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Mille Lacs Health System
Overview
The specialist manages the prior authorization process to ensure payers reimburse the health system for scheduled services. This includes submitting documentation, managing insurance appeals, and coordinating with providers to secure approvals.
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Compensation
$21 - $31 / HOUR
Posted
1 month ago
Legacy Health
The Physician Assistant will provide medical and surgical services under physician direction, performing assessments, writing orders, interpreting tests, and initiating emergency treatments for specialty conditions in both inpatient and outpatient settings. Responsibilities also include coordinating discharge planning, managing outpatient medications, documenting all services, and participating in continuing medical education.
$77 - $101 / HOUR
2 months ago
St. Luke's University Health Network
The specialist analyzes medical records, claims data, and coding to appeal insurance provider MS-DRG and coding changes, ensuring the most accurate ICD-10-CM/PCS codes support rendered services. Duties include conducting retrospective reviews, developing appeal arguments, and identifying documentation issues for staff education.
Salary not listed
Adventist Health
The primary responsibility involves reviewing patient records to accurately assign diagnosis and procedure codes according to established conventions and guidelines for billing and reimbursement. This role also includes auditing medical records for compliance, identifying productivity trends, reporting adverse events, and providing coding feedback and education.
$31 - $46 / HOUR
Hartford HealthCare
The primary responsibility involves reviewing inpatient clinical documentation to assign appropriate alpha-numeric diagnosis and procedure codes, classifying data for statistical reporting, compliance, and reimbursement, focusing on high-dollar and complex accounts. This includes applying knowledge of anatomy, physiology, and coding systems like ICD-10-CM/PCS while adhering to ethical coding standards and meeting productivity goals.
UHS
The HIM/Medical Records Coding Specialist is responsible for assigning diagnostic and procedure codes and abstracting data for outpatient and/or inpatient encounters based on medical record documentation. Duties also include chart abstraction, review, analysis, audits, and handling administrative tasks like answering calls.
Loma Linda
The Coder 2-HIM performs ICD and CPT coding and abstracts data from legal medical records. They ensure the quality and accuracy of coding in compliance with various regulations and work with students and coding interns as needed.
4 months ago
