Responsible for responding to requests for patient health information ensuring compliance with all regulatory standards to include HIPAA. Essential Functions Compares signatures of the requestor with signature on file. Maintains release log of all PHI requests using appropriate systems. Processes requests ensuring timeliness, accuracy and completeness of information. Ensu

Receives and provides information to patients, significant others, healthcare team members and hospital guests in a courteous and professional manner. Provides an accurate and timely registration process to the patient population. Essential Functions Greets and assists customers, patients, and visitors. Acts with a sense of urgency when dealing with patients and workflow.

Responsible for responding to requests for patient health information ensuring compliance with all regulatory standards to include HIPAA. Essential Functions Compares signatures of the requestor with signature on file. Maintains release log of all PHI requests using appropriate systems. Processes requests ensuring timeliness, accuracy and completeness of information. Ensu

Employees in this position are responsible for the maintenance of patient billing accounts and performing numerous related functions to accomplish this task; such as, patient registration, insurance follow up, financial screening of unfunded patients, answering patient billing inquiries, collection of unpaid balances and posting of payments in the Regional Campus Business

Conducts reviews on records that have been identified as suspicious and/or potentially fraudulent, utilizing most current reference materials to include, but not limited to Current Procedural Terminology (CPT), Internal Classification of Disease (ICD 9/ICD 10) and Healthcare Common Procedure Coding System (HCPCs) guidelines Documents Decisions on reviews through notations

P erforms other duties as assigned What are the reasons to consider working for UnitedHealth Group? Put it all together competitive base pay, a full and comprehensive benefit program, performance rewards, and a management team who demonstrates their commitment to your success. Some of our offerings include Paid Time Off which you start to accrue with your first pay period

Perform coding compliance and quality audits in support of Optum Insight's Compliance Program and client expectations Analyze and interpret documentation from inpatient medical records Clearly document audit findings, cite appropriate coding guideline references and calculate error rates Provide feedback and education as appropriate depending on findings Articulate audit

Provides coder training, ongoing coder education, responds to coding questions received from the train trainee, and specialty coder, performs quality monitoring mentors and supports coders by shadowing coders and making recommendations for efficiency and quality opportunities. Codes medical records using coding classifications to ensure data integrity and proper assignmen

Assisting in the review of medical records to highlight Star/HEDIS opportunities for the medical staff Review medical records for data collection, data entry, and quality monitoring including health plan/WellMed form submission and chart collection activities that close gaps in care Partner with the leadership team, the practice administrative or clinical staff to identif

Assisting in the review of medical records to highlight Star/HEDIS opportunities for the medical staff Review medical records for data collection, data entry, and quality monitoring including health plan/WellMed form submission and chart collection activities that close gaps in care Partner with the leadership team, the practice administrative or clinical staff to identif

The VA Nurse will be responsible for standardization of Value Analysis process across NLH and ensuring there is effective communication with all members of the multi disciplinary teams Research clinical evidence for requested products Appropriate engagement of subject matter experts for new technologies for value assessment and appropriate clinical utilization Oversight o

Assisting in the review of medical records to highlight Star/HEDIS opportunities for the medical staff Review medical records for data collection, data entry, and quality monitoring including health plan/WellMed form submission and chart collection activities that close gaps in care Partner with the leadership team, the practice administrative or clinical staff to identif

Ability to multitask and change focus to accommodate meeting of team objectives and deadlines Actively participates in the Agency's on call rotation in the home health Intake/Authorization role approximately once per month to include holidays Adheres and supports the company policies to include but not limited to time reporting policy, attendance policy, code of conduct M

Understand how various components in Facets fit together so claims pay correctly Utilize knowledge of benefit plans and documents to gather details to create/update applicable product configuration elements Collaborate with stakeholders to gather, assess, interpret and document customer needs and requirements Identify and analyze issues to provide solutions Design, config

Monitors assigned work queues to ensure all records are charged/coded in a timely matter Stays abreast of all changes in coding conventions and coding updates Ability to manage significant workload, and to work efficiently under pressure meeting established deadlines with minimal supervision Physician audits and training of new physicians Adhere to the ethical standards o