Your Role The Clinical Quality team oversees and is responsible of HEDIS medical record review, pursuit, and overall HEDIS submission. The Clinical Quality Coordinator will report to the Supervisor of the HEDIS Outreach Team. In this role you will be responsible for conducting provider outreach during the HEDIS season for medical record pursuit and retrieval. Also, partic

Credentialing Coordinator Facility Prime Healthcare Management Inc Location US CA Ontario ID 2024 160250 Category Business Professional Position Type Full Time Shift Days Job Type Exempt Overview Prime Healthcare is an award winning health system headquartered in Ontario, California. Prime Healthcare operates 45 hospitals and has more than 300 outpatient locations in 14 s

The role of the admissions rep is to reach out to individuals via phone, take incoming calls and place outbound calls to prospective students in a call center team environment. Admissions representatives interview prospective students to determine their motivation for attending college, understand their career goals and the obstacles that might prevent them from starting

Regularly performs limited volume of Inpatient coding reviews on medical records to maintain subject matter expertise, and additionally as needed to support business needs. Performs audit quality assurance reviews to supplement QA team activity as necessary based upon business need or special projects. Contributes to the resolution of quality review rebuttals. Performs ap

The Medical Coding Educator provides educational and physician support for coding and billing practices. Obtaining, interpreting, analyzing and communicating information regarding physician reimbursement legislation and third party regulations on an on going basis to clinicians and professional coders. Providing continuing education in coding and billing of specialty serv

Auditing claims for medically appropriate services provided in both inpatient and outpatient settings while applying appropriate medical review guidelines, policies and rules. Document all findings referencing the appropriate policies and rules. Generate letters articulating audit findings. Supporting your findings during the appeals process if requested. Working collabor

Health Informatics Coordinator I Facility Huntington Beach Hospital Location US CA Huntington Beach ID 2024 159384 Category Business Professional Position Type Full Time Shift Days Job Type Non Exempt Overview Join an award winning team of dedicated professionals committed to our core values of quality, compassion and community! Huntington Beach Hospital, a member of the

Medical Records Clerk Job Locations US San Pablo ID 2024 5647 Overview Come join a dynamic care team at LifeLong Medical Care. We are looking for a Medical Records Clerk at our Brookside San Pablo Health Center. The Medical Records Clerk is responsible for implementing day to day Medical Records assignments and assuring timely response to the provider team. Under general

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

Provide leadership and ownership of highly complex and diverse engineering activities and related analyses associated with major field projects and provide technical advice to customers and less experienced field service team members. Work with field service team and customers to drive issues to resolution Mentor and develop field service skills such as technical expertis

Every day, Baxter touches the lives of millions of patients and providers worldwide who rely on our essential hospital and renal products and services. You’ll find Baxter’s products and therapies on nearly every floor, in almost every hospital worldwide, in clinics and in the home. Baxter’s employees are building upon the company’s rich heritage of

Health Information Specialist I (ONSITE Newport Beach, CA. 92663) Job Locations US CA Newport Beach Requisition ID 2024 35931 # of Openings 1 Category (Portal Searching) Operations Position Type (Portal Searching) Employee Full Time Overview Who we are... Datavant protects, connects, and delivers the world's health data to power better decisions and advance human health.

Duration 3+ months & Extendable Job Description Performs quality functions in support of the ambulatory division. Accurately updates patient information in the electronic medical record related to physician assignment, deceased records, multiple missed appointments, and health plan disenrollment related to the daily operations of the practices. Reconciles and captures cli

Review details of documents to ensure required data for processing order/data is complete. Establish data naming standards and consistent data definitions to improve overall data quality. Ability to accurately and timely process data in high volumes. Performs a wide range of support functions to assist in departmental processes Follows clearly defined procedures to comple

Responsible for the review and update of existing concepts based upon required periodic review cycle or as needed based upon client or regulatory changes (research, analysis, update rule documents, code lists and edits accordingly). Collaborates with and leverages Segment Specialist expertise to ensure on point results. Ensure training material updates (may develop or coo