signature documents such as AOB (Assignment of Benefits), consents, CMN (Certificate of Medical Necessity) Verify patient name is consistent on all documents Verify date of servi

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

Scanning all records into ImageNow. Maintain daily work flow, insuring that records are scanned in a timely and efficient manner to avoid delay in further processing. Collects medical records from discharges. Scanning of medical records. Answers telephone in medical records. Assists with requests for medical information. Reports to Director of Health Information Managemen

LEAD DATA TECHNICIAN 2ND SHIFT Job Locations US WV HUNTINGTON ID 2024 142069 Line of Business PharMerica Position Type Full Time Our Company PharMerica Overview PharMerica is seeking a highly capable and motivated individual to join our team. PharMerica is a non retail pharmacy that focuses on providing exceptional customer service and meeting the pharmacy needs for hospi

West Virginia University Health Science Center Poison Control (Charleston Medical Division) is currently accepting applications for a Clinical Toxicology and Data Specialist About the Opportunity This individual in this position answers calls coming into the emergency and information lines of the West Virginia Poison Center. Triages those calls according to severity and f

Maintains incomplete chart tracking system and processes notification letters to the medical staff on status of incomplete medical records, enforcing the documentation guidelines as set forth within Medical Staff Rules and Regulations Essential Functions Notifies physicians of incomplete records and generates suspension letters as needed for delinquent records. Maintains

Prepares birth and death certificates, maintains birth and death registers, and maintains statistical information relating to vital statistics. Facilitates reconciliation of issues surrounding transcription. Essential Functions Prepares, maintains and disseminates information pertaining to births and deaths as required by the State Bureau of Vital Statistics or other agen

Prepares birth and death certificates, maintains birth and death registers, and maintains statistical information relating to vital statistics. Facilitates reconciliation of issues surrounding transcription. Essential Functions Prepares, maintains and disseminates information pertaining to births and deaths as required by the State Bureau of Vital Statistics or other agen