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

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

Work with patient records to improve data capture of demographic information to limit the number of unbillable trips and associated write offs. Work to identify areas of improvement within the revenue cycle as a function of trip enrichment. Collaboratively create and work new processes that will enhance trip information and will yield improvement in overall revenue. Commu

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

Schedules all follow up appointments in the practice management system following the provider order and/or office protocol in a high volume clinic setting. Cancels/reschedules appointments according to patient or physician scheduling changes; notifies appropriate clinic personnel. Arranges for patients to have financial counseling as needed. Demonstrates an understanding

About Ping Identity At Ping Identity, we believe in making digital experiences both secure and seamless for all users, without compromise. We call this digital freedom. And it's not just something we provide our customers. It's something that inspires our company. People don't come here to join a culture that's built on digital freedom. They come to cultivate it. Our inte

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

Under indirect supervision performs a variety of basic to complex processing tasks related to ensuring timely and accurate billing and reconciliation of discrepancies in accordance with Concentra Medical Compliance Administration practices, policies and procedures. Works closely with the Central Billing Office to report monthly financials. Responsibilities Process monthly

BILLING RECORDS ASSOCIATE Job Locations US CO LONGMONT ID 2024 140139 Line of Business PharMerica Position Type Full Time Pay Min USD $18.50/Hr. Pay Max USD $22.00/Hr. Our Company PharMerica Overview Join our PharMerica team! PharMerica is a closed door pharmacy where you can focus on fulfilling the pharmaceutical needs of our long term care and senior living clients. We

Analysis Complete ad hoc analyses and build comprehensive reporting to inform strategic questions Present findings and actionable recommendations to leadership Critical thinking Quickly gain an understanding of principal growth drivers and key metrics Understand the healthcare landscape and changing policies and conditions and their implication on the business Technical D

University of Colorado | CU Anschutz Medical Campus Department of Pharmaceutical Sciences Department of Pharmaceutical Sciences Professional Research Assistant Position # 00798801 Requisition # 26480 Applications are accepted electronically ONLY at The University of Colorado Anschutz Medical Campus seeks individuals with demonstrated commitment to creating an inclusive le

Minimum of 3 5 years' experience in healthcare with progressive levels of leadership required. Background within a clinical setting such as a nurse, nurse practitioner, or physician assistant with a strong knowledge of clinical workflow is preferred. Experience in operational and performance improvement in clinical settings required. Experience with LEAN Process Improveme

Under general supervision, reviews medical record documentation to abstract and assign diagnoses, procedures, and modifiers for statistical classification and reimbursement purposes. Performs various coding assignments under the direction of Coding Management. Provides feedback regarding documentation and coding issues. Utilizes software applications and coding references

University of Colorado | CU Anschutz Medical Campus Skaggs School of Pharmacy and Pharmaceutical Sciences Department of Pharmaceutical Sciences Professional Research Assistant (LaBarbera Lab) Position #00800010 Requisition #26886 Applications are accepted electronically ONLY at The University of Colorado Anschutz Medical Campus seeks individuals with demonstrated commitme

The University of Colorado, College of Nursing has an opening for a Senior Professional Research Assistant to join the National Resource Center for Health and Safety in Child Care and Early Education. The successful candidate will support projects for Caring for Our Children National Health and Safety Performance Standards; Guidelines for Early Care and Education Programs