Performs review of the medical record including documentation, reports, flowsheets, and test results, applying evidence based criteria related to DRG and clinical validation denials Creates appeal letters utilizing the relevant information from the medical record; supported by current clinical standards and facility guidelines, evidence based medicine, professionally reco

Coding Team Lead, HCC Risk Adjustment Coding Job Locations US Remote Requisition ID 2024 35358 # of Openings 5 Category (Portal Searching) HCC Coding Position Type (Portal Searching) Employee Full Time Equal Pay Act Minimum Range $27.00 $30.00 per hour Overview The Coding Team Lead is responsible for supporting the Coding Supervisors in monitoring coders in quality and ef

Health Information Specialist II Onsite Job Locations US GA Cartersville Requisition ID 2024 35842 # 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. We are a data logistics com

The CSR I interacts extensively with our customers to develop relationships; ensuring ultimate customer satisfaction and returning customers. RESPONSIBILITIES Proactively communicate to all internal and external related parties to exceed customer's expectations. Respond timely and accurately to all incoming customer correspondence along with thorough documentation. Receiv

Health Information Specialist II Job Locations US GA Fayetteville Requisition ID 2024 36008 # 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. We are a data logistics company fo

The DRG Validation Nurse Reviewer will be primarily responsible for conducting post service, pre payment and post pay comprehensive inpatient DRG reviews based on industry standard inpatient coding guidelines and rules, evidence based clinical criteria plan, and policy exclusions. Conduct reviews on inpatient DRG claims as they compare with medical records ICD 10 Official

Prepares patient admission packets. Processes orders, 485s, and face to face documentation. Ensures all documents are uploaded to the EMR on a timely basis. Manages and processes documentation for care center including, but not limited to, orders, paper visit notes, discharge, transfer and episode summaries and medication profiles. Responsible for security and maintenance

Outpatient Audit Specialist Job Locations US Remote Requisition ID 2024 35954 # of Openings 3 Category (Portal Searching) HIM / Coding Position Type (Portal Searching) PRN Equal Pay Act Minimum Range $36.00 $40.00 per hour Overview Datavant protects, connects, and delivers the world's health data to power better decisions and advance human health. We are a data logistics

Communicates with co workers, management, and hospital staff regarding clinical and reimbursement issues Function in a professional, efficient and positive manner Adhere to the American Health Information Management Association's code of ethics Must be customer service focused and exhibit professionalism, flexibility, dependability, desire to learn, commitment to excellen

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

Remote Inpatient Coder III Job Locations US Remote Requisition ID 2024 35939 # of Openings 1 Category (Portal Searching) HIM / Coding Position Type (Portal Searching) Employee Full Time Equal Pay Act Minimum Range $32.00 $42.00 per hour Overview Minimum 3 years Production Coding Experience Datavant protects, connects, and delivers the world's health data to power better d

Credentialing Specialist Location US GA Forest Park Job ID 2024 10481 Overview Cognito Systems, a Planned Systems International (PSI) joint venture, is seeking a skilled Credentialing Specialist. The purpose of this overall project is to provide centralized credentialing and privileging services and support to the United States Army Reserve (USAR) Command with initial ent

The CSR I interacts extensively with our customers to develop relationships; ensuring ultimate customer satisfaction and returning customers. RESPONSIBILITIES Proactively communicate to all internal and external related parties to exceed customer's expectations. Respond timely and accurately to all incoming customer correspondence along with thorough documentation. Receiv

The CSR I interacts extensively with our customers to develop relationships; ensuring ultimate customer satisfaction and returning customers. RESPONSIBILITIES Proactively communicate to all internal and external related parties to exceed customer's expectations. Respond timely and accurately to all incoming customer correspondence along with thorough documentation. Receiv

The CSR I interacts extensively with our customers to develop relationships; ensuring ultimate customer satisfaction and returning customers. RESPONSIBILITIES Proactively communicate to all internal and external related parties to exceed customer's expectations. Respond timely and accurately to all incoming customer correspondence along with thorough documentation. Receiv