RAYUS Radiology, formerly Center for Diagnostic Imaging and Insight Imaging, is looking for an Insurance Specialist to join our team. We are challenging the status quo by shining light on radiology and making it a critical first step in diagnosis and proper treatment. Come join us and shine brighter together! As an Insurance Specialist, you will provide expertise in insur

The Opportunity Reporting into the Credentialing Team Lead, the Credentialing Coordinator will be responsible for organizing, maintaining, and verifying all aspects of the credentialing process, ensuring that our physicians are able to work as contracted. You will be an integral part of the team here at Medicus Healthcare Solutions, working closely with our internal deliv

Assess the clinical indicators and suggestions of various query requests received from the MD Reviewer/ DRG Integrity Specialist Collaborate and communicate as necessary to clarify and avoid misinterpretation to ensure the query is optimally written and distributed to the correct client provider Creates queries in a compliant manner in accordance with AHIMA and ACDIS comp

Health Information Specialist II Job Locations US NH Nashua Requisition ID 2024 35802 # 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 for heal

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

The Referral Coordinator is responsible for the handling of referrals, processing authorizations and scheduling appointments. Principal Duties Use/s the Mass General Brigham values to govern decisions, actions and behaviors. These values guide how we get our work done Patients, Affordability, Accountability & Service Commitment, Decisiveness, Innovation & Thoughtful Risk;

Include Ensure patient demographic information is accurate and complete Utilize customer hospital systems or approved vendors to research and obtain/verify patient demographic information Validate signature documents such as AOB (Assignment of Benefits), consents, CMN (Certificate of Medical Necessity) Verify patient name is consistent on all documents Verify date of servi

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

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

Wentworth Douglass Hospital, an affiliate of Mass General Brigham, is committed to supporting patient care, research, teaching, and service to the community. We place great value on being a diverse, equitable and inclusive organization as we aim to reflect the diversity of the patients we serve. At Mass General Brigham, we believe in equal access to quality care, employme

We're saving lives, building careers, and reimagining healthcare. We can't wait to grow alongside you. Tufts Medicine Lowell General Hospital is seeking an experienced Per Diem Credentialing Specialist . Hours Per Diem. Weekdays as needed. Preferred days include Tuesday Thursday between the hours of 7am 5pm availability. Location Remote Job Overview This position provides

We're saving lives, building careers, and reimagining healthcare. We can't wait to grow alongside you. Job Profile Summary This role focuses on providing administrative and business support to the organization in order to achieve operational goals. In addition, this role focuses on performing the following Credentialing duties Processes provider applications and re applica

Seeking experience working with key DER stakeholders and familiarity with stakeholder forums advancing DER interconnection and distribution system planning for New York Experienced in energy project analysis, modeling, regulation, utility operations or independent system operator functions Contribute to the State's strategic decision making relating to DER interconnection

of Position Under broad supervision, this position performs highly responsible work coordinating functions of the Registrar's Office. Considerable independent judgment is exercised applying and adapting departmental guidelines, policies and procedures, maintaining confidentiality, and applying thorough knowledge of the operations and policies of the department and Universi

At Wentworth Douglass, we value people who contribute to patient centered care that enhances community health; we recognize and reward those who share our values and transform our patients' lives. We invite you to explore opportunities, cultivate community wellness and professional growth. Medical scribes duties include performing all clerical and information technology f