The Medical Records Specialist/Coder supports the medical records department through a variety of clerical, technical and related support services. Responsibilities include, but are not limited to Codes discharged patients' accounts. Prepares the patient chart for discharge process and assembles components in the correct order. Assigns and abstracts medical and consultant

This expert level senior inpatient coder is responsible for leading coding teams, coder training, work que management, performing prebill and second level coding reviews utilizing auditing software and documents findings to improve CC/MCC capture, Risk Variable capture, HAC/PSI, HCC and Quality Indicator validation. The coding analyst will use their knowledge of coding an

Researches the substance of complex appeal or retrospective review requests including pre pay and post payment review appeal requests. Provides thorough clinical review or benefit analysis to determine if the requested services meet medical necessity guidelines. Documents decisions within mandated timeframes and in compliance with applicable regulations or standards. Perf

Provides education to medical providers as warranted. Description What You'll Do Communicates/educates providers on issues such as Medicare coverage, utilization statistics, documentation and medical review by use of written advisories, reports, letters, and telephone contacts. Documents all provider contacts/communications in provider tracking system. Conducts formal con

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

Receives and interviews patients to collect and verify pertinent demographic and financial data. Verifies insurance and initiates pre authorization process when required. Collects required payments or makes necessary financial arrangements. Performs all assigned duties in a courteous and professional manner. May perform business office functions. Receives and interviews p

Internal Reference Number 30109606 Why should you join the BlueCross BlueShield of South Carolina family of companies? Other companies come and go, but for more than seven decades we've been part of the national landscape, with our roots firmly embedded in the South Carolina community. Business and political climates may change, but we're stronger than ever. Our A.M. Best

Responsible for working as a member of the Materials Management team to ensure the needs for supplies and equipment in the Hospital are met. Accurately inventories, orders, receives, picks and distributes materials to meet demands. Processes supplies and equipment by cleaning, packaging, sterilizing and storing as assigned in accordance with established policies and proce

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

Health Information Specialist I Job Locations US SC Columbia Requisition ID 2024 36102 # 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 hea

Area Health Information Specialist II (Onsite Mt Pleasant, SC) Job Locations US SC Mount Pleasant | US SC Charleston | US SC Charleston | US SC Summerville | US SC Walterboro | US SC Goose Creek Requisition ID 2024 36188 # of Openings 1 Category (Portal Searching) Operations Position Type (Portal Searching) Employee Full Time Overview Who we are... Datavant protects, conn

The purpose of this job is to handle time consuming clerical responsibilities for physicians during office based patient encounters. Scribes accompany a physician and directly observe patient encounters. They accurately document the events and decision making in a manner that results in appropriate medical charting. Scribes also complete clerical activities necessary to a

Receives and interviews patients to collect and verify pertinent demographic and financial data. Verifies insurance and initiates pre authorization process when required. Collects required payments or makes necessary financial arrangements. Performs all assigned duties in a courteous and professional manner. May perform business office functions. Receives and interviews p

Responsible for validating/reviewing and assigning applicable CPT, ICD 10, Modifiers and HCPCS codes for inpatient, outpatient and physicians office/clinic settings. Adheres to all coding and compliance guidelines. Maintains knowledge of coding/billing updates and payer specific coding guidelines for multi specialty medical practice(s). Communicates with providers and tea

Responsible for validating/reviewing and assigning applicable CPT, ICD 10, Modifiers and HCPCS codes for inpatient, outpatient and physicians office/clinic settings. Adheres to all coding and compliance guidelines. Maintains knowledge of coding/billing updates and payer specific coding guidelines for multi specialty medical practice(s). Communicates with providers and tea