Review pre bill cases simultaneously with a physician during each work shift excluding breaks and meetings to analyze and validate diagnosis and procedure codes for inpatient services via coding compliance and clinical knowledge to support accurate DRG assignment Utilizes Accuity technology for tracking of coding errors, query opportunities and other data collection as ne

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

The incumbent will be responsible for data collection, report production and financial analysis of hospital information in support of Revenue Integrity internal operations as well as revenue cycle functions at the organizational level. The employee will monitor system interfaces between various charge capture systems, assist in charge automation initiatives. . Retrieves d

Corporate Senior Government Reimbursement Specialist Facility Prime Healthcare Management Inc Location US CA Ontario ID 2024 161130 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 o

Frequent travel among facilities is required. Occasional travel among PSJH regions is required. A valid driver's license, care license, and a reliable vehicle for transportation throughout the region is required. Employee may be required to work on call, after hours and variable shifts and weekends. Demonstrate compliance with all system and departmental policies and proc

The Medi Cal Eligibility Specialist assesses, advises, informs, and assists the uninsured and the underinsured patients in determining eligibility and liability for Inpatient, Outpatient, Emergency Room, Observation admission and services. Interviews patients or their families to establish Hospital Presumptive Eligibility, Medi Cal Fee for Service, SOC, Cash payment and/o

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

Epic Implementation Manager Facility Prime Healthcare Management Inc Location US CA Ontario ID 2024 153462 Category Manager 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 states provid

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

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

Provides Patient Care services coverage based on the Clinic requirements. Assumes all Patient Engagement Representative job responsibilities. Verifies established patient information to ensure accuracy and insurance information is correct. Collect co pay and amounts due if applicable, giving each patient a receipt. Cooperates in cross training others to ensure coverage at

Providence is calling a Senior Pre Service Specialist who will work remotely within our footprint states, AK, CA, OR, WA, TX, NM, or MT. Under the direction of the Pre Service Supervisor/Manager/Director, the Senior Pre Service Specialist has a clear understanding and knowledge of all functions performed by Pre Service. They are responsible for, but not limited to, schedu

Senior Coder \ Remote Most states eligible\ Applies ICD 10/CM/PCS and CPT 4 codes to medical records based on documentation provided by physicians. Adheres to strict federal coding rules and guidelines in selecting codes that appropriately reflect the condition, which the patient had, severity of illness and the care that was provided. Abstracts clinical and statistical i

Responsible for the delivery of efficient, high quality patient care. Responsible for personnel, management, and coordination of nursing service activities for the scheduled working shift, in accordance with established philosophy, objectives and policies of the hospital. The supervisor works with employees and other mangers to develop systems and procedures necessary for

Scans all medical paperwork into imaging system to be placed in patient's medical file. Providence caregivers are not simply valued they're invaluable. Join our team at Providence Medical Institute and thrive in our culture of patient focused, whole person care built on understanding, commitment, and mutual respect. Your voice matters here, because we know that to inspire