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

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

Assist the nursing staff in providing efficient, effective and safe patient care specific to diagnosis and age of patient served, utilizing communication, and clerical skills. This is based on the knowledge of growth and development over the life span. The care is provided under the direction of the nurse in accordance with accepted hospital standards, policies, unit spec

The Medical Record/Health Information Technician is responsible for the care of the patient health record to ensure that the information in the record is complete, accurate, and only available to authorized physicians, caregivers, and requestors. Understands medical terminology and health care business lines. Assists Caregivers and Providers (physicians, clinical departme

Accurately processes requests for personal health information according to guidelines and policies. Monument Health offers competitive wages and benefits on qualifying positions. Some of those benefits can include Supportive work culture Medical, Vision and Dental Coverage Retirement Plans, Health Savings Account, and Flexible Spending Account Instant pay is available for

The Patient Services Specialist expedites and enhances patient access to care by scheduling patient appointments including diagnostic services in real time and financially clear patients prior to date of service. Financial Clearance to include completing insurance verification, pre certification, authorization, pre registration, notification to the patient or responsible

Perform duties necessary to ensure the proper interpretation, processing, recording, approval and payment of inpatient and outpatient medical claims. Accurately reviews information for processing claims into a computerized system in accordance with the primary payer specifications and billing guidelines. Monument Health offers competitive wages and benefits on qualifying

The Coder I position is responsible for ICD, CPT, HCPCS, Evaluation and Management assignments in a limited specialty environment in a clinic, hospital, nursing home, assisted living, or professional billing environment. Monument Health offers competitive wages and benefits on qualifying positions. Some of those benefits can include Supportive work culture Medical, Vision

It starts with heart. That is what you will do each day. As a Patient Access Specialist I at Monument Health, you can begin your healthcare career with no experience necessary. You will be valued as an essential team member providing compassionate patient focused care. You will discover a culture of teamwork, professionalism, mutual respect, and most importantly a life ch