The Certified Edit Dispute Resolution Analyst will be responsible for researching and auditing medical records for complex, diverse, multi specialty provider claims to identify and determine appropriately coded billed services when compared to the Zelis Claim Edits Product. The Certified Edit Dispute Resolution Analyst demonstrates an understanding of Zelis edits as an in

Receives requests for medical records from physicians, attorneys, legal agencies, insurance companies, governmental agencies, hospitals, auditors, and former/current patients. Reviews record requests to determine presence and accurate completion of authorization for release of information. Retrieves medical records of patient care as requested by physicians. Maintains ROI

Complete assessments with members, caregivers, or providers to obtain information regarding client status, support system, and need for services for care plan development Monitor delivery of services and follow up with members, caregivers, or providers through in person visits and telephonic contact Authorize and coordinate referrals for services Ensure provider services

The Health Information Technician (HIT) is responsible for accurately sorting through various types of documents that populate the medical record. The HIT also performs the function of chart set up and work through the filer and batch basket workflow to file the documents in the correct area of the chart. This role is knowledgeable about retrieving information from the we

Works closely with the Practice Manager in managing and maintaining patient records at the Center for Children & Families (CCF). Conducts EMR chart reviews, processing release authorizations, and scanning/uploading documents. Handles patient correspondence, managing record retention, and assisting with financial tasks such as invoicing and payment follow ups. Ensures accu

Accurately and thoroughly document medical visits and procedures as they are being performed by the physician including patient medical history, procedures and treatments performed by healthcare professionals, patient education, physician dictated diagnoses, prescriptions and instructions for self care and follow up and prepare referral letters as directed by physician. D

Position Description Every day, in ways both big and small, the Medical College of Wisconsin (MCW) is impacting lives for the better. MCW ... change making for a healthier Wisconsin. As a Quality Coding Analyst I, you will serve as an expert resource for multi specialty documentation, coding and billing. Works as an extension to the Charge Capture Supervisory Team to moni

Act as a Subject Matter Expert for other team members Manage the intake of members or the admission / discharge information post notification. Work with hospitals, clinics, facilities, and the clinical team to manage requests for services. Manage the referral process, processing incoming and outgoing referrals and prior authorizations, including intake, notification, and

Greet patients and act as the primary scheduler for the University of Central Florida Student Health Services. Determine appropriate appointment types, time, and length. Schedule appointments with appropriate providers for non emergency patients to ensure daily patient management. Refer patients to the Nurse Facilitator for effective triage or facilitate triage with the N

The duties and responsibilities of this position include Maintain confidentiality at all times. Electronically check in arriving clients. Process all initial electronic client data; as well as follow up contact as needed and/or assigned. Schedule/reschedule appointments. Assist clients with electronic check in processes and procedures. Observe client behaviors and report

The Graduate Medical Education Administrator I provides the practical structure for the processing and coordination to implement strong educational programs for physicians in training. Provides administrative support of regulatory compliance through data management, report preparation, coordination of special events, records retention, recruitment, and accreditation prepa

The Immunization Records Specialist establishes and maintains digital vaccine records and provides clerical assistance with the day to day operations of the front desk. FGCU is a member of the State University System of Florida and an Affirmative Action and Equal Employment Opportunity and Access Employer. All qualified applicants will receive consideration for employment

Reviewing medical records and documents to abstract clinical data for HEDIS reporting Leverage understanding of disease process to identify and extract relevant details and data within clinical documentation and make determinations or identify appropriate medical codes Utilize resources and reference materials (e.g., on line sources, manuals) to identify appropriate medic

Responsible for increasing utilization of Lee Healths products and services. Partners with the acute care hospitals, Skilled Nursing facilities, the Rehabilitation Hospital and Home Health to navigate patients throughout Lee Healths Post Acute Continuum. Will identify process improvement opportunities and at times lead the team in implementing them. Facilitates a timely,

Develops overarching strategies for the analytical and specialized coding processes for the department Sets the fundamental direction of executing these strategic plans with the team Manages, guides, and supports the overall work of the team to maximize results by providing subject matter expertise and training Oversees work activities of others (e.g., staff, team leads,