Cognizant, a global IT consulting and services organization, specializes in sixteen different industries. Our mission is to engineer modern business to improve everyday life. We are currently looking for a versatile and motivated Regulatory Affairs Senior Associate to join our team! The Senior Associate will play an integral part in monitoring the regulatory changes and p

Verifies insurance eligibility and benefits on all assigned accounts using electronic verification systems or by contacting payers directly to determine level of insurance coverage. When contacting payers directly, utilizes approved scripting Obtains referral, authorization and pre certification information and documents this information in system Identifies outstanding b

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

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

The Health Information Manager is responsible for the directing, coordinating and supervising health information management services, consistent with established policies, regulatory requirements and laws. As applicable, responsible for coordinating core aspects of credentialing, re credentialing and privileging functions for medical and allied staff. Functions include en

Identify appropriate assignment of ICD 10 CM and ICD 10 PCS Codes for inpatient services provided in a hospital setting and understand their impact on the DRG with reference to CC/MCC, while adhering to the official coding guidelines and established client coding guidelines of the assigned facility Identify appropriate assignment of CPT and ICD 10 Codes for outpatient sur

Identify appropriate assignment of CPT and ICD 10 Codes for outpatient Acute Interventional Radiology services while adhering to the official coding guidelines and established client coding guidelines of the assigned facility Apply coding knowledge to analyze/correct CCI Edits and Medical Necessity Edits Understand the Medicare Ambulatory Payment Classification (APC) code

Verifies insurance eligibility and benefits on all assigned accounts using electronic verification systems or by contacting payers directly to determine level of insurance coverage. When contacting payers directly, utilizes approved scripting. Obtains referral, authorization and pre certification information and documents this information in system. Identifies outstanding

Identify appropriate assignment of CPT and ICD 10 Codes for outpatient surgery, observation, emergency, and ancillary services while adhering to the official coding guidelines and established client coding guidelines of the assigned facility Understand the Medicare Ambulatory Payment Classification (APC) codes Abstract additional data elements during the Chart Review proc

Via Linda Behavioral Hospital , newly opened, is excited to begin offering a full continuum of inpatient and outpatient services to the Scottsdale, Arizona population and the greater Phoenix region. Our 120 bed facility offers specialized mental health services and substance use treatment for teens, adults and older adults experiencing issues such as depression, anxiety,

Provide clerical, secretarial, word processing, and other support services as assigned. Demonstrate understanding of applicable business departments' operations, drivers, and/or procedures Receive information (e.g., medical records; physician letters; general correspondence) from stakeholders (e.g., providers; clients) Verify information (e.g., member information; type of

Clinical Informatics Specialist Job Locations US AZ Phoenix Job ID 2024 9391 # of Openings 1 Category Information Technology Program IT Weekly Hours 40 Overview Terros Health is pleased to share an exciting and rewarding opportunity for a Clinical Informatics Specialist at our Central Avenue location, working remotely and in office . Reporting to the Director of Informati

Verifies insurance eligibility and benefits on all assigned accounts using electronic verification systems or by contacting payers directly to determine level of insurance coverage. When contacting payers directly, utilizes approved scripting. Obtains referral, authorization and pre certification information and documents this information in system. Identifies outstanding

Identify appropriate assignment of ICD 10 CM and ICD 10 PCS Codes for inpatient services provided in a hospital setting and understand their impact on the DRG with reference to CC / MCC, while adhering to the official coding guidelines and established client coding guidelines of the assigned facility Abstract additional data elements during the Chart Review process when c

Full time Unit Clerk/Secretary/Coordinator Via Linda Behavioral Hospital is a brand new behavioral health provider serving Scottsdale and the great Phoenix region. We opened in February 2022 and now offer a full continuum of inpatient and outpatient services. Our modern 120 bed facility offers offer specialized mental health services and substance use treatment for teens,